Hiatal hernias are very common, especially in people over the age of 50, but they are rare in infants. However, the causes are unknown. A hiatal hernia in children is usually congenital (present at birth) and may cause gastric acid to reflux from the stomach into the esophagus. The danger of SIDS is the highest during the first six months of a baby’s life, which also happens to be the most common time frame for infant reflux and GERD. This makes it imperative that parents of babies who suffer from acid reflux take the necessary precautions as soon as the condition is first recognized. The dangers could go from a little discomfort and gas to being as serious as sudden death.
If these are problems your infant struggles with, there are many easy treatments that will quickly relieve your infant’s discomfort, including over-the-counter antacids for infants. For more serious forms of reflux such as GERD, you’ll need to see your pediatrician. In the most common type of surgery, a surgeon wraps the top part of the stomach around the esophagus, go to website forming a cuff that closes off the esophagus whenever the stomach squeezes – preventing reflux. Medications are not recommended for children with uncomplicated reflux. Reflux medications can have complications, such as preventing absorption of iron and calcium in infants and increasing the likelihood of developing particular respiratory and intestinal infections.
Avoid putting your baby in a car seat immediately after feeding, as that too encourages reflux. Upper GI endoscopy. This is done using an endoscope (a thin, flexible, lighted tube and camera) that allows the doctor to look directly inside the esophagus, stomach, and upper part of the small intestine. Refluxed stomach contents have a shorter distance to travel if the esophagus is shorter than normal. And if the esophagus is narrower than normal, the lining might more easily become irritated. If an infant presents symptoms of GERD, it is important to get advice from a doctor or pediatrician as other, more severe, conditions share some of the symptoms of reflux in infants.
The most likely cause is the baby’s underdeveloped digestive system The esophageal sphincter in infants is not yet fully developed, allowing the stomach contents to flow back up their esophagus. Most cases of regurgitation or reflux resolve within the baby’s first year and require no treatment. pH probe. During the test, your child is asked to swallow a long, thin tube with a probe at the tip that will stay in the esophagus for 24 hours. The tip is positioned, usually at the lower part of the esophagus, and measures levels of stomach acids. It also helps determine if breathing problems are the result of GERD.
However, around 2-7 percent of parents of children between the ages of 3-9 years report that their child experiences heartburn , upper abdominal pain, or regurgitation. Around 5-8 percent of teenagers describe the same symptoms. Now, let’s look at how to treat your infant’s reflux. None of the treatments will harm your baby, but it’s always best to talk to your doctor about any other conditions or medications that may interfere with reflux treatments. Ferguson TD. Gastroesophageal reflux: Regurgitation in the infant population. Critical Care Nursing Clinics of North America. 2018;30:167.