Acid Reflux Disease In Children

Gastroesophageal Reflux In Children

GERD In Infants GERD is extremely common in children as in adults. But if Shakespeare was already talking about “babies puking at Their mother’s breast”, the frequency of GERD is probably the reason for the delay have been discovered all its manifestations and its complications.

The acid reflux affects many adults (Bruley of Varannes, 1988). Its frequency and importance exaggerated make clinically significant in almost 5 children (Chouhou et al, 1992), although complications are much less frequent.

The catalog of them is beginning to be better identified, our understanding of pathophysiological mechanisms that cause it are poorly understood. As highlighted beautifully Judith Sondheimer (1989), the explanation usually proffered to the parents that the “small muscle of the lower esophagus is underdeveloped” is at best incomplete and at worst wrong.

A number of pathological confusion dominates the field of GERD now, including the use of diagnosis in clinical situations in which the cause of vomiting is not sought while vomiting are unnecessarily documented by a pH measurement. In addition, the progressive sophistication of diagnostic methods to predict those that will be used routinely in recent years are not those currently commonly prescribed.

Finally the collective imagination of the difficulty of the examinations of GERD is usually false, can lead to aberrant choice. For example if the probe pH monitoring is finer than the endoscopy unit, trans-nasal passage of the probe, which will be left in place 24 hours is it really less painful for the small infant as long as two minutes in small infants well fibreoptic examination conducted?

So it is true that real progress has been made in the diagnosis of the acid reflux disease, it is essential that the practitioner knows the qualities and limitations of tests he prescribes and appreciates it more at fair value the difficulty of the examinations requested.

The treatment has greatly benefited from advances in defining the ideal position in the discovery and behavior modification digestive effective pro kinetic drugs.

The development of gastroesophageal reflux disease is in children is dependent on the age of the child. Very common in small infants, reflux disappeared in most cases before the age of 2 years. Its persistence beyond is readily associated with chronic lower respiratory complications certainly justify a clinical follow-up much longer and more careful than is common to realize it.

If the chronic reflux thrown by his contradictory character with spontaneously favorable evolution of pediatric conditions, it appears that the effective management of reflux can improve the chances of spontaneous recovery.

The intermittent reflux of gastric fluid is normal in children and adults. Its meaning depends on its pathological excessive or the occurrence of complications.

 

Gastrointestinal Symptoms Of GERD

Regurgitation and vomiting  are common manifestations of GERD. The decrease in food intake and the refusal of food may lead to weight growth retardation. Vomiting and weight loss are much more common in children than in adults.

The difference may be related to the difference in tank capacity of the stomach.  The stomach contents should assemble all the esophagus, which measures 30 cm in adults and can hold about 180 ml, while in children 5 kg, it is only 9 cm and can contain more than 6 ml. The ability of the esophagus to retain the acid reflux is probably much higher in adults which in addition, ingesting 40 to 50 ml / kg / day in infants who ingest more than 120 ml happy / kg / day.

Acid Reflux Symptoms

Reflux Esophagitis

The presence of abnormally prolonged or abnormal amount of gastric fluid into the esophagus can lead to esophagitis  but whose symptoms can be haematemesis and infants, a dysphagia or anorexia, crying or agitation during the bottles or during sleep which semiological value of heartburn that can rarely describe the older child. Chronic blood loss can cause anemia hypochromic microcytic.

The peptic stricture of the esophagus is the expression of an unknown severe reflux also uncommon in our country.

The Long-Term

Spontaneous healing of GERD can certainly be expected in children under two years. Approximately 60% of children are stripped of their symptoms by the age of 18 months. The most dramatic improvement occurring between 8 and 10 months. Symptoms persist until the age of 4 years for 30% of children, complications developing in the absence of treatment in 10% of them.

By the same author (Carré, 1985), medical treatment of acid reflux in this age of life greatly improves the physiological maturity.  Over 90% of patients treated before the age of three months were asymptomatic at the age of one year – against 35% in the absence of treatment.

GERD is poorly documented. The 20-year follow-up of a hundred subjects with hiatal hernia and vomiting in childhood (Carré et al, 1976), excluding those who underwent surgery showed that 90% had no of symptoms, although half still had a hiatal hernia and 20% cardial incontinence.

It is probble that the majority of symptomatic adults were recruited from among the children who have DDES symptoms beyond the age of 2. However, it is also likely since in three adults suffer from GERD seems that the majority of GERD in adults develop after childhood.

The Respiratory Manifestations Of GERD

Lower respiratory events occur both in children aged 3 to 15 months period of life during which the gastrointestinal symptoms of GERD are predominant than in older children from 2 to 15 years or gastrointestinal symptoms patent often give way to a responsibility willingly hidden and often part of GERD in non-clinical gastrointestinal (Danus et al, 1976, Christie, 1979, The Luyer et al, 1986, Vandenplas et al, 1989, Smith and De Blic , 1990).

These Symptoms Occur Most Often

- A spasmodic cough

- An obstructive bronchitis whose translation is wheezing

- A breach of a recurrent pulmonary territory especially the middle lobe, and in some cases of interstitial infiltrates seen on radio

The Special Case Of Asthma

Asthma is a condition in which numerous studies agree with the remarkable frequency of GERD (Martin et al, 1982). Statistics released this frequency amounted between 47% and 63% well above what is observed in the normal population.

The responsibility of GERD in some non-allergic asthma is much more limited: only certain non-allergic asthma can be completely healed by the start of antireflux treatment (Scheinmann et al, 1987).

In fact it seems that in most cases, either the asthmatic disease induces GERD: a study in 1987 on Scheinmann 59 atopic asthmatic children all had radiological Ontrea GERD in 93% of cases. The possibility that GERD facilitates the perpetuation of bronchial hyperresponsiveness and maintenance of asthma, may warrant research and systematic treatment of GERD in a child with asthma.

In practice, however, the systematic implementation of an anti-reflux events in a child with no call digestive or respiratory disease does not affect a minor asthma.

ENT Symptoms Of GERD

Clinical respiratory symptoms probably the most frequently associated with GERD in infants and young children, but whose relationship with GERD is most often overlooked are cough tracheal night, the rhino-bronchitis with recurrent sinusitis, recurrent acute otitis or serous (Bernard et al, 1990).
Demonstrations calling for GERD

Respiratory events are essentially nocturnal predominance of symptoms and association with coughing. The presence of nocturnal acid reflux, as evidenced by these symptoms, suggest a prolonged acid exposure of the esophagus, ulcers and related to decreased salivation and swallowing movements which would result in a higher incidence of esophagitis.

It may be assumed that treatment with both bronchodilators and anti-reflux which is effective probably reduced the reflux-induced transient episodes of bronchospasm and broken a vicious circle of worsening between asthma and GERD.

 

Serious Illnesses in Infants With GERD

Apnea and choking accidents with loss of consciousness from the small infant requiring resuscitation maneuvers within the scope of sudden death syndrome have missed with GERD relationships that are currently widely studied.

The causal link between GERD and severe discomfort of the infant were established on a number of data. One of the first striking feature is the peak frequency of these common conditions between 1 and 6 months, as the accident occurred mainly at night or when lying in the primary post-prandial early, the frequent presence of a upper respiratory tract disease may result from reflux or increase the respiratory consequences.

The temporal relationship between apnea and acid reflux episodes was established by some teams (Foucaud et al, 1985, Herbst et al, 1978). The difficulty of such studies, due to the need for extended recording pH-metric and simultaneous polygraphic and sometimes lower frequency of apnea reported mixed results from one study to another.

This correlation was found in 30 to 90% depending on the study. These studies also had the merit of clearly established that episodes of GERD infant “near miss” occurs not only in times of awakening during sleep but also calm or agitated. However, some studies fall against the existence of a correlation between apneic episodes and acid reflux disease.

Discomfort of GERD

Several studies demonstrate the role of chemo-receptors and pharyngo-laryngeal esophageal, including acid stimulation of apnea with bradycardia reproduced by bringing into play of a vago-vagal reflex, both in animals and humans these accidents does not occur with water or with a diluted solution. This responsiveness to the presence of acid in the airways is not in itself pathological.

It reflects the satisfactory functioning of mechanisms to protect against upper respiratory tract reflux. The decision of any respiratory movement from the end of acid in the pharynx can avoid inhalation and its dramatic consequences. At least the likely role of apnea triggered by reflux.

Apnea GERD

Reactivity to acid reflux may actually manifest itself polymorphic. Besides apnea devices of GERD, possibly related in part to a reflex and laryngospasm which can recognize a salvific value, at least when not too long, there is central apnea, which probably involved the same process but bradycardia reflex whose purpose is obscure. This diversity of response is both a difficulty in understanding the discomfort of infant and a gateway to the complexity of the mechanisms likely responsible for these ailments.

If gastroesophageal reflux should be considered one of the pathogenic factors of indisputable apneic accidents or serious syndrome of sudden unexplained death of small infants, it is not the only factor. At this age s’intriquent particular sensitivity to any stimulation or nociceptive oesophageal pharyngolaryngeal put into play by a vagal reflex, the heart and even brain susceptibility all of whose inclusion allows a therapeutic approach as strictly as possible.

The Clinical Presentation of Discomfort of GERD

Accidents involve during the first 6 months of life are paroxysmal and sometimes dramatic. It can be sudden access of cyanosis, hypotonia sometimes with convulsions, choking with respiratory distress or apnea and unconsciousness.

The frequency of accidents varies greatly from one study to another depending on the selected population of children and the diagnostic criteria selected. It seems low in the newborn recognized as the bearer of GERD pathological 5.7% in the multicenter study Ghisolfi (1981). However, the discovery of a R.G.O. disease in a population of infants investigated for serious ailments, is undoubtedly more frequent up to 4O% of cases.

The Elements Of Suspicion Of GERD

Elements suggestive of GERD are the occurrence of disorders in early post-prandial changes in position. The greater frequency of apnea during wakefulness or during sleep restless and fickle though the prior existence of vomiting, regurgitation or cough in baby bottles.

It is ultimately the effectiveness of anti-reflux treatment, possibly surgery which can be regarded as the most demonstrative of the responsibility of GERD In a large series on 123 children who have severe discomfort and holders of GERD Leape (Leape et al, 1977) found that only 4% of children operated on again presented episodes of apnea, against 40% in children treated medically in the home.

Additional Examinations Of GERD

The diagnosis of GERD is currently suffering from some confusion. In addition, the progressive sophistication of diagnostic methods to predict those that will be used routinely in recent years are not those currently commonly prescribed.

It is reasonable that the physician’s choice based largely on the skills and availability of local time. However, it is essential that appreciates the qualities and limitations of tests he prescribes and appreciates it more at fair value the difficulty of the examinations requested.

The Upper Gastrointestinal Endoscopy Duodenal

The morphology analysis endoscopy esophageal-gastric, highlights a possible hiatal hernia, fully appreciates the suffering of the mucosa and highlights a possible esophagitis which must rate as the criteria for children. It also allows a dynamic study of motility of the cardia enjoying its opening and closing.

Endoscopy is an outpatient examination, short, which do not require pre-medication, except in case of repeated endoscopies in older children. This review, deemed painful, is certainly more than the UGI after age 1 to 2 years but certainly much less in small infants. Endoscopy may not be performed by experienced operators who are used for children who have appropriate equipment.

The Upper Gastrointestinal Transit Duodenal

Transit upper gastrointestinal ulcer (UGI) analyzes the morphology of the esophagus and stomach and shows a possible hiatus hernia. It also helps if he shows a reflux, which is not always the case, to clarify the dynamics but does not assess accurately the suffering of the esophageal mucosa.

The UGI can be difficult in small infants, which remains attached and manipulated in various positions for twenty minutes. It is currently feasible everywhere in France: it is a major advantage, which explains its use further expanded this indication.
The esophageal pH-metry

The measurement of pH changes of the distal end of the esophagus through an electrode positioned between 3 and 5 cm upstream of the ORC is the method that provided the information on the reflux of gastric acid in esophagus.

In addition, the development of portable enclosures (“Holter”) provides a vision of the natural ebb and DRS on the trail of events that have marked the record as the position changes, meals, pain. The interpretation of portable recorders is partially automated according to standards derived from those established in adults, particularly regarding the time spent below pH 4.

However, a recent synthesis of 285 pH meter 24 hours performed in asymptomatic children from 15 months moind by Vandenplas and Sacre-Smits (1987) showed that the parameters analyzed were clearly related to age, the changes most important being around the 4th month. The interprétaion must incorporate a strong qualitative data provided by the study plots.

Despite its currently irreplaceable in the diagnosis of GERD, the pH measurement is a test that must be considered relatively difficult since the probe must be maintained 20 hours up in the nose, allowing the detection of nocturnal reflux which we know the frequency of association with respiratory disease.

Other Exploration Techniques For GERD

Gastroesophageal scintigraphy

Radiology and the pH measurement of superiority. The technique varies depending on the teams is to administer a liquid or mixed meal labeled with a radioisotope.

One of the main advantages of scintigraphy is the ability to measure gastric emptying time, the elongation is associated with certain pathological GERD and may be subject to specific techniques.

The scan is completely non-invasive and very low radiating. It requires isotopic exploration teams interested in GERD, which are few. It is an expensive examination.
Esophageal Manometry allows us to appreciate the tone of the lower esophageal sphincter, the quality of esophageal peristalsis can be modified by a severe esophagitis or in some movement disorders but also esophageal sphincter tone upper esophagus.

Esophageal manometry has the advantage of allowing to establish quantified measures but requires expensive equipment and training important to realize and analyze the traces. It is reserved for a few highly specialized teams for the establishment of certain diagnoses and clinical research work that accompanies the development of anti-reflux therapy.

Ultrasound of the abdominal esophagus is a technique quite new. It can analyze the shape of the esophagus but also the wall thickness and thus indicate a possible process of esophagitis and reflux objectively.

This technique has the great advantage of not being invasive, but the disadvantage of being long. Its reliability is still uncertain because the technique is new. It requires an efficient probe and therefore expensive.

The Choice Among The Technical Exploration of GERD

All mining techniques are not useful in a child with GERD. Better yet, most of the time none is specified. It is important to say and repeat that a pH measurement is unnecessary in a child who is vomiting. The technical exploration of GERD must carefully weighed according to the clinical situation and adjusted according to their ease of implementation.

When GERD is clinically obvious and isolated ie without pain relief, without failure to thrive, without respiratory disease it is reasonable to immediately establish an anti-reflux. If evolution is favorable it is not necessary to make further investigations.

If treatment fails or when the clinic is complicated GERD, it is necessary to use tests which will aim to highlight specific anatomical conditions that predispose to reflux (hiatal hernia) or possible complications (esophagitis), reflux . The exams will be preferred according to geographical criteria often clinical, or an UGI endoscopy. The pH measurement has a priori no interest when the acid reflux is known.

However, in clinical situations in which GERD is possible but not proven, such as sudden infant death syndrome or chronic bronchial, this is evidence of reflux to be made. The pH measurement is by its essential information. One may prefer to make a prior endoscopy, minimally invasive examination and short: if it shows objective signs of reflux, such an incompetent cardia or esophagitis, the evidence of GERD will be made without the need of use a pH measurement.

In short, implementation of road is unnecessary further investigations in gastroesophageal reflux clinically isolated, alone justifies the prescription of anti-reflux treatment. A complicated clinical reflux requires in principle an exploration morphological, radiological and / or fibreoptic.

These are the manifestations of non-digestive gastroesophageal reflux, which, especially in the infant’s discomfort and chronic respiratory diseases of children, justified a dynamic exploration, including esophageal pH monitoring represents the ideal indication.

However, note that the proof of the responsibility of gastroesophageal reflux in the genesis of these events is not digestive often difficult to obtain and often the effectiveness of anti-reflux treatment can be considered the most demonstrative.

GERD

The treatment of GERD in children is based on simple physical means always need to know to implement and require a careful explanation of their logic and their implementation.

Dietary Measures

It is recognized that the excess filler promotes gastric reflux and should therefore recommend the administration of many meals of small volume. The administration of heavy meals is a traditional recommendation. In children bottle-fed, it can be obtained by adding in the milk of mucilage pectin or cellulose or Gumilk Gélopectose ® ®.

In the older child, it is indicated to reduce the liquids during meals and eliminate carbonated water, a source of gastric hypertension. Recommendations to eliminate foods that lower the tone of the lower esophageal sphincter such as fat, chocolate or mint are more theoretical.

Postural Treatment

Postural treatment is most frequently used for the simple reason that the mechanics is that the stomach is less likely to drain into the esophagus if the hole between the two bodies is raised instead of being lateral position. X-ray examinations show that the prone position gastroesophageal junction is raised and is in the air pocket, for against, sitting, this junction is submerged by the fluid stomach contents.

The prone position in a harness is very easy to do at home and well tolerated by most children which seems to be positional treatment of choice.

The spontaneous activity of the child makes more illusory to maintain that type of position and you have to offer soon enough, a mere elevation of the head of the bed 18 inches, can reduce exposure to acid during the night. The dorsal or left lateral position is preferable to the prone position due to the anatomical position of the cardia.

The Mucosal Protectants

The protection of the esophageal mucosa against the aggressiveness of acid reflux is justified for two reasons: it allows you to reduce the inflammation of the lining and also to fight against bronchoconstriction reflex mechanism induced by the presence of liquid acid in contact with the esophageal mucosa. It can be performed using dressings with no neutralizing power as Smecta ® or Gaviscon ®.

GERD Medication

The main barrier to the GERD is the tone of the ORC and the quality of peristalsis of the esophagus. This barrier depends on mechanisms regulating endocrine and neurogenic, which act on behavior modification tract, now called prokinetic whose newest cisapride.

Gastrokinétiques drugs reduce reflux by increasing the tone of the lower esophageal sphincter and promoting gastric emptying. The Primperan ® is used in doses of 0.5-1 mg / kg / d, Motilium ® at a dose of 1-2 mg / kg / Jet Prepulsid ® at a dose of 0.8 mg-1mg/kg / d.
Inhibitors of gastric acid secretion

Among the inhibitors of gastric acid secretion the most used is ranitidine (Raniplex Azantac ® or ®). Inhibitors of proton pump are still being studied in children.
In Conclusion,

GERD in children is a common condition that is the subject of many works that justify its potential relationships to count acute or chronic conditions of the child. Its management has considerable recent improvements in both its diagnosis and its treatment.

However, in most children, GERD disease remains commonplace, a simple phenomenon of maturation of the first month of life.I Cured My Acid Relfux

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Infant Acid Reflux Symptoms

Gastro esophageal reflux occurs when stomach contents come back in the esophagus after ingestion of food. The ring of muscle at the bottom of the esophagus opens and closes to allow food into the stomach  These rings of muscles are called the lower esophageal sphincter (LES). The LES opens to release gas after taking food from babies, adults or children. However, when the sphincter opens in infants, the stomach contents often go up the esophagus and out the mouth (spitting up or vomiting).

This phenomenon may also take place when children cry, cough or with exertion. The children are completely healthy and normal, regardless of the frequency of such spit up or vomiting. Children usually experience acid reflux in the first three months of their lives.

With acid reflux, a child may experience symptoms such as vomiting, spitting, coughing, poor feeding, irritability, and blood in the stool. Typically, most children stop spitting or vomiting after reaching 12 to 18 months.

 

Symptoms of Acid Reflux in Infants

Common infant GER symptoms are:

  • Frequent spitting up or vomiting
  • Irritability when feeding
  • Refusing food or eating only small amounts
  • Sudden or constant crying
  • Arching the back while feeding
  • “Wet” burps
  • Frequent hiccups
  • Frequent coughing
  • Poor sleep habits with frequent waking
  • Bad breath

 

In very rare cases acid reflux in infants lead to severe symptoms such as poor health, growth, irritability, blood loss from acid burning the esophagus, respiratory problems.

One must remember that these symptoms in infants may also be different diseases other than GERD, the affected child specialist be consulted if the following symptoms should be observed:

* Vomiting large amounts in violent ways and expelled through the mouth in the form of a projectile (especially if the child is less than 2 months)
* Vomit fluid is green or yellow
* Difficulty breathing after vomiting
* Irritability, causing you to be concern about the overall health of the infant due to poor food intake
* Difficulty or pain when swallowing

Finally, infants usually tend to spits or vomits after taking food, it may not even be gastroesophagus reflux. The doctor will examine the child and if he is healthy, no testing or treatment is required.

 

 I Cured My Acid Relfux

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Infant Acid Reflux Treatment

Almost 65% of babies suffer from acid reflux disease or also known as gastroesophageal reflux disease (GERD).  This condition is although annoying and uncomfortable problem for children  usually resolves itself when the infant reaches 6 to 12 months of age.

However, it sure gives parents a hard time in pacifying babies with these difficulties.   This condition is characterized by reflux of food and stomach acid into the esophagus.  The prospect of infant acid reflux treatment goes well with a pediatrician.

However, there are a few acid reflux home remedies parents can follow in addition to medication.

The Symptoms Of Acid Reflux In Infants

In most cases, there is no need for infant acid reflux treatment, between 12 to 18 months of age, symptoms usually disappear. However, in some babies, the symptoms of this acid reflux disease tend to be so severe that medical evaluation and treatment are a necessity.  A very important part of the context of infant acid reflux treatment is to recognize the symptoms of acid reflux.

As obvious as it is, your child will not come to you and express what they may be feeling and experiencing.. So after a quick look at the acid reflux symptoms, keep them in mind as we head into the issue of treatment of acid reflux.

A common symptom for babies is to have irritable behavior,  while food and so are the causes of regurgitation and vomiting.. It could also show a distaste for food or eat in smaller amounts than normal.. Constant crying, wet burps, persistent cough, frequent belching and bad breath also happen to be some of the classic symptoms of acid reflux in children and infants.. Also there are some symptoms that are not as common that a small number of babies suffer.. These include difficulty swallowing, excessive drooling, weight gain or rapid weight loss and ear or sinus infections.  Hoarse voice and respiratory problems are also symptoms of acid reflux.

The Treatment Of Acid Reflux For Infants And Children

Now that we are well versed with the acid reflux symptoms, let’s get to some measures  that can be taken for treatment for acid reflux in babies described in the following text.

The severity of the condition influences survival with acid reflux infant treatment and healing. As mentioned, the problem usually resolves itself as the babies grow. Therefore, if your baby is healthy and growing, the doctor will not recommend any treatment except some lifestyle changes to relieve symptoms.

If the case is serious and requires medical attention then the baby can receive treatment in the form of antacids, acid suppressors and acid blockers.. Parents should use caution before going to prescription medicines for their babies lest the impact could be severe.

 

Infant Reflux Alternative Treatments

 

In relation to these medical options for treating acid reflux in babies, there are some extra steps parents can take home. For starters, changing eating habits can offer great help in relieving heartburn symptoms.  Instead of feeding your baby with the traditional three large meals, go for small but frequent meals.

It’s a good idea to play soft music and eliminate all distractions while you are feeding your baby. Also after eating, keep them upright for at least 30 minutes.

An important aspect of acid reflux treatments at home is to identify foods that can trigger a reaction of acid reflux, especially if the baby is breastfed.  Foods such as dairy products, carbonated beverages, tomatoes, citrus foods, processed foods and fatty foods are known to be common triggers of acid reflux. . Therefore, it is recommended that nursing mothers avoid these acid reflux foods in their diet.

However, if the child is not breastfed, then it is wise to discuss ways to change diet with the baby’s pediatrician.. There are some homeopathic remedies that are known to provide beneficial acid reflux treatment for children.. But it is better to have prior consultation with a doctor rather than take a risk.

You now have the basics of infant acid reflux treatment.. If you ask me about the prevention of this condition, then nursing your baby as long as possible is known to be the best measure you can take. This is due to the reason that breast milk is easier to digest, easy on the baby’s stomach and is digested twice as fast as a formula.  Most studies say that babies who are breastfed have fewer cases of acid reflux.I Cured My Acid Relfux

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Symptoms Of Acid Reflux In Children

There are many reasons that may cause a condition where food and stomach acid tend to backflow into the esophagus.

This can cause discomfort in children and adults.  It is highly unlikely that children would be able to put into words what may be happening.  This is the reason why everything is up to parents to be aware of the symptoms of acid reflux in different children, so they can keep the condition from getting worse over time.

And also teach them about the different acid reflux symptoms.. Here is a quick guide for your reading and reference.

The Symptoms Of Acid Reflux In Children

Parents should take note of the fact that the symptoms of acid reflux in children tend to erupt after mealtimes.  However, it can also occur at any time. Beginning with the first symptom - irritability.  It is normal for children to feel more irritable when something is wrong with them. This symptom usually happens over subsequent meals.  Poor nutrition is also one of the symptoms of acid reflux in infants.

Obviously, if food is flowing back up into your throat, it would be unpleasant.  As a result, they could lose a taste for foods.  Because of this symptom, affected children also tend to lose weight quickly.

If after lunch your child tends to feel nausea or is vomiting,  then this could also indicates an upset stomach your child is going through.  However, parents do not have to worry if the symptom is not very common. With the condition of acid reflux – one of its manifestations is a persistent cough, which seems worse at night.. If this is accompanied by sore throat or hoarseness in the voice, it increases the chances of this acid reflux disease.   Discomfort in the chest area and heartburn are also common.

Children are more vulnerable to diseases such as ear infections, infections of the lungs and sinuses when they are affected by acid reflux disease. Therefore, other symptoms of acid reflux disease can also include nasal congestion and wheezing.

In case you are wondering about the causes of acid reflux, the most common are obesity, stomach distension, poor diet and stress on the stomach.

How To Get Rid Of Acid Reflux In Children

Set a deadline for the description of the symptoms of acid reflux in children, here is something you may like to know.. Yes, the treatments for acid reflux. The use of drugs is best left to the doctor to look after. What parents can do is support There sick child and take some steps to keep them comfortable.. While eating encourage your child to sit up straight and relax after meals..

If possible, place your child on your shoulder and stroke their back gently. This will help them belch and decrease the chances of acid reflux.  The digestive system of children ( young children in particular) is not fully adaptable to suit spicy, fatty foods and acids.. So it’s best to avoid them..

Feeding children smaller meals, elevating the head of the bed during sleep, limiting soft drinks, chocolate and citrus products are some more steps parents can take at home to help treat acid reflux in children.

It is well known that when these symptoms occur frequently it can cause serious complications in children.. For example, frequent vomiting can keep children from absorbing the necessary amounts of nutrients needed for healthy growth and development.  Moreover, the recurrence of acid reflux can cause inflammation of the esophagus.. This can cause bleeding, scar tissue, preventing normal swallowing.

So, as soon as you notice the first symptoms of acid reflux or heartburn, steps must be taken to help your child recover without major damage to their health.I Cured My Acid Relfux

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Regurgitation Or Acid Reflux Disease In Infants

Approximately 20% of parents are looking for medical help for their baby’s acid reflux problems. 

Acid reflux or regurgitation is the backflow of food and gastric acids from the stomach.

Usually this is caused by the sudden relaxation of the lower esophageal sphincter.

This problem will resolve itself after a few months.  Sometimes there is more going on or the baby so uncomfortable that a treatment is needed.

On this page you can find an overview of the main causes and symptoms of acid reflux.  Also provided  is a brief explanation of treatment with medication or osteopathy and investigations into pH-metry and endoscopy.

 

Acid Reflux Symptoms


What Are the Symptoms of Acid Reflux in Babies


The Most Common Acid Reflux Symptoms Are:

1. Throwing up constantly.

2. A cough that seems to never go away.

3. Frequent gas, heartburn, cramps or a fidgety behavior that does not seem to subside.

4. Food that comes up and is re-swallowed.

 

Some Baby Problems That Your Child May Experience Include The Following:


* Colic
* Trouble eating
* Constant gagging
* Slow development
* Labored breathing
* Frequent bouts of pneumonia


Causes Of Acid Reflux

There is not always an obvious cause often in the case of excessive acid reflux there are a combination of causes.

The following list is certainly not complete.

* The most common cause is that the lower esophageal sphincter (the sphincter is between the esophagus and stomach) is not well developed.  The LES will not close correctly  the acidic stomach contents flow back into the esophagus.  From 6 to 12 months with a more varied diet and when the esophageal sphincter has developed it will improve this condition. The acid reflux disease symptoms usually disappear spontaneously.
* Food processing is not optimal: the baby is drinking too fast and too much air gets in, etc.
* Constricted passage between the stomach and small intestine, also called spinal stenosis.
* Inflammation of the stomach and or small intestine caused by infection or food allergy. This makes the digestive tract slow, so the food stays in the stomach longer and thus easier to back flow.
* Tension on the diaphragm can also cause the lower esophageal sphincter not to function properly.
* Obstruction of the bowel (slow bowel movement, constipation).
* Allergies. For example, lactose intolerance or milk allergy.
* Metabolic diseases.

 

Consequences And Risks Of Acid Reflux


Depending on the cause of acid reflux there are also possible risks

* Esophagus Inflammation
* Strictures of the esophagus by stomach acid curing scars, the food can-not pass properly.
* Insufficient weight gain because too little food is kept I Cured My Acid Relfux

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Simple Ways To Help Your Baby With Acid Reflux

Acid reflux, which is also known as gastroesophageal reflux, is one of the most common problems among infants.

Babies with acid reflux often suffer from a number of conditions, from mild to a severe in degree, such as the recurrent spitting up, the abdominal pain.

This discussion would be more comprehensive with the understanding of the physiological or the mechanical aspect of the condition.

There is a valve between the stomach and esophageal called the lower esophageal sphincter (LES)..

When food enters the stomach, the sphincter closes so the stomach acids and the content therein do not flow back into the esophagus.

But in the case of some babies, the lower esophageal sphincter has not grown to maturity.

As such, the partially digested food and digestive acids are allowed to flow back into the esophagus again. This condition causes irritation in the esophagus lining which results in  inflammation that is commonly known as heartburn.

Acid reflux in babies usually develops when they are between two to four weeks. Doctors will usually prescribe medicines that minimize the production of digestive acids.  Within six to nine months, the acid begins to decrease of course.

At this period of time the babies spend most of their time in an upright position. Thus with the help of the law of gravity the consumed food remains in the stomach to digest naturally, which will reduce possible vomiting as well.

 

The Following are Some Useful Pointers on Feeding and Positioning of Babies to Lessen Acid Reflux:

 

Feed your baby less more often.  With a smaller volume of milk in the stomach, digestion will be faster and there will be smaller amounts of content available for vomiting.

Support the baby in an upright position after feeding.  As discussed earlier, lying down helps to suppress the intestinal contents.  Place your baby in your lap, while their head rests on your chest.  Keep this position for at least half an hour after feeding.

Breastfeeding helps a lot.  Breast milk is well known to have an advantage over other commercial formula for babies with acid reflux. Breast milk can be digested faster which of course reduces the spitting up and it has special enzymes that helps with digestion.

In addition, breast milk doesn’t trigger allergies as compared to other babies who are fed cow’s milk.  For those who are formula-fed,  it is advisable to use milk with a hypoallergenic formula, as recommended by your doctor.  Aside from having higher tolerance with sensitive intestines, hypoallergenic milk is digested more quickly through the stomach to minimize acid reflux disease.

If  your baby is  sleeping  well then there will be no need for a change your  habits.  But some babies are restless, which can be observed through their abdominal pain, acid breath and wet burps. In this case,it is recommended to elevate the baby’s crib to about 30 degrees. This will be enough to reduce the regurgitation.

You may also try to train him to sleep on his left side. It is in this position where the inlet of the stomach is higher than the exit. This will also help to keep the food down.I Cured My Acid Relfux

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How Acid Reflux Disease Can Be Diagnosed And Treated in Infants

Having a hard time with your baby because of the persistent spitting up and vomiting after a feeding?  Don’t just take it for granted. It could be a gastro esophageal acid reflux and it may need proper attention before it severely affects the health of your baby.

Worse yet,  acidic reflux disease can lead to malnutrition and poor growth.

Infant acid reflux is an uncomfortable sensation for the baby since the acids that flows back up the esophagus makes the baby angry.  Generally acid reflux occurs when abdominal pressure increases when the baby is very full.

Coughing and crying right after the baby was fed, could put additional pressure on the upper stomach, which pushes the stomach acid back up through the esophagus and throat.

The visible symptoms with a baby suffering from the acidic reflux is negative weight loss, constant vomiting, recurrent choking episodes, too much drooling, problems in swallowing and chronic ear infection.

While these are obvious symptoms of the acid reflux, some infants do not show such signs. It’s because of the esophagus tendency to devour the acids instead. Although the child is not bothered by the heatburn or acid reflux,. There still is possible damage to the esophagus.. One way to detect silent infant acid reflux disease is with a  PH-examination.

To diagnose acid reflux in infants,  there are certain tests that could be made. One of which is the barium test, where the baby must swallow a small amount of barium.. Then the doctor could detect the passage of the chemical.  However, it will only work at the moment that the tested child is experiencing symptoms of acidic reflux. . In place of  barium solution test, a doctor could use a endoscope  to view the infant’s mouth, esophagus and the area of the food in the stomach.

One effective infant acid reflux cure is to make a thick formula. This could be done by adding cereal into baby’s formula. And when feeding the baby, keep the bsby in an upright position and not lying them on their back. The same case is true when changing the baby’s diaper, especially after feeding when you know that the infant is still full.  It would be best if the infant can burp frequently to reduce the acidic build up. Feeding the baby smaller amount, more often will help reduce acid reflux symptoms

Breastfeeding will also serve as a great help to reduce the vomiting and the symptoms of acid reflux in babies. As has been demonstrated, the added nutrients in a mother’s breast milk fulfills the infant’s needs. Plus the natural formulation of breast milk, avoids the side effects in chemically prepared medications, such as constipation. However, the pediatrician may prescribe medications to give relief to the infant in times of discomfort.

Once infant acid reflux disease is detected, precautionary measures should be followed immediately.. As the baby with acid reflux can not speak yet, parents should be patient enough to take care of their needs.I Cured My Acid Relfux

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Acid Reflux in Infants Remedies

Change in lifestyle and eating habits directly affect the digestive system of babies. . Acid reflux in babies is usually treated with gripe water.

Other remedies include oral medications or some natural methods to provide immediate relief to babies.  Doctors also may recommend to the parents that they prepare a special diet for babies and create a habit to feed them at regular intervals. First we need to know the causes of acid reflux in babies. The solutions are also given by doctors to prevent further problems associated with this disorder.

Acid reflux in children:

Acid reflux is very common in newborns.. Gastroesophageal Reflux Disease (GERD) is the medical term for acid reflux disease.  Acid reflux occurs when stomach contents get a flux in the throat and mouth, resulting in “spit up” . . As a result, the child is vomiting, sneezing and coughing.  Epidemiology of acid reflux disease explains that when food passes through the esophagus (a long tube connecting the stomach), esophageal sphincter helps in the transfer of whole food into the stomach through the intermittent closing and opening. In infants, the esophageal sphincter is not fully developed.

The narrow opening at the end of the esophagus is therefore not properly closed after the food reaches the intestine.  As a result the intestinal contents travel back to the throat with intestinal acids and digestive juices.  Infant acid reflex causes immense discomfort in the stomach and causes a bitter taste in the mouth. . It begins 10 days after birth and may last for 3 months or more, before the esophagus becomes fully functional. . Sometimes severe acid reflux is also seen in adults, due to heartburn and indigestion.

Tackling child acid reflux disease can becomes a challenge – Regular Acid reflux results in very slow weight gain and the lack of energy.  It also leads to a decreased frequency of urination… The child loses hunger and the desire to eat, vomiting and belching intermittently. All these problems make it difficult to sleep and can make a change in the patterns of behavior. The treatment of acid reflux in children should be given paramount importance to prevent any worsening of symptoms. .

Acid reflux in infants remedies are mentioned in the following content.

Acid Reflux Treatment

Since the digestive system of babies are too delicate to prescribe high doses of drugs, doctors suggest mainly to avoid foods that cause acid reflux. The infant acid reflux treatment primarily involves the management of infant feeding with aftercare period.  The most common acid reflux remedies to follow are:

Breastfeeding your baby instead of feeding with formula milk….While feeding maintain a vertical position instead of leaning horizontal.
After feeding, keep the infant upright for at least 30 minutes for the food to pass through the stomach completely.
After you feed your baby you gently pat it on the back to burp it..

Prepare small meals for your baby to help avoid vomiting.  Feed them snacks at regular intervals.
This diet plan should be determined by your doctor.. Moreover, following the advice of your doctor before starting solid foods.

Sometimes children suffer from severe acid reflux and this natural home remedies do not show the desired effects.  At that point in time, babies have to rely on acid reflux drugs prescribed by doctors.  The most effective medications for the treatment of acid reflux in babies include:

Antacids: Maalox, Mylanta
Pump inhibitors: Prilosec Nexium, Prevacid, Axid,
Acid blockers: Tagamet, Zantac,, PepcidI Cured My Acid Relfux

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Acid Reflux Disease In Children

What is acid reflux disease?

In acid reflux disease, the digested food or liquid flows back into the esophagus, rather than in the intestinal wall.. The acidic stomach contents causes a burning sensation in the esophagus. Acid Reflux disease occurs most frequently in the first months of life. The babies are then agitated and vomit often.

What causes the reflux disease?

Various organic causes in babies and children can lead to reflux disease.. They are often congenital, but can also be purchased.. In the first months of life, short episodes of reflux are still normal, since the controller has to mature before closure of the lower esophagus.

The following causes of reflux disease can occur alone or in combination:

* Interference with normal esophageal movements (peristalsis)
* Low pressure of the lower esophageal closure mechanism
* Very flat preparation of the stomach to the esophagus, ie the angle between the esophagus and the upper part of the stomach is higher than 90 degrees.
* The passage of the esophagus through the diaphragm is too far.
* Diaphragmatic hernia, the stomach displaced in part or in full in the chest.

Moreover, studies have shown that nicotine and  or the use of certain drugs during pregnancy, increases the occurrence of acid reflux disease in infants.  What are the symptoms of acid reflux disease?

The following symptoms may indicate a baby with acid reflux disease:

* Crying and restlessness while drinking and after drinking
* Overstretching of the head and upper body backwards
* Sometimes bloody stools
* Frequent spitting, severe vomiting after meals.  Frequent vomiting after meals may also have other causes, such as the narrowing of pylorus (pyloric stenosis).  Only the doctor can make the correct diagnosis!

How does the doctor diagnose acid reflux disease?

After a thorough survey (survey history) and physical examination, the doctor will then use the following diagnostic procedures to assess the problem.

The main methods to determine acid reflux disease in babies are:

*  The constant rising of digested food or liquid passes the stomach acid into the esophagus. The doctor attaches with a special probe, which he introduced through the mouth or nose of the child, the acid value to a point in the esophagus. The values are then evaluated in the computer.

*  The doctor examined the belly of your child with an ultrasound device.. It can determine in this way the frequency of advancement of gastric contents.
*  X-ray contrast study:  Allows the physician to determine the amount of stomach contents flowing back into the esophagus. It can also detect any cracks or abnormalities of the diaphragm.

* Gastro-oesophageal reflux is rare in children – esophageal gastroscopy should be carried out:  The doctor puts a flexible instrument (endoscope) into the esophagus, where appropriate, also removes a tissue sample (biopsy).. In this way, it can also recognize other causes of persistent vomiting (eg, pylorus constriction).

How is acid reflux disease treated?

Acid Reflux disease cures for most affected children can be without special treatment -  Acid reflux diet….

The following measures support the healing process:

* If you are breastfeeding
* If you are breastfeeding, you should also avoid the following: coffee, alcohol, fatty foods, citrus fruits, tomatoes and carbonated beverages.
* Do not smoke.

* Talk to your doctor if you are taking medications such as Andrenergika, anticholinergics, xanthines, or calcium antagonists. Those medicines can cause acid reflux.

* If you do not breastfeed your baby – add to the diet (eg rice flakes).. . Enlarge the suction hole of the bottle accordingly.

* Give your child lots of small meals – this is also true for breastfeeding.
* Keep the child after meals for 15 to 30 minutes in the vertical position.
* Sleep with slightly elevated upper body. You can push as a pillow under the head of the mattress.

* If these measures do not help, the doctor may prescribe drugs that speed up as the gastro-intestinal passage.
* In severe cases of reflux disease, the doctor will instruct your child to a hospital or transfer to a specialist.

What complications can occur?

In severe cases, the acid reflux disease can cause the following complications:

* Malnutrition
* Inflammation of the esophageal mucosa (Vomiting of bloody mucus)
* When the stomach contents backflow into the esophagus, portions of the chyme can also get into the lungs (aspiration).

Which can lead to:

* Pneumonia (aspiration pneumonia)
* Chronic bronchitis
* Chronic cough
* In extreme cases, respiratory arrest

I Cured My Acid Relfux

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