Children''s esophagus (abnormal cells in the esophageal lining) are long-term complications from inflammation that are seen in adults.
What are the symptoms of GERD?
Heartburn, also called acid indigestion, is the most common symptom of GERD. Heartburn is described as a burning chest pain that begins behind the breastbone and moves upward to the neck and throat. It can last as long as two hours and is often worse after eating. Lying down or bending over after a meal can also contribute to heartburn. Most children younger than 12 years of age who are diagnosed with GERD will experience a dry cough, asthma symptoms, or trouble swallowing, instead of classic heartburn.
The following are other common symptoms of GERD. However, each child may experience symptoms differently. Symptoms may include:
- Refusal to eat
- Fussiness around mealtimes
- Frequent vomiting
- Frequent cough
- Coughing fits at night
- Frequent upper respiratory infections (colds)
- Frequent ear infections
- Rattling in the chest
- Frequent sore throat in the morning
- Sour taste in the mouth
The symptoms of GERD may resemble other conditions or medical problems. Consult your child''s doctor will perform a physical examination and obtain a medical history. Diagnostic procedures that may be done to help evaluate GERD include:
- Chest X-ray. A diagnostic test to look for evidence aspiration -- the movement of stomach contents into the lungs.
- Upper GI (gastrointestinal) series. A diagnostic test that examines the organs of the upper part of the digestive system: the esophagus, stomach, and duodenum (the first section of the small intestine). A fluid called barium (a metallic, chemical, chalky liquid used to coat the inside of organs so that they will show up on an X-ray) is swallowed. X-rays are then taken to evaluate the digestive organs for evidence of ulceration or abnormal blockages.
- Endoscopy. A test that uses a small, flexible tube with a light and a camera lens at the end (endoscope) to examine the inside of part of the digestive tract. Tissue samples from inside the digestive tract may also be taken for examination and testing.
- Esophageal manometric study. A test that helps determine the strength of the muscles in the esophagus. It is useful in evaluating gastroesophageal reflux and swallowing abnormalities. A small tube is guided into the nostril, then passed into the throat, and finally into the esophagus. The pressure the esophageal muscles produce is then measured.
- pH monitoring. To measure the acidity inside of the esophagus. It is helpful in evaluating the extent of GERD. A thin plastic tube is placed into a nostril, guided down the throat, and then into the esophagus. The tube stops just above the lower esophageal sphincter, which is at the connection between the esophagus and the stomach. The end of the tube inside the esophagus contains a sensor that measures pH, or acidity. The other end of the tube outside the body is connected to a monitor that records the pH levels for a 24- to 48-hour period. Normal activity is encouraged during the study, and a diary is kept of symptoms experienced, or activity that might be suspicious for reflux, such as gagging or coughing. It is also recommended to keep a record of the time, type, and amount of food eaten. The pH readings are evaluated and compared with the patient''s doctor based on the following:
Your child''s tolerance for specific medications, procedures, or therapies
The expectations for the course of the disease
Your opinion or preference
In many cases, GERD can be relieved through diet and lifestyle changes, under the direction of your child''s doctor to profile any of the medications he or she is taking--some may irritate the lining of the stomach or esophagus.
Watch your child''s doctor before elevating the head of the crib if he or she has been diagnosed with gastroesophageal reflux. This is for safety reasons and to reduce the risk for SIDS and other sleep-related infant deaths.
After feedings, hold your infant in an upright position for 30 minutes.
Is Peppermint Ok For Acid Reflux How To Get Rid (🔴 Anti-Reflux Diet) | Is Peppermint Ok For Acid Reflux Doesn't Helphow to Is Peppermint Ok For Acid Reflux for If bottle-feeding, keep the nipple filled with milk so your infant does not swallow too much air while eating. Try different nipples to find one that allows your baby''s doctor may prescribe medications to help with reflux. There are medications that help decrease the amount of acid the stomach makes, which, in turn, will cut down on the heartburn associated with reflux. One group of this type of medication is called H2-blockers. Medications in this category include cimetidine (Tagamet) and ranitidine (Zantac). Another group of medications is called proton-pump inhibitors. Medications in this category include omeprazole (Prilosec) and lansoprazole (Prevacid). These medications are taken daily to prevent excess acid secretion in the stomach.
Is Peppermint Ok For Acid Reflux Unexpected Foods (🔥 Holiday) | Is Peppermint Ok For Acid Reflux When To See A Doctorhow to Is Peppermint Ok For Acid Reflux for Another type of medicine your child''s doctor may recommend the following:
Adding rice cereal to baby formula
Providing your infant with more calories by adding a prescribed supplement (such as Polycose or Moducal) to formula or breast milk to make the milk higher in calories than normal
Change formula to milk- or soy-free formula if allergy is suspected
Is Peppermint Ok For Acid Reflux Chronic Heartburn (👍 Naturally Treat) | Is Peppermint Ok For Acid Reflux Acid Reflux Every Dayhow to Is Peppermint Ok For Acid Reflux for Tube feedings. Some babies with reflux have other conditions that make them tired, such as congenital heart disease or prematurity. In addition to having reflux, these babies may not be able to eat or drink very much without becoming sleepy. Other babies are not able to tolerate a normal amount of formula in the stomach without vomiting, and would do better if a small amount of milk was given continuously. In both of these cases, tube feedings may be recommended. Formula or breast milk is given through a tube that is placed for 1 last update 01 Jun 2020 in the nose, guided through the esophagus, and into the stomach (nasogastric tube). Nasogastric tube feedings can be given in addition to or instead of what a baby takes from a bottle. Nasoduodenal tubes can also be used to bypass the stomach.Tube feedings. Some babies with reflux have other conditions that make them tired, such as congenital heart disease or prematurity. In addition to having reflux, these babies may not be able to eat or drink very much without becoming sleepy. Other babies are not able to tolerate a normal amount of formula in the stomach without vomiting, and would do better if a small amount of milk was given continuously. In both of these cases, tube feedings may be recommended. Formula or breast milk is given through a tube that is placed in the nose, guided through the esophagus, and into the stomach (nasogastric tube). Nasogastric tube feedings can be given in addition to or instead of what a baby takes from a bottle. Nasoduodenal tubes can also be used to bypass the stomach.
Surgery. In severe cases of reflux, a surgical procedure called fundoplication may be performed. Your doctor may recommend this operation if your child is not gaining weight due to vomiting, has frequent respiratory problems, or has severe irritation in the esophagus. This procedure is usually done laparoscopically, which means that pain in minimized and the recovery time is faster after surgery. Small incisions are made in the abdomen, and a small tube with a camera on the end is placed into one of the incisions to look inside. The surgical instruments are placed through the other incisions while the surgeon looks at a video monitor to see the stomach and other organs. The top portion of the stomach is wrapped around the esophagus, creating a tight band that reinforces the lower esophageal sphincter and greatly decreases reflux.
What is the long-term outlook for a child with GERD?
Many infants who vomit will "" by the time they are about a year old, as the lower esophageal sphincter becomes stronger. For others, medications, lifestyle, and diet changes can minimize reflux, vomiting, and heartburn.