For the past few months Adam had been quite unsettled, especially at night. We thought his reflux may have started again as he was showing all the signs and although he has had a fundoplication (operation where the top part of the stomach is wrapped around the lower part of the oesophagus to tighten the valve) we do know that these can loosen over time and need redoing. After a consultation it was decided that it would be benefical for Adam to have a 24hr Impedance Study. This involved a small probe on a thin tube being passed through the nose into the lower part of the oesophagus, the thin tube was connected to a monitor which recorded the amount of acid coming up. The probe was put in place under anaesthetic at the same time the specialist did a biopsy to see if there was any acid damage in his stomach.
The results showed that thankfully there was no damage to his oesophagus but they did find that his Mickey button (the small device that we feed him through) is sat over the exit to his stomach resulting in his stomach not emptying as fast as it should this is also causing some inflammation to the stomach wall. The consultant is trying to source a new feeding button that will hopefully alleviate this problem, he also wants to review Adam again in three months (August) and repeat the biopsy in November to monitor the situation.