There is a genetic predisposition favoring the first-born male. Diagnostic evaluation includes abdominal ultrasound or barium swallow (see below).
In addition, GERD is more common in people with asthma than in the general population. Individuals whose asthma is especially hard to treat appear to be more prone to GERD than other affected persons. In infants and children, chronic exposure of the laryngeal structures to acidic contents may cause long term airway problems such as a narrowing of the area below the vocal cords (subglottic stenosis), hoarseness, and possibly eustachian tube dysfunction causing recurrent ear infections, or persistent middle ear fluid, and even symptoms of â€œsinusitis.â€ The direct relationship between LPR and the latter mentioned problems are currently under research investigation.
This records your childâ€™s pH levels for 24 to 48 hours. During this time your child can go home and do his or her normal activities.
Gastroesophageal reflux disease (GERD) can be thought of as chronic symptoms of heartburn. The term refers to the frequent backing up (reflux) of stomach contents (food, acid) into the esophagus — the tube that connects the throat to the stomach.
Keep in mind that people may experience GERD symptoms periodically or chronically. GERD symptoms also may be related to eating specific foods or, rarely, even to food allergies. People with gastroesophageal reflux disease (GERD) often suffer recurrent chest distress and commonly experience asthma symptoms.
Esophagitis, Barrett’s Esophagus, and Cancer of the Esophagus
In this study, the Nissen fundoplication had a significantly lower recurrence rate than the Thal (5.9% versus 15.9%) in patients with underlying neurological disorders. There was no significant difference between the fundoplications in normal children.
Key studies are focusing on the role of hiatal hernia in GERD and the impact of the bacterium, Helicobacter pylori (H.pylori), in causing or preventing various stomach diseases. Scientists expect that application of their research results will improve treatment for GERD and related conditions. In addition, you may be asked to undergo a 24-hour study of your esophagus with an acid-sensing indicator to determine the presence or amount of reflux. A â€œproton pump inhibitorâ€ also can be used to markedly reduce stomach acid production for one or two months.
Also, other warning signs or symptoms such as anemia or occult blood in the stool or vomit require a referral. Your child’s pediatrician will review your child’s symptoms and feeding patterns and assess your child’s growth by plotting his or her weight and height on a growth chart. This information will help them determine whether your child is a “happy spitter” or has symptoms of GERD. Spitting up is a normal occurrence for young infants.
If you have never been diagnosed with asthma, seek treatment first with your internist or family physician. Your internist or family physician may refer you to an asthma specialist or a physician who treats gastrointestinal disorders, depending on the nature of your symptoms. Eat smaller meals. Less food in your stomach may minimize the possibility of reflux. Try eating five to six â€œmini-mealsâ€ spaced throughout the day and early evening, instead of three larger meals.