He has stomach aches , he forward his head and legs to be like c shape , plus stiffness when the acid is up , sucks his fingers most of the time . He is 24 hours struggle with reflux , heartburn and burps that bring acid up , he is busy with his body and pain , not in a mood to play or laugh , hate carseat and cant set and hate setting , he sleeps on me so he can complete 2 hours at night its like something is waking him up coz he wake up rubbning and twisting , i bf him each 2 hours specially when he is in pain he wants milk to comfort , i hold him most of the time so he will be in less pain . harder time with CIO because crying compresses the stomach which aggravates the heartburn. So it is normal to expect MORE crying for reflux kids, even when treated. And by â€œnormalâ€ I would say 1-1.5 hours.
They talk about the conservative recommendations, and even if the details arenâ€™t always exactly right I didnâ€™t see much of anything that was dangerous. If only they stopped there. The gold standard in diagnosing GERD, because it allows direct visualization and the ability to take tissue biopsies, is endoscopy. Inserting a scope down the esophagus is usually reserved for when a patient doesnâ€™t respond to less invasive interventions, such as lifestyle modification, medications and dietary changes, and even then it is more about ruling out non-GERD causes of symptoms.
A primary care physician often encounters patients with extra esophageal manifestations of GERD in the absence of heartburn. Patients may present with symptoms involving the pulmonary system; noncardiac chest pain; and ear, nose and throat disorders. Local irritation in the esophagus can cause symptoms that vary from indigestion, like
It isnâ€™t perfect though. Findings on biopsy do not correlate well with presence or resolution of symptoms in babies.
Maybe we can reach these parents before they take the plunge, wasting money or worse, putting their childâ€™s health at risk. But these medications are some of the most commonly prescribed in infants, with use of newer (meaning more expensive and more potent) proton pump inhibitors increasing dramatically over the past ten years. This wouldnâ€™t be an issue if they were only prescribed for babies that were more likely to have actual esophageal injury because PPIs are more effective at stopping acid production and allowing the esophagus to heal. They were a game changer in the adult population, where GERD and heartburn are much more easily diagnosed.
This means too few red blood cells in the bloodstream. Over time, this may cause long-term problems. These can include esophageal narrowing (stricture) and abnormal cells in the lining of the esophagus (Barrettâ€™s esophagus). In these cases, your childâ€™s healthcare provider may recommend tube feedings. A tube is placed in your childâ€™s nose and guided through the esophagus and stomach.
While symptoms tend to subside by month 6, in some cases baby’s acid reflux can last until age 1 or 2. The good news is almost all babies with GERD outgrow it – and once they do, it doesnâ€™t recur.
Questions to ask your doctor
In babies who have reflux, the lower esophageal sphincter muscle is not fully developed and lets the stomach contents back up the esophagus. This causes your baby to spit up (regurgitate). Once his or her sphincter muscle fully develops, your baby should no longer spit up. There is a muscle (the lower esophageal sphincter) that acts as a valve between the esophagus and stomach. When your baby swallows, this muscle relaxes to let food pass from the esophagus to the stomach.
Many neurologic conditions and systemic illnesses can result in either pathologic vomiting or increase the likelihood of severe symptomatic reflux in children of all ages. Dr. Karen Zur, an ear, nose and throat specialist at CHOP, said a form of acid reflux can be responsible for a host of respiratory ailments, including allergies, that are often misdiagnosed. Zur co-authored a new book that calls attention to this kind of â€œrespiratory refluxâ€ in children and recommends a low-acid diet to clear up the breathing problems that can result from it. This post was super helpful !
In some cases regurgitated material can even be seen passing out through the nose, but this is not common. Common symptoms are nighttime snoring and coughing.