• To consider the GIT problems that patients with complex neurodisability may have and how to manage them.

Sialorrhea = extreme over salivation of the salivary glands, it can cause skin problems due to the saliva

it is treated by anticholinergic medication

patches can be applied to the backside of ears each 72h

botulinum toxin type A can be injected into children’s parotid and submandibular glands bi-laterally which is a very safe and effective procedure

• To have a working knowledge of the presentation and management of some important conditions affecting the Gastrointestinal Tract including Coeliac Disease, Acute Pancreatitis and Hirschsprung disease.

Hirchsprung disease (Megacolon)