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GERD (Gastroesophageal Reflux Disease) in Children

Gastroesophageal Reflux Disease (GERD) is more than just occasional heartburn. It’s a chronic condition where stomach acid frequently flows back into the esophagus—the tube connecting the mouth and stomach. This ongoing reflux can cause irritation and other serious complications if left untreated, especially in children.

GERD represents a chronic and severe version of gastroesophageal reflux (GER), which is particularly common in infants.

Most infants under the age of two experience episodes of spitting up several times a day, especially within the first three months of life. Typically, this reflux is harmless and resolves by the time they reach 12 to 14 months.

Occasional GER is also seen in older children and teenagers aged 2 to 19, but occasional episodes do not necessarily indicate that they have GERD.

GER becomes GERD under certain circumstances:

  • If an infant’s reflux symptoms interfere with their ability to eat, such as causing frequent vomiting, gagging, coughing, or respiratory issues, it might be GERD.
  • If an infant experiences GER beyond the age of 12 to 14 months.
  • If a child or teenager experiences GER more than twice a week over several months.
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Symptoms

    • Frequent crying or irritability.
    • Issues like stopping breathing (apnea) or slow heart rate (bradycardia).
    • Vomiting or throwing up often.
    • Eating less than usual.
    • Wheezing or breathing troubles.
    • Heartburn
    • Dental problems

Causes

  • Infants’ Anatomy
  • Hiatal Hernia
  • Obstructions and Delayed Stomach Emptying:
  • Medications: Some medicines can relax the lower esophageal sphincter (LES), increasing reflux.

Diagnosis

  • Manometry measures the muscle function of the esophagus, especially the sphincter that stops acid from coming up.
  • Esophagogastroduodenoscopy (EGD) lets doctors look directly at the esophagus and stomach and take small tissue samples.
  • Imaging tests like the Upper GI Series and Gastric Scintiscan help see how food moves through the digestive system and how quickly the stomach empties.
  • pH Probe Monitoring involves placing a sensor in the esophagus to measure how often and how severely acid comes up.
  • Esophageal Electrical Impedance tracks both acid and non-acid reflux to see the frequency and severity of reflux episodes.

Treatment Options

  • Positioning: Keeping your child upright after meals and elevating the head of their bed can help reduce reflux.
  • Diet Adjustments: Offering small, frequent meals and avoiding foods that trigger reflux, such as spicy and fatty foods, can also help.
  • Feeding Techniques: For infants, this might include thickening bottle feeds with cereal and ensuring they’re in a proper position during and after feeding.
  • When Medications Are Needed: If lifestyle changes aren’t enough, medications may be prescribed:
  • Acid Blockers: These reduce the amount of acid the stomach makes, easing symptoms and promoting healing.
  • Proton Pump Inhibitors (PPIs): These are strong acid-reducing medicines used for severe cases, especially if other medications haven’t worked.

Why Choose Us

Expert team

Our pediatric specialists have extensive experience in treating children.

Personalized care

We create treatment plans that fit each child’s unique needs

Support and education

We teach children and families how to care for them and prevent future cases

Advanced treatments

Access to the latest treatments and products

Frequently Asked Questions

Q: What lifestyle changes can help manage my child’s GERD symptoms?

A: Encouraging small, frequent meals instead of three large meals and avoiding eating close to bedtime can significantly help. Elevating the head of the bed may also reduce nighttime symptoms.

Q: Can GERD affect my child’s growth?

A: Yes, severe GERD can interfere with your child’s nutritional intake and absorption, which can affect growth. Monitoring and treatment are crucial to manage this risk.

Q: How long does treatment for pediatric GERD usually last?

A: The duration of treatment can vary. Some children may require medication for several months, while others might need treatment for a longer period depending on their symptoms and response to therapy.

Contact

Please feel free to contact us with any general or medical enquiry by calling us.

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