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IN THIS ISSUE
Pyloric Stenosis
Influenza
Recipe of the Week
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Issue: #48
November 19, 2012

Give Thanks!
Thanks

I would like to give thanks to all of my readers and the beautiful children that inspire the world that we live in.  Enjoy the reasons for being thankful.  Hug your family tight and know that I appreciate each and everyone one of you!
 
Volume 2, Letter 48
 

November 19, 2012 

 

Breastfeeding is the answer to many issues.  Here is one more.

 

Pyloric stenosis is a narrowing of the muscle at the opening of the stomach leading into the intestines.  Pyloric stenosis has a genetic predisposition as it tends to run in families and is more common in first born male children.  

 

Symptoms occur between 3 weeks and 6 months of age and are characterized as projectile vomiting after feedings, i.e. milk shooting across the room.  The infant is often hungry immediately after vomiting.

 

In the Journal of Pediatrics this year a group of Dutch researchers led by Camilla Krogh looked at feeding and the risk of pyloric stenosis.  They reviewed the history of 70,148 live births and found that 65 infants underwent surgery for pyloric stenosis. They looked at the mode of feeding and found that bottle fed children were 4.6 times more likely to develop disease.  

 

They posit that either the formula milk composition or the rapid feeding pattern of formula fed children is a likely cause. Or could it be that breast milk offers protection?  Unknown at this time.  

 

Another reason to continue to advocate for breastfeeding.

 

 

Mother's perfect food,

  

Dr. Magryta


Influenza

The flu is here officially.

The Influenza virus is a common and deadly infection for the very young and the very old. In my 20 years of medical practice, the influenza virus has killed more children and caused more havoc than any other vaccine preventable disease.  

I bring this topic to the newsletter because I find that this year many parents are not aware of the risks of the flu.  If your child is less than 2 years old, has a chronic illness like asthma, diabetes or a cardiac condition, their risk of a severe influenza complication is high if they contract the illness.

The best way to prevent the illness is to practice religious hand washing, avoid close contact with ill people, take adequate amounts of Vitamin D and get the flu vaccine.  Ask your healthcare provider for Vitamin D dosing.  

If you feel achy, feverish, have a cough and sore throat, it is likely that you have the flu.  There is an antiviral medicine available for those children over the age of 1 year that are at risk for complications.  The efficacy of the medicine is best if started in the first 48 hours of the illness.  Most physicians use a rapid influenza test to ascertain if your child has the illness.   

Egg allergic people:  the current recommendation is that If you are allergic to eggs, the flu vaccine is only a problem if you have a reaction beyond a rash.  If your reaction is just a simple rash, then you may receive the vaccine and stay at the physicians office for thirty minutes as a precaution. 

Respect this virus,

Dr. M


 
Recipe of the Week

Cornbread Sausage Stuffing  from Living Without.com

Ingredients: Buy local, organic and hormone free where possible.

Cornbread

 

2 cups gluten-free cornbread mix
2 large eggs
1� cups water
⅓ cup vegetable oil
2 tablespoons sugar


Stuffing

 

1 (16-ounce) package country sausage, crumbled
1 cup unsalted butter, dairy-free butter alternative or olive oil, divided
1 medium bunch celery, chopped
2 medium onions, chopped
3 small leeks, cleaned and sliced
2 large eggs, beaten
1� tablespoons poultry seasoning
1 teaspoon kosher or fine sea salt
1 teaspoon pepper
1-2 cups gluten-free chicken stock, divided

 

Directions:

 

1. The night before roasting the turkey, prepare Cornbread: Preheat oven to 375�F. Spray an 8-inch square baking dish with gluten-free non-stick cooking spray. Whisk cornbread mix, eggs, water, vegetable oil and sugar in a large mixing bowl just until combined. A few lumps are ok. Pour batter into prepared baking dish and bake in preheated oven for 30 to 35 minutes or until cornbread is golden brown and a toothpick inserted in the center comes out clean. Let cornbread cool. Then crumble it onto a baking dish and let it dry out overnight.

 

2. The morning of roasting the turkey, place cornbread crumbles in a large mixing bowl.

 

3. Heat the sausage over medium heat until fully cooked. Pour off the fat and add � cup butter, dairy-free butter or olive oil. Add the chopped celery, onions and leeks. Cook until the vegetables are translucent but not too browned, about 10 minutes. Place the sausage-vegetable mixture into the bowl with the cornbread crumbles.

 

4. Melt � cup butter. Add it to mixture, along with the eggs, poultry seasoning, salt and pepper. Mix well. Add just enough chicken stock to make the mixture moist but not mushy.

 

5. Stuff the turkey cavities with some of the stuffing, being careful not to overfill. Place the rest of the stuffing into a greased casserole dish. Pour about � cup more stock over the top of the stuffing in the casserole dish. Dot the top with the remaining � cup butter that has been cut into small pieces or drizzle with remaining � cup olive oil. Place dish in 350� oven and bake for 30 minutes, uncovered.



Dr. M

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The newsletter archive in the links section is officially working.  New readers can now go back in time to learn about the future!

 

Copyright � 2010-2012 Christopher J. Magryta, MD. Readers, please note: The information provided in this newsletter is for educational and informational purposes only. It is not a substitute for advice and treatment provided by your physician or other healthcare professional and is not to be used to diagnose or treat a health issue.


 


Chris Magryta
Salisbury Pediatric Associates
Touchstone Pediatrics