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Gastro- oesophageal reflux – GOR- is very common in infancy, and most can be successfully managed conservatively. I very rarely operate in this setting.
Some do need medications and recent research has implicated some of these drugs with cardiac side effects- so one has to choose the therapeutic regime with care. In some, however GOR may affect weight gain and lead to failure to thrive. Following the child’s centile curves in the ‘red book’ then becomes vital. Inadequate nutrition in the first year of life has been linked to poor brain growth with implications regarding developmental milestones in the future. In other patients, there may be a tricky association with chest problems that needs to be carefully dissected out. These children may actually have presented to a chest clinic with chest infections or asthma. Dr Devesh Misra Consultant Paediatric Surgeon and Paediatric Urologist |
Mr Devesh Misra Private Paediatric Consultant Urologist Surgeon, London, UK
Mr Devesh MisraAn experienced, expert paediatric surgeon in London, UK. He has special interest in Newborn Babies (neonatal) & Children Surgery, GI surgery & Paediatric Urology. 
An experienced pediatric surgeon LondonTreatments for urology conditions, circumcision, tight foreskin, balanitis, undescended testes, hypospadia, constipation etc.
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experienced & well-trained private paediatric urologist consultant surgeon in London UK
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Mr Misra, Paediatric Urologist Surgeon, London, UK