Looking at GERD in Children

An 11-year-old boy in Boston developed a Gastro esophageal reflux Disease (GERD). According to his mother, Cathy, it was the end of June in the year 2005 when his son developed a cough which usually happens during sleep, and even during daytime. It is only a short dry cough symptom. His pediatrician thought it was only allergy, however, when his son was tested, result showed that his son had no allergy. According to her, it was his son’s asthma that relates to GERD.

Studies show that GERD is likewise normal to infants and children like in adults, though this fact is often times being overlooked. The symptoms come in continual sickness, coughing, and other respiratory trouble.

Children are vulnerable to GERD because of their immature digestive system. Truth is majority of the infants grow out of GERD once they reach the age of one year old.

The medical specialists further stated that symptoms for children may come in difficulty in swallowing foods, or failure to grow. The doctors recommended that in situation like this it is best to lessen the amount of acid in the children’s stomach before it could lead to acid reflux, since this disease is not very curable in children.

However, the doctor suggested some approaches to avoid acid reflux on children; an example of these is burping the infant quite a few times during feeding, or letting the infant stay in an erect position for 30 minutes after nourishing.

Although, for a child ages three and up, doctors suggested to keep them off from sodas that includes caffeine like soft drinks, carbonated drinks, spicy foods like peppermint, acidic foods like citrus fruits, too much chocolate, and fried and fatty foods. Ideally, establishing a healthy eating habit diet can really decrease the acid reflux in children.

It is also suggested that children will eat smaller meals before sleeping, if possible, do not allow them to eat two to three hours before sleeping, also, elevate the head of their bed for at least 30 degrees.

Further treatments include the use of H2 blockers; this is available in any drugs store. Prevacid, proton plump inhibitors, can also be used in treating acid flux for children.

However, if these treatments fail to stop the symptoms, other treatment method needs to be done. It is very atypical, but doctors’ recommends surgery, this is so far the best treatment for relentless symptoms which do not anymore counter to other treatments.

The Esophageal reflux surgery for children is designated for children who have had unsuccessful medical treatments, and continuous surgery is essential as the child grows.

Now, if you get confused whether when is the time to consult a pediatrician regarding acid reflux. The answer is you observe, observe the amounts of vomiting of the child, if it already comes out in green or yellow or appears to be like blood or coffee grounds, there difficulty in breathing after vomiting, and there is pain in swallowing, immediately consult a pediatrician before the symptom gets aggravated.

So to prevent the occurrence of this disease, stay away from the habit of leaning forward after eating, or worse, sleeping after taking a large amount of food.

Take note, advanced acid reflux disease has a great possibility to end serious medical complications, and it may lead to hospitalization.

Be keen of the possible symptoms so will not overlook it. Take care of your kids.

Does Your Sore Throat Get Set off by Acid Reflux?

Acid reflux refers to the condition in which the partially digested food containing digestive juices travels back into the esophagus from the mouth.

To describe the mechanical layout of this disease, our digestive system has a circular band of muscle called lower esophageal sphincter. This muscle splits the stomach from the esophagus. When the food enters the stomach, this muscle closes so as to prevent the partially digested materials from traveling back into the esophagus. But when the lower esophageal sphincter is rendered incompetent, the stomach contents are allowed to regurgitate or spit up.

The stomach contents that moves back to the esophagus contains digestive acids since they have undergone digestion in the stomach where digestive liquids are released to facilitate the digestion. Because of the acidic nature of the refluxed materials, inflammation develops in the lining of the throat; thus a sore throat is one of the most common symptoms of this condition.

Sore throat is usually associated with other symptoms, though sometimes it is uncommon, such as the occurrence of pus on the tonsil surface and drooling or frequent spitting. Moreover, a patient with sore throat may also experience difficulty in breathing caused by the narrowing of the air passage through the larynx or pharynx.

The pain or other difficulties caused by sore throat can be abated, if not treated, with simple self-treatments that can be done at home. Gargling is a recommended practice. You may try gargling with warm water mixed with table salt. Drinking a lot of water is also very important. Get extra sleep, for this encourages faster recovery. Popsicles or cold drinks are good for sore throats. Humidifiers or vaporizers can be used to sooth the pain in the throat. And also, sucking on solid candies, which help promote saliva production, works as an alternative remedy. It is known that saliva contains bicarbonates that help neutralize the acids that might have remained in the throat due to the reflux.

But if home-treatments are not enough to ease your condition with the sore throat, medical treatments are available. The intake of medicine is particularly advised for those who experience associated symptoms like difficulty in breathing, dehydration or body water loss, and severe pains. Take antibiotics if you feel that viral or bacterial infections have further developed in the throat. Also, rheumatic fever can be prevented from arising, though this condition is very much uncommon. Corticosteroids, which have an anti-inflammatory effect, can help in case of critical sore throat conditions.

Preventive measures and remedies, of course, are available to minimize the incidence of acid reflux, and sore throat, as well. One practical and immediate treatment is the application of gravity; that is, the person is kept in upright position at most times so to hold the digested materials down. Gravity can help prevent regurgitation, or the traveling of the stomach contents back up to the esophagus.

Eating habits should also be changed to facilitate in the treatment of acid reflux. Usual cases of acid reflux usually take place after a meal. It is recommended that evening meals should be taken earlier and in smaller quantities. This is so that the stomach can get emptied in a shorter period of time as compared to when heavy meals are eaten. Moreover, patients with acid reflux have less chances of regurgitating when they lie down.

Medications are also available. Some drugs act to neutralize the acids in the stomach and some work by blocking the production of acids by controlling the actions of histamine.

Recognizing the Symptoms of Acid Reflux

Acid reflux (gastro-esophageal reflux disease) is a physiological condition that causes the content of the stomach to reflux into the esophagus and throat. Although there are many factors that contribute to the development of acid reflux, the main cause is inappropriate activity of the lower esophageal sphincter (muscular valve that seals the lower ending of the esophagus), allowing the stomach acids to reach the upper levels of the body. Additional causes of acid reflux are inappropriate diet, unhealthy lifestyle or other physical dysfunctions and conditions.

Acid reflux can become serious if it is not appropriately treated. The symptoms of acid reflux should be spotted quickly, in order to prevent the development of complications (esophageal inflammation and lesions, damage of the throat, gastro-intestinal disorders, breathing problems). The symptoms of acid reflux are easy to identify and it is best to see a physician as soon as they occur. The condition has a chronic character and usually requires ongoing treatment. For some patients, surgery is best alternative in overcoming acid reflux.

Acid reflux is very common in infants and young children. Although for most babies the symptoms of acid reflux disappear with time, in some cases the condition can persist for years, causing serious harm to the gastro-intestinal system and the esophagus. The most common symptoms of acid reflux in infants are: spitting, vomiting, coughing, irritability, discomfort when feeding and the presence of blood in feces. Other symptoms of acid reflux in babies occur if the condition is severe: pronounced difficulty swallowing, intense pain when feeding, spitting or coughing blood, vomiting blood, presence of blood in stools, problems with breathing.

Common symptoms of acid reflux in adults are: abdominal pain and discomfort (especially after meals), bad breath, bitter taste in the mouth, excessive secretion of saliva, and sleeping problems. People with acid reflux can also develop apnea, a sleeping disorder manifested through respiratory insufficiency.

The extended symptoms of acid reflux in adults are: difficulty swallowing, chest burn and aching, poor appetite, nausea, presence of blood in vomit and stools, throat inflammation and pain, breathing difficulties. If the symptoms of acid reflux become very intense it is a clear sign of aggravation. Acid reflux can cause serious damage at the level of the esophagus, due to its constant exposure to stomach gastric acid. Acid reflux can cause inflammation, swelling and even scarring of the esophageal soft tissue. It is very important to pay attention to the symptoms of acid reflux, and act quickly in overcoming the condition. If acid reflux occurs frequently, it can cause serious complications.

Is There a Relationship Between Acid Reflux and Asthma

The environment that people live in today's world is very much different from the environment hundreds of years ago. At present, you can see many places being abused by man, and pollution is just about everywhere.

Perhaps it is due to this polluted environment that many people get sick. Although one may not like it, the possibility of getting sick is sometimes unavoidable.

One of the many conditions that man suffers from is asthma. Asthma is a well-known disease which is characterized by breathing difficulties, with symptoms like wheezy breathlessness, airflow resistance, and occurrence of frequent allergies, stimuli hyper responsiveness, and nocturnal episodes.

Another disease related to asthma is the GERD or the gastro-esophageal reflux disease which is popularly known as acid reflux. You might have an acid reflux if you experience heartburn for more than twice each week. Heartburn is a symptom of acid reflux. The sensation is caused by the stomach acids which burns the walls of the esophagus.

These two diseases are said to be somewhat connected with each other. However, there have been no conclusive studies about this matter. What most doctors know now is that acid reflux worsens asthma. How is this possible?

When acid reflux remains untreated, the disease would simply get worse. The stomach acid will continue to go up until it reaches the mouth. But before it reaches the mouth, the lungs will be affected first.

A research showed that by putting acid into asthmatic people's gullets it worsens their asthma. And so they reached the conclusion that asthmatic people get GERD more often. They further explained that this was caused by the chest changes due to big pressure every time the person breathes. The high pressure is said to force the stomach liquid to travel the wrong path.

People suffering from asthma should avoid getting acid reflux, but the sad truth is that they are the ones who are most prone to having it.

Studies regarding the connection of the two diseases are still continually being conducted because some pinpointed that if acid reflux is effectively treated, then the asthma should also be better. But they were disappointed by the results.

So if you are diagnosed with asthma, and you think that you also have acid reflux, then it would be better to consult a good doctor. They would help you a lot in addressing your asthmatic problems, as well as your acid reflux. Never take medications without consulting your doctor.

The doctor can give you medicines like the adrenaline and hydrocortisones. These are known asthma-preventers. If you can prevent asthma, then it might be possible to prevent acid reflux as well. Most medicines are better taken by breathing them in because it has fewer side effects to the body. Other drugs also help asthma, but again remember to consult your doctor first.

Asthma changes during a person's lifetime. Some children outgrow asthma, but later on, it usually grows back. Adults suffering from asthma sometimes are never relieved from it even if they use medication. The aim now is to minimize the airway's inflammation.

Whether you have acid reflux or asthma, the most important thing to do is to get proper treatment. Don’t wait until such time when the situation gets even worse. The time to act is now, be aware of the disease, and how it can be treated.

Understanding Acid Reflux in Babies

Acid reflux, which is also termed as gastroesophageal reflux, is one of the most frequent problems among infants. Babies with acid reflux often suffer from a range of conditions, from a mild degree to a severe one, such as recurrent spitting up, abdominal pain, and night waking.

This discussion would be more comprehensive with the understanding of the physiological or the mechanical aspect of the condition. The body has a band of muscle in a circular structure that is called the lower esophageal sphincter. This muscle detaches the esophagus from the stomach. When food comes into the stomach, it closes so as to prevent the stomach acids and contents from backing up into the esophagus or regurgitating. But in the case of some babies, the lower esophageal sphincter has grown immature. As such, the partially digested food and digestive acids are allowed to be refluxed. This condition causes irritation in the esophagus lining which results to inflammation that is also commonly called as heartburn.

Acid reflux among babies usually develops when they are between two to four weeks old. Doctors usually prescribe medicines that minimize the production of digestive acids. Within six to nine months, the acid reflux starts to naturally subside. At this time period, the babies spend most of their time in an upright position. This is to apply the law of gravity on the food taken in; that is, the food stays down more naturally and reduces possible regurgitation.

The following are helpful pointers on feeding and positioning of babies to lessen acid reflux:

Prepare smaller feedings recurrently. It makes sense to feed your baby more than usual but less than the accustomed. If lesser volume of milk goes into the stomach, the digestion will be faster and there will be fewer amounts of contents available for regurgitation.

Maintain the baby in an upright position after feeding. As discussed earlier, gravity helps to keep the digestive contents down. Position your baby seated in your lap while his head rests on your chest. Keep this position for at least half an hour after feeding.

Breastfeeding helps a lot. Breast milk is well-known to have many advantages over other commercial formula, mainly for babies with acid reflux. Breast milk can be digested faster, which of course lessens spitting up, and it has special enzymes that assists digestion. In addition to that, breast milk does not trigger allergy to babies compared to other milks available in the market. But for those who are formula-feeding, it is advisable to use milk with a hypoallergenic formula as advised by a doctor. Aside from having higher tolerance with sensitive intestines, hypoallergenic milk can also be digested faster by the stomach so as to minimize refluxes.

Set your baby in a comfortable position when asleep. Since when a baby lies flat when sleeping, gravity cannot help in keeping the food down in this set-up. As a result, a baby with acid reflux often has to endure a sore night waking. If a baby can sleep soundly, then there will be no need to call for a change in his habit. But some babies become restless, which can be noted by abdominal pain, acid breath, and wet burps. In this case, it is recommended to elevate the baby’s crib to about 30 degrees. This will be enough to reduce the regurgitation. You may also try to train him to sleep on his left side. It is in this position where the inlet of the stomach is higher than the exit. This will also help to keep the food down.

Acid Reflux Disease It's Causes and Effects

The first explanation for the cause of this condition is that because of the incompetence of the Lower Esophageal Sphincter (LES) acidic contents of the stomach are allowed up into the esophagus, which results in a burning sensation. The LES is a valve that is found at the lower end of the esophagus and separates it from the stomach and its contents but when this valve becomes dysfunctional, it allows the acidic content of the stomach to be regurgitated into the esophagus.

A separate school of thought believes that acidic reflux disease is caused by our eating habits. As it's often said, living in the civilized world entails eating more junk food and packaged and processed food than the stomach can digest. So, when we put so much into the stomach, most of the food ends up undigested. These undigested food materials turn into acidic waste in the stomach. This waste causes stomach spasms or twitching that causes an increase in stomach gas that pops open the LES valve between the esophagus and stomach sending acidic contents up the esophagus.

Yet, acidic reflux disease can be traced to aging in adults. It is believed in some quarters that as we age, the activity of the stomach reduces, so also its ability to produce hydrochloric acid. The reduction in the stomach activity and acid content of the stomach creates a breeding ground for infections which in themselves cause stomach pain and acid production leading to further symptoms of acid reflux.

Whatever the cause of acid reflux disease, what is constant about it, is the fact that it is a chronic disease. Most medicines, which inhibit production of acid in the stomach, only help to relieve the burning effect and other symptoms and not actually cure the condition. As a matter of fact, these drugs help in relieving the symptoms quite effectively, but the other side of the coin is that these drugs also cause several side effects in the body by cutting down the acid production in your stomach. Some of their side effects are that they reduce the ability of the stomach to digest food efficiently, they make you more vulnerable to diseases and microbes transmitted through food, increases the risk of food poisoning and a host of others.

While there are many medications and natural methods to rid yourself of that burning sensation that accompanies each acid reflux bout, the first line of action should be a thorough assessment of the your food and lifestyle. Some food materials are known to aggravate acid reflux, some of the foods include; citrus, caffeine, chocolate, fatty fried foods, garlic, and onions. Cutting down or avoiding these foods as much as possible is a good first attempt at preventing future acid reflux bouts.

Additional lifestyle assessment and modification that can help reduce acid reflux episodes include:

- Losing weight if you are overweight - Cutting down alcohol to the barest minimum - Eating just enough food to keep hunger away - Don't go to bed until at least three hours after eating - Raise your bed head six to eight inches

These very simple lifestyle improvements can keep you off those acid blockers and other acid reflux medications that cause almost the same amount of damage as the good they do to your body.

Apple Cider Vinegar the Cure for Acid Reflux?

Snow white slowly took a small bite of the apple and she fell to the ground losing consciousness. Most children, and even the adults, are familiar with this fairy tale story. It is in fact just a tale, but in real life, the apple can make wonders.

In reality, many people suffer from many diseases; and the worst thing to happen to a person is to die from suffering such disease. But before the situation leads to an unpleasant end, you must be aware that these are still old-time home remedies which really work.

The apple cider vinegar has been used in many homes for many years now. It is proven to cure many ailments like allergies, acne, sinus infections, flu, high cholesterol, candida, chronic fatigue, contact dermatitis, sore throats, gout, arthritis, and acid reflux.

There are a large number of people suffering from acid reflux or the GERD (gastro-esophageal reflux disease). This usually happens when the LES or the lower esophageal sphincter does not function properly. The contents of the stomach, particularly the liquid, go back to the esophagus. The liquid contains pepsin and stomach acids. The pepsin digests proteins and the acid from the stomach burns the walls of the esophagus causing heartburn.

Experiencing heartburn once in a while should be a cause for worry, but if you experience the sensation more than two times each week, it's time that you consult a doctor.

Acid reflux is harmful once the esophagus' lining is destroyed, so you should undergo medication once you've been examined and diagnosed with acid reflux to prevent further complications.

Acid reflux is usually treated with antacids, but some people complain that it only makes the situation even worse. If you use antacids, the body will only produce more acids to compensate the decrease in body acids. The reflux will only worsen after the dose wears off at the end of the day.

Apple cider vinegar is now more preferred by people who want a natural way to cure their acid reflux. Going back to natural medicines are also helpful, but it requires patience and time. Natural remedies take some time before you can actually see the effects or results.

A bottle of apple cider vinegar costs between three to four dollars. It's even cheaper than buying antacids. The best possible cure for acid reflux is just in your kitchen. But if you can't find one in your kitchen, look for it in the supermarket.

Here is the dosage of drinking apple cider vinegar: two tablespoons of apple cider vinegar (ACV) diluted in water at least thrice a day. You need a much stronger concoction if you're currently treating the disease.

Some experience side effects like a metallic/acid taste and a burning tongue. Most people don’t like its taste, but to be cured, you must withstand its unpleasant taste. The apple cider vinegar really works wonders; in fact, you can find many customer testimonials about the benefits of the vinegar.

It doesn’t matter what brand of apple cider vinegar you choose to buy, as long as it gives the needed relief. Studies have proved its effectiveness, so don’t hesitate to use it. Perhaps Snow White was better off drinking apple cider instead of biting that big red apple that the old woman offered.

Acid Reflux Complications

Acid Reflux or Gastroesophageal reflux disease (GERD) is a condition in which the liquid content of the stomach backs up or refluxes into the esophagus. The liquid can inflame and damage the lining of the esophagus. This regurgitated liquid mainly contains acid and pepsin, both being produced by the stomach. It may also contain bile. Amongst all the contents of the liquid, acid is the most harmful.

Once GERD starts, it stays for life-long. GERD is a chronic condition and the treatment has to continue indefinitely. The reflux of the stomach’s liquid contents into the esophagus occurs in normal individuals also. The difference of it occurring in GERD patients is that the refluxed liquid contains more acid that often remains in the esophagus for longer duration. The body has ways of protecting itself from the effects of reflux and acid. Saliva contains bicarbonate that neutralizes the small amount of acid that remains in the esophagus. Gravity, swallowing and saliva are the protective mechanisms for the esophagus when an individual is in the upright position.

There are various complications arising because of acid reflux.

Ulcers – The cells lining the esophagus are sometimes damaged due to the reflux of liquid from the stomach into the esophagus. An ulcer is a break in the lining of the esophagus that occurs in an area of inflammation. It may give rise to bleeding in the esophagus. When the bleeding becomes severe, blood transfusion is required along with endoscopic or surgical treatment.

Strictures – Scars are formed when the ulcers of the esophagus heal. The scar tissue shrinks and narrows the lumen of the esophagus. This scarred narrowing is called a stricture. It may cause swallowed food to get stuck in the esophagus. Barrett’s esophagus – Severe GERD or Long-standing cause cells to change that line the esophagus. These cells then become pre-cancerous and then finally cancerous.

Cough and Asthma – Some nerves in the esophagus are stimulated by the refluxed acid, which results in pain. Other nerves that are also stimulated provoke coughing. The stimulated esophageal nerves that connect to the nerves going to the lungs causes the breathing tubes to narrow, resulting in an attack of asthma.

Inflammation of the throat and larynx – When the refluxed liquid gets past the upper esophageal sphincter, it enters the throat and the voice box, causing inflammation and soar throat.

Inflammation and infection of the lungs – The reflux of liquid into the lungs results in coughing and choking. This can lead to infection of the lungs and result in pneumonia.

Fluid in the sinuses and middle ear – Found in children, it is caused when the sinuses and middle ears are closed off from the nasal passages by the swelling of the adenoids. Fluid is then accumulated within them.

GERD is treated with life-style changes, antacids, histamine antagonists (H2 blockers), proton pump inhibitors (PPIs), pro-motility drugs, foam barriers, surgery, and endoscopy.

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