Diagnosis Of GER & GERD In Children & Teens

When these symptoms happen often or aren’t tied to certain ingredients, they might be due to gastroesophageal reflux (GER), also called reflux. GERD occurs when stomach acid backs up into the esophagus during or after a meal and causes pain or other symptoms. The esophagus is the tube that connects the mouth to the stomach. The valve at the bottom of the esophagus opens to let food down and closes to stop acid from coming up. When this valve opens or closes at the wrong time, this may cause symptoms of GERD. When a baby spits up or vomits, they’re likely displaying gastroesophageal reflux (GER), which is considered common in infants and usually doesn’t cause other symptoms.

Increasing childhood obesity is a serious concern. With some many children being obese, more and more doctors in clinical practice find that their reflux patients are overweight children. Results from the Children’s Health Study, published in the Journal of Pediatrics in March 2010, reported that 7.3% of boys and 5.5% of girls aged 2 to 19 years are now classified as extremely obese. In older children and in teens, extreme obesity is associated with up to a 40% increase in GERD risk and moderate obesity is associated with up to a 30% increase in risk. According to research data, this poses serious implications for their future risk of GERD-associated diseases, such as esophageal adenocarcinoma.

Esophageal pH monitoring is used to place a small probe inside your child’s esophagus and stomach to check the amount of acid. If a child or teen develops heartburn after eating, his or her doctor may prescribe an antacid and an H2 blocker. The antacids neutralize stomach acid, and the H2 blockers stop the stomach from creating acid. By the time the antacids wear off, the H2 blockers are controlling the acid in the stomach. Acid Reflux can often be difficult to diagnose in children, especially those who are under 12 years of age. Tests to confirm GERD are highly invasive and often not recommended for infants and young kids. Since proper diagnosis can be difficult and refusal to eat may be rather tricky to differentiate from mild indigestion or flu in young kids, parents can have a hard time coming up with the right treatment plan for acid reflux in children.

Surgery is done to wrap the upper part of the stomach around the esophageal sphincter. This will strengthen the sphincter and prevent reflux. The upper GI series can’t show mild irritation in the esophagus. It can find problems related to GERD, such as esophageal strictures, look here or problems with the anatomy that may cause symptoms of GERD. Doctors rarely consider surgery as a treatment for pediatric GERD. They generally reserve it for treating cases in which they can’t control serious complications, such as esophageal bleeding or ulcers.

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