Navigation Links
GERD Not Limited to Grownups
Date:8/25/2007

Babies and children can also suffer from severe gastric distress, experts say,,,,

FRIDAY, Aug. 24 (HealthDay News) -- GERD can strike even the youngest person. Just ask Priscilla Dunstan.

When her newborn son screamed all day and night, relaxing only when she carried him upright in her arms, his doctor told her he had colic, a common condition among infants that tends to disappear by the age of 18 months.

But her baby didn't get better, because, as it turned out, he suffered from a more serious gastric condition which often plagues adults, gastroesophageal reflux disease (GERD).

"He kept on crying going into the four-month period. He was screaming all the time," said Dunstan, who lives in Balmain, Australia, a suburb of Sydney.

Colic is a normal physiologic process that can occur throughout the day in healthy infants and children. Most episodes are brief and are typically confined to the lower esophagus, explained Dr. Aeri Moon, an assistant professor of pediatrics at Weill Cornell Medical College in New York City.

However, colic can worsen and become GERD when the stomach's contents move into the upper esophagus. While its prevalence has been noted among adults in recent years, GERD is frequently overlooked in youngsters, despite the fact that it affects as many as 7 million children, according to the Pediatric/Adolescent Gastroesophageal Reflux Association.

"GERD is a serious problem. It's a big deal," said Moon, who treats children with the disease.

Moon and Dunstan spoke recently in New York City at the launch of the Voices of GERD program, in an effort to bring attention to the problem of pediatric GERD.

Almost half of babies under 3 months of age will have GERD-like symptoms, which include spitting up and gas. Often the condition can be confused with colic, Moon said, but these symptoms usually subside between the ages of 15 months and 18 months. During this time, as long as the baby is gaining weight and is happy and sleeping, parents needn't be alarmed.

"However, if your baby doesn't outgrow vomiting, or if he or she has begun to associate eating and pain and is starting is develop eating disorders," Moon said, it is time to seek a pediatrician's help to see if your child is suffering from GERD.

Other possible GERD symptoms in young children include irritability, excessive crying, poor sleep patterns, coughing, sore throat or even pneumonia.

Between 50 percent and 80 percent of GERD cases are caused by the relaxation of the lower esophageal sphincter (LES), which separates the esophagus from the stomach and stays closed, except when someone swallows or burps. No one knows exactly why this muscle loses resiliency, allowing the acidic contents of the stomach into the upper esophagus, but coughing, having a lot of food in the stomach, pressure on the abdomen when trying to ease constipation, or obesity can all be contributing factors, Moon said.

Diagnosing GERD first involves eliminating other conditions with similar symptoms, such as testing for milk or food allergies, colic or inflammation of the esophagus, and finding out if there is a family history of GERD. Further tests include screening of the esophagus and a test that measures acidity in the esophagus.

If a young child has GERD, therapy includes introducing a dairy-free diet and/or a hypoallergenic baby formula. Overfeeding can also exacerbate the condition.

In older children, pediatricians recommend modifying the diet to avoid foods that trigger GERD symptoms. These include citrus drinks, chocolate, tomato-based foods, caffeine, spicy foods and peppermint. A child should also not lie down directly after eating.

There are also medications that can help control the disease, because they inhibit the production of acids, Moon said. In rare cases, surgery that wraps the top of the stomach around the esophagus to strengthen the lower esophageal sphincter is recommended.

"GERD cannot be cured, but it can be treated," Moon said.

Dunstan's son, now 9, has controlled his GERD through a careful diet, she said. He avoids dairy products and spicy foods, and, fortunately, doesn't like tomatoes.

In her exhaustive efforts to find out what was causing her baby so much pain, Dunstan, an accomplished musician and opera singer with a photographic memory for sound, was able to identify patterns in her son's crying that led her to link his screaming to his eating habits and to uncover his gastric problems.

That led to more research on her part and to her discovery of what she claims are the five initial sounds that young children make before beginning to cry hysterically. Distinguishing these sounds allows a parent to anticipate the baby's needs, which both helps a troubled child and dramatically improves the bonding between a parent and child, Dunstan claims.

More information

The Pediatric/Adolescent Gastroesophageal Reflux Association explains more about pediatric GERD.



SOURCES: Priscilla Dunstan, director, Priscilla Dunstan Research Center, Balmain, Australia; Aeri Moon, M.D., assistant professor, pediatrics, Weill Cornell Medical College, New York City


'/>"/>
Copyright©2007 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Electrocardiograms plays a limited role
2. Doctors to Get Pay for Limited Strike Period : Supreme Court
3. Drug Advertising needs to be Limited
4. Local Health Care Limited for Rural Children
5. Limited Calorie Intake Holds the Key to Delay Ageing
6. Biomarkers Ability to Predict Heart Disease and Stroke is Limited
7. Social Care for Elders to Be Limited
8. Doctor Migration Has Limited Impact on Health Care in Poor Countries: OECD
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/22/2017)... (PRWEB) , ... May 22, 2017 , ... Patients who ... to receive relaxing sedation dentistry in Mt. Kisco, NY from Advanced Endodontics of Westchester. ... for a variety of treatments. One or more sedation methods may be recommended based ...
(Date:5/22/2017)... ... May 22, 2017 , ... “Homeostasis: The Journey of ... to live with Bipolar 1. Donald Rodriguez takes readers on a rollercoaster ride that ... the dead of winter and to a dark place where Donald considers suicide. ...
(Date:5/22/2017)... IL (PRWEB) , ... May 22, 2017 , ... ... is part of a larger group investing in InsightRX, an early stage company ... patient’s underlying biological and pharmacological characteristics. Greatpoint Ventures Innovation Fund acted ...
(Date:5/21/2017)... ... May 20, 2017 , ... Pixel ... created specifically for use in Final Cut Pro X. The business-oriented elements and ... Pixel Film Studios’ ProParagraph Corporate will deliver a professional and distinguished look to ...
(Date:5/21/2017)... Georgia (PRWEB) , ... May 21, 2017 , ... For ... designs that cover a wide range of knives and swords, from functional to fantasy. ... deliver the goods with sleek, modern designs that defy tradition. , Offering a range ...
Breaking Medicine News(10 mins):
(Date:5/8/2017)... 2017  Diplomat Pharmacy, Inc. (NYSE: DPLO)., has completed ... a health care service center company based in ... in relationship management programs for leading pharmaceutical manufacturers and ... WRB will join Envoy Health Management, LLC ... manufacturers, biotech firms, and other service companies. Together, WRB ...
(Date:5/6/2017)... , May 5, 2017  May is Stroke Awareness ... of the most important methods to prevent a stroke: ... Centers for Disease Control and Prevention, undetected and uncontrolled ... Omron, the global leader in personal heart health ... elimination of heart attack and stroke and is advancing ...
(Date:5/4/2017)... May 4, 2017  Fortuna Fix Inc. (" Fortuna ... the first to eliminate the need for embryonic and fetal ... treat neurodegenerative diseases. Fortuna announced today ... Michael Fehlings , MD, PhD; Father Kevin FitzGerald ... MPH; and Professor James Giordano , PhD. ...
Breaking Medicine Technology: