Chapter

Oral-Motor Dysfunction

(Ineffective Suckling) 286 Gastroesophageal Reflux/Cow Milk

Allergy/Oversupply 290

Nonspecific Neurological Problems 291 Ankyloglossia (Tight Frenulum,

Tongue-Tie) 291

Abnormal Patterns of Growth:

The Baby with Obvious Illness 292

Maternal Considerations:

The Mother Who Appears Healthy 293

Delayed Lactogenesis 293

Stress 293

Inverted Nipples 294

Nipple Shields 294

Medications and Substances 294

Hormonal Alterations 294

Breast Surgery 295 Insufficient Glandular Development of the Breast 295

Psychosocial Factors 296

Maternal Nutrition 296

Maternal Considerations:

Obvious Illness 296

History, Physical Exam, and

Differential Diagnosis 296

History 296

Physical Examination 296

Differential Diagnosis 297

Clinical Management 297

Determining the Need for Supplementation 297

Intervention 297

Reducing the Amount of Supplementation 300

Family and Peer Support 300 When Maternal Milk Supply Does

Not Increase 300

Special Techniques for Management of

Low Intake or Low Supply 300

Breast Massage 300

Switch Nursing 300

Feeding-Tube Device 301

Test Weighing 303

Galactagogues

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Herbal Remedies For Acid Reflux

Herbal Remedies For Acid Reflux

Gastroesophageal reflux disease is the medical term for what we know as acid reflux. Acid reflux occurs when the stomach releases its liquid back into the esophagus, causing inflammation and damage to the esophageal lining. The regurgitated acid most often consists of a few compoundsbr acid, bile, and pepsin.

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