Hiatal Hernia Treatment

Hiatal Hernia Treatment

My child was diagnosed with a hiatal hernia. The doctor is recommending a Nissen Fundoplication. Is this the standard treatment? A hiatal hernia means that part of the stomach is in the chest. This leads to more severe GERD because the muscle at the top of the stomach...
Hiatal Hernia Treatment

Genitourinary Issues

What are the possible genitourinary issues in CdLS? Genitourinary problems include abnormalities of the male or female reproductive system, kidneys and urinary tract. There are a number of possible genitourinary problems in CdLS, and I will only discuss the most...
Hiatal Hernia Treatment

Fundoplication (timing of)

What is a good age and/or weight to have stomach surgery for reflux? Most babies outgrow reflux. Children with CdLS often don’t outgrow it. We do surgery when medical therapy fails. Failure includes: 1. Growth failure from vomiting 2. Respiratory disease from...
Hiatal Hernia Treatment

Development Issues

Will my brother, who has mild CdLS, be able to grow up like a boy without CdLS? Each individual with CdLS is different and, as with any child, it is difficult to predict what his life will be like when he grows up. However, there are probably some generalizations that...
Hiatal Hernia Treatment

Dental Grinding and Sliming

I am presently working with an 18-year-old boy who has CdLS. His mother has told me that he has not cut his 12-year molars yet. Recently he has been grinding his teeth frequently and “sliming.” By “sliming” I mean this that he puts a finger...