Over-diagnosis of reflux in infants leads to needless medication, research finds — ScienceDaily

The procedure can also show whether or not reflux triggers any breathing problems. In most cases, a doctor diagnoses gastroesophageal reflux (GER) by reviewing an infant’s symptoms and medical history. If symptoms of GER do not improve with feeding changes and anti-reflux medicines, he or she may need testing. Gastric emptying study.

Instead, their stomach contents may move up and spill over into the windpipe (trachea). This can cause wheezing and pneumonia. In rare cases, this can be life-threatening. In these cases, your child’s healthcare provider may recommend tube feedings.

Try different nipples to find one that allows your baby’s mouth to make a good seal with the nipple during feeding. After feedings, hold your baby in an upright position for 30 minutes.

It’s common for infants to spit up after a meal. That little spit is called gastroesophogeal reflux or GER. But frequent vomiting associated with discomfort and difficulty feeding or weight loss may be caused by something more serious known as GERD (gastroesophageal reflux disease). Both GER and GERD can cause the upward movement of stomach content, including acid, into the esophagus and sometimes into or out of the mouth. Often times, that vomiting is repetitive.

This can cause inflammation (esophagitis) or sores (ulcers) in the esophagus. These ulcers can be painful. They may also bleed.

This creates a tight band. This strengthens the LES and greatly decreases reflux. pH monitoring. This test checks the pH or acid level in the esophagus. A thin, plastic tube is placed into your child’s nostril, down the throat, and into the esophagus.

Gastroesophageal reflux disease, or GERD, is similar to heartburn (acid reflux) in adults. Normally when swallowing, the esophagus propels food or liquid down to the stomach by a series of squeezes. In the stomach, the food is digested by acid.

Reducing stomach acid may also increase the risk of infection (since acid can kill off harmful bacteria) so these drugs should only be used with careful guidance from your physician. Tube feedings.

Normally, the sphincter remains tightly closed except when food is swallowed. When food is swallowed, the sphincter opens to let food pass from the esophagus to the stomach.

Some symptoms of cows’ milk protein allergy can be similar to reflux symptoms, especially in babies who have eczema or asthma, or a family history of eczema or asthma. See other NICE guidance for details of our guidance on food allergy. If you see a healthcare professional about your baby’s regurgitation or vomiting, they will talk with you about your baby, their symptoms and their general health, and they may examine your baby. This is to make sure your child is well, and to check that there is nothing else that could be causing the problem.

In some vignettes, the doctor gave a diagnosis of GERD; in others the doctor did not provide a disease label. “As doctors we need to appreciate that the words we use when talking with patients and parents have power — the power to make a normal process seem like a disease. As pediatricians, our job is to make sick children healthy, not to make healthy children sick,” says Tarini, who also is an investigator in U-M’s Child Health Evaluation and Research Unit. But in a new study, researchers from the University of Michigan and the University of Missouri concluded that physicians often label common symptoms in infants, such as crying and spitting up, as disease. Frequent use of the GERD label can lead to overuse of medication, according to study published today online ahead of print in the journal Pediatrics. Effectiveness and safety of proton pump inhibitors in infantile gastroesophageal reflux disease.

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