No abstract

No abstract

No abstract

Laryngopharyngeal reflux (LPR) as the cause of symptoms in the absence of symptomatic gastroesophageal reflux disease (GERD) is often questioned. But it is worth remembering that GERD is a whole complex of symptoms that occur when the mucous membrane is damaged. We aimed to study the clinical symptoms of LPR without esophageal symptoms. The study included 66 women and 34 men with complaints typical of LPR, aged 18 to 70. The study included patients with typical LPR complaints without esophageal symptoms who rated them at more than 13 points according to the RSI questionnaire. 91 patients (95%) complained of hoarseness; 93 (97%), of a sore throat; 88 (92%), of excessive mucus coughing up or its running off from the nose; 36 (38%), of difficulty swallowing; 43 (45%), of coughing after eating or after lying down; 68 (71%), of shortness of breath or episodes of suffocation; 64 (67%), of excruciating or hacking cough; 84 (88%), of feeling of something sticky in the throat or a lump in the throat. In addition to the typical symptoms of LPR, patients may experience difficulty in nasal breathing; sneezing in the absence of respiratory allergies; burning and bitterness in the mouth; bad breath due to the formation of tonsilloliths; complaints from the ear not recorded by objective methods of research. 23% of patients with LPR suffer from carcinophobia. We concluded that LPR affects the larynx and all parts of the pharynx. The appointment of omeprazole 20 mg 30 minutes before meals in the morning 1 time per day for 6 weeks significantly reduces the symptoms of LPR. A new questionnaire is required for the early detection of LPR symptoms by a questionnaire method.

Due to the new legislative sanitary and epidemiological rules and norms that came into effect in Russia in 2021 and the obvious advantages of breast milk (BM), there is an increasing trend towards its use in neonatal clinics in the form of BM banks (BMBs). The purpose of this retrospective research was to assess the impact of BMBs in a neonatal hospital on the prevalence of breastfeeding (BF) of infants at discharge. Materials and methods used: the study included 692 infants at the age of the first 28 days of life who were hospitalized in the Neonatal Pathology Department with the National Medical Research Center for Children’s Health (which is located in Moscow, Russia) prior to the opening of BMB (Group 1) and during the BMB functioning (Group 2). Results: it was found that mothers from G2 pumped BM statistically significantly more often than mothers from G1 (64% vs. 43%). The incidence of exclusive BF (EBF) at discharge statistically significantly increased compared to the same indicator at admission, in both groups: from 41% to 51% in 2013 (p<0.001) and from 48% to 65% in 2015 (p<0.001). The prevalence of EBF at discharge during the BMB functioning in 2015 (65%) was therefore statistically significantly higher compared to this indicator in 2013 (51%), p=0.009. Conclusion: the strong positive effect from BMB on the prevalence of BF at discharge from the hospital was recorded.