Health & Fit: What to Do About Acid Reflux in Children - - PressFrom - US
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Health & FitWhat to Do About Acid Reflux in Children

23:40  27 march  2019
23:40  27 march  2019 Source:   usnews.com

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What to Do About Acid Reflux in Children . How Is Reflux Diagnosed in Children ? Often, doctors diagnose acid reflux based on symptoms and medical history. If symptoms don't improve with diet, lifestyle modifications and medications, further tests may be required to evaluate the severity of reflux

If your child has pain or discomfort after eating, is fussy after eating or has repeated complaints of sore throat with no clear cause or an unexplained cough, he or she may have gastroesophageal reflux or acid reflex. The esophagus is the tube that takes food from the mouth to the stomach. With acid .

What to Do About Acid Reflux in Children© (Getty Images) A girl suffers from a painful stomach ache.

If your child has pain or discomfort or is fussy after eating, or has repeated complaints of sore throat with no clear cause or an unexplained cough, he or she may have gastroesophageal reflux, or acid reflux.

The esophagus is the tube that takes food from the mouth to the stomach. With acid reflux, the contents of the stomach come back up into the esophagus. If your child has persistent symptoms, or symptoms of acid reflux twice a week or more, your child is thought to have gastroesophageal reflux disease, or GERD. Here's what to know:

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Why do children develop acid reflux ? The lower esophageal sphincter is a valve mechanism that includes a muscle; it's located at the junction of the Occasional reflux in children is not uncommon. However, GERD is reported in up to 25 percent of children , though this number is likely an.

Acid reflux in children is a common problem. But, pay attention before it gets worse. Read on to know the symptoms and causes of gerd in kids. MomJunction tells you what every parent must know about acid reflux in children , its symptoms and treatment options.

What Causes Acid Reflux or GERD in Infants and Children?

The lower esophageal sphincter is a valve mechanism that includes a muscle; it's located at the junction of the stomach and esophagus. When the child swallows, the sphincter relaxes, allowing food to pass from the esophagus to the stomach. The sphincter mechanism stays tight for the most part, allowing minimal movement of stomach contents back into the esophagus. However, if the tightness of the sphincter is less than normal, reflux can occur. The following health issues may contribute to acid reflux:

  • There is positive history of reflux in the family. Though the mechanism is not well elucidated, there could be a genetic reason.
  • There is increased pressure on the abdomen from being overweight or obese.
  • The patient has had prior surgery to the esophagus or abdomen.
  • There was a childhood history of developmental delay and muscle tone.
  • The child was born with a neurological disorder like cerebral palsy.
  • A hiatal hernia has occurred, where the upper part of the stomach pushes up through the normal gap in the diaphragm.
  • The patient has frequent exposure to secondhand smoke.
  • Certain medications are associated with GERD; for example, painkillers and antidepressants.

What Are the Symptoms of Reflux in Children?

Occasional reflux in children is not uncommon. However, GERD is reported in up to 25 percent of children, though this number is likely an overestimate. The symptoms of reflux are variable; many children won't feel any overt symptoms. Still, here are some common signs:

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Medications are not recommended for children with uncomplicated reflux . If feeding and positional changes do not improve GERD, and the infant still has problems with feeding, sleeping, and growth, a doctor may recommend medications to decrease the amount of acid in the infant's stomach.

What Are the Treatments for Acid Reflux in Infants and Children ? Drugs to Neutralize or Decrease Stomach Acid . Surgery for GERD in Babies and Subscribe to the Pregnancy & Child Development Newsletter. Get essential updates about your growing baby and what to expect each week.

  • Some children taste food in their mouth or notice a feeling of acid or a sour taste in the back of their mouth.
  • Older children may complain of heartburn – a painful, burning feeling in the middle of the chest.
  • Bad breath.
  • Nausea or vomiting.
  • Problems or difficulty with swallowing.
  • Asthma that isn't responding appropriately to medication.
  • Unexplained wearing of enamel of the rear teeth.

What Are the Infant GERD Symptoms?

Infants may have repeated spit-ups, and some could develop distress, arching and crying with reflux. Infants experiencing GERD can also have these symptoms:

  • Lack of weight gain.
  • Spitting up forcefully or "wet burps."
  • Spitting up fluid with yellow, green, bloody or coffee-ground appearance.
  • Blood in stool or diaper.
  • Fussiness around feeding time.
  • Wheezing or choking during feeding.
  • Continual cough or trouble breathing.
  • Severe irritability after eating.

Additional signs of GERD can only be detected by a doctor, who could then make the diagnosis. A pediatric exam and tests may reveal an inflamed esophagus, sores in the esophagus and low red blood counts, or anemia, from esophageal sores bleeding.

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Children with acid reflux disease may get relief by avoiding certain foods and drinks and exposure to tobacco. If those changes are not enough, treatment may Altering food intake and exposure to toxic substances is the first step in treating acid reflux disease in children . Chocolate and spicy foods can

Occasional acid reflux is also common in children and teens. The most common symptom for children is heartburn. This is a burning feeling in the chest and a sour taste Most children younger than age 12 do not have heartburn. Other symptoms of GERD in children of all ages can include

How Is Reflux Diagnosed in Children?

Often, doctors diagnose acid reflux based on symptoms and medical history. If symptoms don't improve with diet, lifestyle modifications and medications, further tests may be required to evaluate the severity of reflux or whether other causes are at play.

Some of the tests that may be ordered include:

  • Upper GI: This involves the child drinking a liquid contrast called barium, which is used to define the anatomy of the esophagus, stomach and upper small intestine. In little children, the barium may be mixed with formula or milk.
  • Esophageal pH and impedance monitoring: A small spaghetti-size tube is placed into the child's lower esophagus and measures the amount of acid or liquid in the esophagus. The lower part of the tube has a monitor that measures how much and how often acid refluxes up into the esophagus. The other side of the tube is connected to a recording device that records the measurements and is typically worn for a day.
  • Upper gastrointestinal endoscopy with biopsy: This involves passing a flexible tube by the doctor into your child's esophagus and then into the upper small intestine. The tube has a fiber optic light source and camera. The endoscopy evaluates the lining of the esophagus, stomach and upper small intestine, and the doctor may also obtain tissue sample for analysis (biopsy).

How Can Reflux Be Managed in Older Children?

There are two aspects to reflux management: lifestyle and diet management and medications.

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Doctors think that acid reflux in children may be influenced by factors such as the length of the food pipe, the condition of the muscles in When children have acid reflux , doctors may advise parents to implement some lifestyle changes. These might include eating smaller meals, avoiding eating for 2 to

Natural Remedies for Acid Reflux in Children . Foods to Prevent Gastroesophageal Reflux Disease in Child . Know more about this problem in children and what all you can do to effectively manage this Acid reflux or gastroesophageal reflux disease (GERD), is a digestive ailment that may affect

The lifestyle and diet management include:

  • Less spicy and acidic foods, such as juices, caffeinated drinks and spicy items.
  • Small meals and lesser fatty meals.
  • Weight reduction if possible.
  • Staying upright for two to three hours after meals.
  • Sleeping at an angle; this involves raising the head end of the child's bed with blocks by 6 to 8 inches.

If diet and lifestyle changes don't work, the doctor may choose to start medications. These include prescription medications and over-the-counter medications. Most children require short courses of treatment and can subsequently be managed with diet and lifestyle modification. The medications include:

  • Over-the-counter antacids.
  • H2 blockers that lower acid production.
  • Proton pump inhibitors, which work specifically on the acid pumps in the stomach to block acid production.
  • Medications that help empty the stomach better – prokinetics.

How Can Reflux and GERD Be Managed in Infants?

In little children and infants, diet and lifestyle changes aren't applicable. Parents can try these approaches to manage GERD:

  • Give babies more frequent but smaller feedings.
  • Burp babies often.
  • After feedings, keep babies upright for a half-hour or longer.
  • Put diapers on slightly loose to reduce pressure on the baby’s stomach.
  • Let your pediatrician know about persistent problems that could be GERD.
  • Discuss treatments like acid-relieving medication or specialized feedings or formulas.
  • Consider working with an infant feeding specialist.
  • If your doctor suggests imaging, swallowing or endoscopic tests, ask about risks and benefits.

In most infants, the symptoms improve within six to eight months, when they're more upright and sphincter mechanisms improves. Some children with severe symptoms that don't respond optimally to medical management may require special surgery to tighten the sphincter. The surgery is performed by a pediatric surgeon.

What Are the Symptoms of GERD?

What Are the Symptoms of GERD? Plus, ways to spot reflux in your baby.

Learn from WebMD about acid reflux in infants and children , including causes, diagnosis, and treatment. In older children , the causes of GERD are different than for infants and adults. In many cases, it happens when the muscular valve between the stomach and esophagus relaxes or when

Discover the acid reflux treatments available for babies and children , including lifestyle changes and antacids and acid reducers such as Zantac. Pediatricians have long advised that parents of infants with reflux thicken their baby's formula. You do this by adding one tablespoon of rice cereal for every

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