Reflux, including silent reflux, is extremely common in babies. In fact, it’s estimated that up to 50 percent of infants experience reflux within the first three months of life. Lying on the back means that babies don’t have the benefit of gravity to help keep food in the stomach.
In both of these situations, the pH test can be very useful. If testing reveals substantial reflux of acid while medication is continued, then the treatment is ineffective and will need to be changed. If testing reveals good acid suppression with minimal reflux of acid, the diagnosis of GERD is likely to be wrong and other causes for the symptoms need to be sought. There are problems with using pH testing for diagnosing GERD. Despite the fact that normal individuals and patients with GERD can be separated fairly well on the basis of pH studies, the separation is not perfect.
Certain foods are acids or irritants themselves; others will bring out stomach acid in large amounts. Both should be avoided.
Researchers Probe Link Between Acid Reflux and Sinusitis
Sometimes it doesn’t completely close after you eat or drink, allowing acid from your stomach to move up into your esophagus. This irritates your esophagus, which may cause you to cough.
What are the unresolved issues in GERD (acid reflux)?
Normally when swallowing, the esophagus propels food or liquid down to the stomach by a series of squeezes. In the stomach, the food is digested by acid.
Popular in: Acid Reflux / GERD
In addition, the lack of an effect of gravity allows the refluxed liquid to travel further up the esophagus and remain in the esophagus longer. These problems can be overcome partially by elevating the upper body in bed. The elevation is accomplished either by putting blocks under the bed’s feet at the head of the bed or, more conveniently, by sleeping with the upper body on a foam rubber wedge. These maneuvers raise the esophagus above the stomach and partially restore the effects of gravity.
It is not clear how cough is caused or aggravated by GERD. Elevate the head of your bed by 4 to 8 inches.
This is called aspiration, and while it is a serious health matter, it occurs only in a minority of infants who have severe acid reflux. Aspiration occurs when instead of draining back into the esophagus, digestive liquids from the stomach divert into the trachea and travel into the main airways of the infant’s lungs and beyond. Aspiration can damage the lungs by causing inflammation, infection and scarring.
More recently, it has been suggested that even in patients with GERD whose esophagi appear normal to the eye, biopsies will show widening of the spaces between the lining cells, possibly an indication of damage. It is too early to conclude, however, that seeing widening is specific enough to be confidently that GERD is present. effects of gravity, reflux occurs more easily, and acid is returned to the stomach more slowly. Many patients with GERD are awakened from sleep by heartburn.
“What’s the connection between acid reflux and coughing?.” Medical News Today. MediLexicon, Intl., 19 Feb. 2017. Web.
In fact, reflux of the stomach’s liquid contents into the esophagus occurs in most normal individuals. One study found that reflux occurs as frequently in normal individuals as in patients with GERD. In patients with GERD, however, the refluxed liquid contains acid more often, and the acid remains in the esophagus longer. There isn’t a cure for acid reflux, GERD, or LPR, but certain medications and home treatments can help you manage the symptoms. GERD is an ongoing, more severe form of acid reflux.
Allergic reaction symptoms vary from person to person, and they sometimes affect the respiratory system, causing you to cough. Other respiratory symptoms of a food allergy include wheezing and shortness of breath. Learn which formulas will help ease your baby’s acid reflux, including hydrolyzed protein formulas, soy milk formulas, and specialized formulas. Most babies and young children outgrow reflux without any lasting damage to their esophagus or throat.