What is gastro-oesophageal reflux?
In the gastro-esophageal reflux disease (GERD), stomach acid or food from the stomach goes back into the esophagus (reflux). This is very common in infants because the muscles above the stomach is not yet well developed. This is a normal Developmental phenomenon transient.
The GTC is the most common cause of vomiting in our baby ilikia.Oloi episodes have recourse from time to time. But GERD problem is common and causes pain and vomiting.
What are the symptoms of GERD disease?
The most common is pain by stomach acid. The baby may be restless and crying on or after food. Baby worse back and relieved when held upright. Often beset by intense vomiting or regurgitation. Other symptoms may be cough, nasal congestion. noisy breathing and in severe cases poor growth.
What complications may have GERD disease?
Most babies gradually through several months overcome the problem.
In some babies with severe GERD disease creates inflammation in the esophagus (esophagitis), causing severe pain. Anemia, poor growth can occur. Finally severe GERD likely to be associated with asthma and frequent respiratory infections.
How is the diagnosis of GERD?
In most cases, the pediatrician will base the diagnosis on history and clinical examination.
In severe, persistent or dubious cases referred to the hospital for tests to be as specific radiograph, PH or endoscopy study.
How is GERD treated?
The treatment options are:
o Non-drug treatment in mild cases as the GTC will pass by itself. The baby is held on the shoulder for 20-30 minutes after eating. Breastfed babies have less GERD. Meals can be given more frequently and small. Limit the air takes the baby and push the air several times during the meal. The baby lies on imiklini position. Older children avoid fatty and fried foods, caffeine, peppermint, chocolate, juices and tomato. To combat obesity.
o Pharmacotherapy. Given two classes of drugs: Ranitidine and proportional. These reduce stomach acid. Domperidone and proportional. These ameliorate promoting food from the stomach down to the intestine.
o Special milks. These are two categories: Concentrated milk to occupy the stomach Milks with more calories for babies who do not gain weight
o Surgery to the esophagus sphincter is in severe cases GERD.
What to expect in the future?
Most babies, the clamp esophagus matures and the problem until 12 to 18 months has disappeared. If the child is gaining weight and effortlessly puts milk please be patient, you will pass!
The latest guidelines of all international organizations (AAP, ABM, NICE, NASPGHAN, ESPAGHAN) highlight the following:
– The attempt to define as reflux disease (GORD, disease) ONLY when the symptoms are so intense that create problems in the child. The vast majority of children have simple non-painful regurgitation or vomiting are a normal physiological condition that improves with time and only education of parents and protective measures.
– The focus is to limit the overdiagnosed reflux disease – be dubbed without – and limiting overtreatment children – excessive administration antacid ranitidine or prokinetic drugs when not needed.
– Expressly stated that cessation of breastfeeding an infant with reflux disease SHOULD NOT RECOMMENDED.
– Expressly stated that only SOME BABIES with the disease – not the most with disease regression, not at all simple regression – exclusion diet mother suckling of milk and egg MAYBE proven ofelimi.Afto to stop excessive MADNESS deal with unnecessary deprivation diets in many mothers who breastfeed and have gastro-Oesophageal reflux.
– Not required NO Investigations for regression diagnostics. For the simple regression long history and clinical examination. For the serious regression suggested specific tests (PH monitoring, intraluminar impendance, endoscopy, barium contrast). O simple abdominal ultrasound has no place in the diagnosis of either simple regression neither serious regression. It makes no sense and is intended to be seen on ultrasound that milk goes from the stomach up into the esophagus, because anyway we already know of the child’s symptoms – reductions etc.