Pronounced: Gas-tro-ee-sof-a-geal re-flux disease
Gastroesophageal reflux disease (GERD) is a disorder that results from food and stomach acid backing up into the esophagus from the stomach.
GERD is different from gastroesophageal reflux (GER). GER is a common disorder seen in infants, which causes them to spit up. Most infants outgrow GER within 12 months.
GERD can occur at any age and typically requires lifestyle changes, medications, and sometimes surgery. GERD can cause serious health issues and the sooner it is treated, the better the outcome.
The exact cause of GERD is unknown. Several factors contribute to the condition, including:
The following factors increase the chances of developing GERD. If your child has any of these risk factors, tell the doctor:
If your child has any of these symptoms do not assume it is due to GERD. These symptoms may be caused by other conditions. Tell the doctor if your child has any of these:
Your doctor will ask about your child’s symptoms and medical history, and perform a physical exam. Your child may need to see a pediatric gastroenterologist, a doctor who specializes in gastrointestinal diseases.
Tests may include:
Talk with your doctor about the best treatment plan for your child. Treatment options include the following:
Your child's doctor may suggest making lifestyle changes before trying medication. These changes may include:
Your child may also need to avoid certain foods, such as:
If your child is obese, your doctor may recommend weight loss. Avoiding second-hand smoke is also important.
Medications may include:
Many of these are over-the-counter medications. Talk to your child's doctor about any new medication.
In severe cases, the doctor may recommend surgery. The most common treatment is called fundoplication . During this procedure, the surgeon wraps part of the stomach around the lower esophageal sphincter. This makes the sphincter stronger and prevents stomach acid from backing up into the esophagus.
RESOURCES:
Children’s Digestive Health and Nutrition Foundation
http://cdhnf.org/
National Digestive Diseases Information Clearinghouse (NDDIC)
http://digestive.niddk.nih.gov/index.htm
CANADIAN RESOURCES:
About Kids Health
http://www.aboutkidshealth.ca
Canadian Digestive Health Foundation
http://www.cdhf.ca/index.html
References:
Dente K. Quick lesson about gastroesophageal reflux disease in children and adolescents. EBSCO Nursing Reference Center website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=16topicID=860 . Accessed May 19, 2008.
Gastroesophageal reflux in children and adolescents. National Digestive Diseases Information Clearinghouse website. Available at: http://digestive.niddk.nih.gov/ddiseases/pubs/gerinchildren/index.htm . Accessed May 19, 2008.
GERD in children and adolescents. Children’s Digestive Health and Nutrition Foundation website. Available at: http://gerd.cdhnf.org/User/Docs/PDF/AdolesGERDFlier.pdf . Accessed May 19, 2008.
GERD in children with an underlying structural anomaly. Children’s Digestive Health and Nutrition Foundation website. Available at: http://gerd.cdhnf.org/User/Docs/PDF/CUSA_Brochure.pdf . Accessed May 19, 2008.
Pediatric gastroesophageal reflux, clinical practice guideline summary. Children’s Digestive Health and Nutrition Foundation website. Available at: http://gerd.cdhnf.org/User/Docs/PDF/GERD_8_pg_brochure_031604.pdf . Accessed May 19, 2008.
Pediatric GE reflux clinical practice guidelines. J Pediatr Gastroenterol Nutr. 2001;32:S1-S31.
Last reviewed November 2008 by Daus Mahnke, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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