Gastroesophageal reflux in children

Gastroesophageal reflux in children's disease overview

Gastroesophageal reflux is a condition from the stomach back to the esophagus. This is a common condition in babies, children and adults. Gastroesophageal reflux in children may be physiological when not affecting the child's living and health or pathology when causing complications such as malnutrition, real inflammation management and complications on the respiratory tract.

Causes of Gastroesophageal reflux in children's disease

Gastroesophageal reflux in children has many causes:

  • The stomach of the child, especially the newborn age, is not complete with the characteristics: small stomach, horizontal in a higher position than adults, so milk and food are easy Rules. /Li>
  • The child lies a lot, so the stomach food is quite easy to reflux. Going through the gaps.

    • Symptoms of Gastroesophageal reflux in children's disease

    Gastroesophageal reflux in children often appear with the following symptoms:

  • vomiting or getting out of milk, oral or nose. Slowly gain weight, worse than malnutrition, prolonged anemia
  • with older children, may have pain behind the breastbone, accompanied by annoying heartburn. There are complications in the respiratory tract, such as coughing, wheezing, sometimes cyanosis. Children may be hospitalized due to pneumonia or apnea, directly threatening their lives if not detected in time.

    • Some signs of movement In contrast to the esophagus in children is a pathology:

  • infants and young children: stop breastfeeding, fussy crying, vomiting into a tap, cough, wheezing often, not gaining weight. , heartburn, feel sour in the throat, burning behind the breastbone, sometimes abdominal pain or pain when swallowing. Children may experience symptoms of abdominal pain at night, waking up, pain lasts from a few minutes to a few hours.

    • Diagnostic measures for Gastroesophageal reflux in children's disease

    Diagnosis of gastroesophageal reflux is often done based on clinical manifestations such as vomiting or milk after eating, frequently crying, stopping, anorexia ... and the clinical examination of Uncle Ho's clinical examination Si. If the child is still developing normally, there is no need to specify subclinical tests.

    In case children do not gain weight, malnutrition, anemia or show signs of respiratory tract, the doctor will appoint some necessary tests such as:

  • ultrasound: To detect diseases that cause gastroesophageal reflux such as pyloric stenosis. Other people cause vomiting and slow weight gain of children. Detection of birth defects of the gastrointestinal tract if any, such as obstruction. Esophageal's gastroscopy performs in infants and young children are performed under anesthesia.

    • Gastroesophageal reflux in children's disease treatments

    Gastroesophageal reflux in children with no complications will often go away on their own when changing the lifestyle without treatment.

    Points to note when taking care of children:

  • Divide food into small meals, each meal is less and more often fed. down or exercise right after eating with older children. Eat should eat before going to bed about 3 hours. In this position the young stomach is higher, so the milk is less reflux. It is advisable to maintain a high position even when your child sleeps by lifting the headboard or a high head when sleeping. Note do not fold your neck. Can lie on your left side when sleeping helps to empty the stomach faster and reduces belching, heartburn. Applying, coughing, ... Other than formula milk. The nipple is too large or too small, which can cause children to swallow a lot of gas into the stomach when feeding. (1)
  • Milk or breast milk is small, can be mixed with cereals. Spicy food and caffeine, chocolate, mint, fat foods such as fried chicken, chips, pizza .... These foods are slow to empty the stomach, increase the risk of reflux acids. Children may be indicated for treatment with some drugs. These drugs have side effects such as reducing iron and calcium absorption, increasing the risk of respiratory and digestive infections should be indicated by a doctor. (1)

    The commonly used drug is a group of stomach acid secretions such as Ranitidine for children from 1 month to 1 year of age and Omeprazole for children over 1 year of age. (1) The drug is used in combination with lifestyle changes within 2 to 4 weeks.

    In children with gastroesophageal reflux complications such as esophageal ulcer, unproving pneumonia by using drugs in combination with lifestyle changes may need surgery. P>

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