Gastroesophageal Reflux Disease (GERD) in Children | Gastroenterology

GERD in Children

What is GERD in children?

GERD in children happens when stomach corrosive backs up into the throat during or after a feast and causes torment or different indications. The throat is the chamber that interfaces the mouth to the stomach. The valve at the bottom of the esophagus opens to expel food and closes to prevent acid from escaping. When this valve opens or closes at the wrong time, it can cause GERD symptoms. When a baby spits up or vomits, he or she may develop gastroesophageal reflux (GER), which is common in infants and does not usually cause other symptoms.

In infants, GERD is a less common and more serious form of spitting up. Children and teens can be diagnosed with GERD if they develop symptoms and develop other complications. Possible complications of GERD include respiratory problems, difficulty gaining weight, and esophagitis, or esophagitis.

What causes GERD in children?

Most of the time, reflux in children is the result of poor coordination of the digestive system. Many children with GERD are healthy. However, some children may have problems affecting their nerves, brain, or muscles. According to the National Digestive Disease Information Exchange Center, a baby’s immature digestive system is usually to blame and most babies are out of the condition by their first birthday.

In more established kids, the reasons for GERD are regularly equivalent to those found in grown-ups. Also, an older child is at increased risk of developing GERD if he or she had it as a child. Anything that causes the muscular valve between the stomach and esophagus (the lower esophageal sphincter) to relax, or anything that increases pressure under the lower esophageal sphincter, can cause GERD.

Some factors may also contribute to GERD, including obesity, overeating, eating spicy or fried foods, drinking caffeine, carbonation, and certain medications. There also appears to be an inherited component of GERD, as it is more common in some families than in others.

What are the symptoms of GERD in children?

On the off chance that a child or adult has gastroesophageal reflux (GER), food or stomach corrosive may taste in the rear of the mouth.

In children and teenagers, symptoms of gastroesophageal reflux disease (GERD) can vary, depending on their age. The most common symptoms of GERD in children 12 years of age and older are regular heartburn, and a pain and burning sensation in the centre of the chest, behind the breastbone, and in the mid-region. In many cases, children under 12 years of age with GERD do not have heartburn.

Other common symptoms include GERD in children

  • Bad breath
  • Nausea
  • Pain in the chest or upper abdomen
  • Problems with swallowing or painful swallowing
  • Respiratory problems
  • Vomiting
  • Tooth erosion

Complications of GERD in children

Some children develop complications from GER. The steady reflux of stomach corrosive can prompt:

  • Breathing problems (if stomach contents get into the windpipe, lungs, or nose)
  • Redness and disturbance in the throat, a condition called esophagitis
  • Bleeding in the esophagus
  • Scar tissue in the throat, which can make gulping troublesome

Since these inconveniences can make eating excruciating, GERD can meddle with legitimate nourishment. So if your child is not gaining weight as expected or losing weight, it is important to talk to your doctor.

Diagnosis of GERD in children

As a rule, a specialist will analyze reflux by inspecting your youngster’s manifestations and clinical history. If symptoms do not improve with lifestyle changes and anti-reflux medicines, your child may need a test to check for GERD or other problems.

Several tests can help your doctor diagnose GERD. Doctors sometimes order more than one test to get a diagnosis. Commonly used tests include

  • Upper GI series, Who looks at what your baby’s upper digestive system looks like. Your child will drink a contrast liquid called barium. For young children, the barium is mixed with a bottle or other food. A health care professional will take several X-rays of your child to track the barium as it passes through the esophagus and stomach.
  • Esophageal pH and impedance checking, Estimates the measure of corrosive or liquid in your youngster’s throat. A doctor or nurse puts a thin, flexible tube through your child’s nose into the stomach. The end of the tube in the esophagus measures when and how much acid returns to the esophagus. The other end of the tube is connected to a monitor that records the measurements. Your youngster will wear the cylinder for 24 hours. The individual in question may need to remain in the clinic during the test.
  • Upper gastrointestinal (GI) endoscopy and biopsy, Who uses an endoscope, which is a long, flexible tube with a light and a camera at its end. The doctor operates the endoscope down the esophagus, stomach, and first part of your child’s small intestine. While looking at images from the endoscope, the doctor may also take tissue samples (biopsy).

How is GERD in children treated?

Treatment for gastroesophageal reflux disease GERD in children depends on the severity of the condition. Doctors will always advise parents, children, and teenagers to start with simple lifestyle changes. For example:

  • Eat smaller meals more often and avoid eating two to three hours before bed.
  • Lose weight if needed.
  • Avoid spicy foods, high-fat foods, and acidic fruits and vegetables that can irritate your stomach.
  • Avoid carbonated drinks, alcohol, and tobacco smoke.
  • Raise the head while sleeping.
  • Avoid eating large meals before violent activities, sports, or during times of stress.
  • Avoid wearing tight clothing.

Your child’s doctor may recommend medications that help reduce the amount of acid produced by the stomach. These include medicines:

  • Antacids
  • Histamine-2 blockers that reduce acidity in the stomach, such as Pepcid
  • Proton siphon inhibitors that block corrosive, for example, Nexium, Prilosec, and Prevacid

There is some controversy about how young children start taking these medications. It is not yet known what the long-term effects of these medications are. You may want to focus on helping your child make lifestyle adjustments. You may likewise need your kid to attempt home grown cures. Some parents feel that herbal remedies may be helpful, but the effectiveness of the treatments is not proven and the long-term consequences for children who take them are unknown.

Doctors rarely consider surgery as a treatment for GERD in children. They usually keep it for conditions in which they cannot control serious complications, such as esophageal bleeding or ulcers.

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