Gastroesophageal Reflux Disease Symptoms, Diagnosis & Treatment
Only if all else fails is surgery recommended. Because lifestyle changes and medications work well in most people, surgery is done on only a small number of people. Some are combined with a foaming agent. Foam in the stomach helps prevent acid from backing up into the esophagus. Lose excess weight.
In the absence of more severe symptoms, a conservative approach to diagnosis and treatment is best. In addition to the tests above, other tests that may be used for diagnosis in children include gastroesophagealscintigraphy (milk scan) and esophageal impedance (EI). The incidence of esophageal cancer is higher in people with Barrett esophagus. When people with Barrett esophagus develop abnormal changes of the mucous membrane cells lining the esophagus (dysplasia), the risk of cancer rises significantly.
A visual view misses about half of all esophageal abnormalities. If the diagnosis is uncertain, but the physician still suspects GERD, a drug trial using a proton pump inhibitor (PPI) medication, such as omeprazole (Prilosec, generic), identifies 80% to 90% of people with the condition. This class of medication decreases stomach acid secretion.
Acid in the stomach is normal and a necessary part of the digestion process – it helps break down food. Visit our Acid Reflux / GERD category page for the latest news on this subject, or sign up to our newsletter to receive the latest updates on Acid Reflux / GERD.
More research is needed to determine whether this association is valid. Infants and children with GERD are at higher risk for sleep apnea. Studies indicate an association between GERD and various upper respiratory problems that occur in the sinuses, ear and nasal passages, and airways of the lung. People with GERD appear to have an above-average risk for chronic bronchitis, chronic sinusitis, emphysema, pulmonary fibrosis (lung scarring), and recurrent pneumonia.
- In general, the long-term benefits of these procedures are similar.
- There is a muscle at the lower end of the food pipe called the lower esophageal sphincter.
- A pH probe can also assess the effectiveness of acid-suppression therapy.
- The most common and effective surgery for long-term relief from GERD is called fundoplication.
- More research is needed to determine whether this association is valid.
Gastro-Oesophageal Reflux Disease (GORD) is when the reflux of stomach contents causes complications such as poor weight gain, feeding difficulties, irritability and unsettled behaviour before, during and after a feed. In older children it may cause heartburn or tummy pain after meals. More severe complications are oesophagitis (inflammation of the oesophagus from the refluxing of stomach acid) or breathing changes. Acid reflux is very common and occurs when stomach acid flows back up into the food pipe, where it causes heartburn.
Your child will swallow a long, thin tube with a probe at the tip, which will stay in his esophagus for 24 hours. The tip measures levels of acids in his stomach. If your child has breathing problems, this test also can help the doctor tell if theyâ€™re the result of reflux. A wet burp or wet hiccup is when an infant spits up liquid when they burp or hiccup. This can be a symptom of acid reflux or, less commonly, GERD.
These babies often get sleepy after they eat or drink a little. Other babies vomit after having a normal amount of formula.