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Gastroesophageal reflux disease in children, or what?
Gastroesophageal reflux disease in children occurs due to the immaturity of the lower esophageal sphincter, which causes retrograde flow of stomach contents into the esophagus.
How is gastroesophageal reflux disease in children?
Symptoms of gastroesophageal reflux disease typical for adults (heartburn, an unpleasant feeling coming from the stomach) can be difficult to diagnose in children.
In the youngest children, gastroesophageal reflux disease is associated with the consequences of frequent vomiting, i.e. slow weight gain - the child grows more slowly, usually is restless, irritable, sleeps worse, often wakes up, it's harder to calm them down.
- the child is tearful, irritable
- has little appetite
- slow growing
- night apnea is observed,
- unpleasant smell from the mouth,
- sore throat, hoarseness
- frequent, chronic cough
- recurrent pneumonia
- in infants sleep problems, crying, irritability, hiccups, developmental abnormalities, Sandifer's syndrome.
- in older children - dental problems, enamel, cavities.
How is gastroesophageal reflux disease diagnosed in children?
Gastroesophageal reflux disease is diagnosed in children based on symptoms. The disease can be stated empirically. However, if the symptoms are unusual, they leave doubts, and the treatment does not bring the expected results, further research and finding the causes of the problems may be necessary.
Sometimes it is necessary to carry out esophageal manometry, panendoscopy, biopsy for lesion assessment, radiological examination, etc.
Treatment of gastroesophageal reflux in children
Treatment of gastroesophageal reflux in children should be focus on reducing gastric acid secretion, as well as accelerating gastric emptying time to make digestion more effective. They can also be helpful frequent feeding of the baby, but in small portions, positioning the baby after feeding (belching), raising the pillow so that the baby lies a little higher.