Gastroesophageal Reflux & Gastroesophageal Reflux Disease: Parent FAQs
The procedure can also help show whether acid reflux triggers any respiratory symptoms the child or teen might have. Occasional GER is common in children and teens-ages 2 to 19-and doesn’t always mean that they have gastroesophageal reflux disease (GERD). FundoplicationFundoplication is a surgical procedure for treating GERD (gastroesophageal reflux disease). The procedure is to help GERD symptoms including heartburn. Eighty percent of patients with GERD also have a hiatal hernia, and during the fundoplication procedure, the hernial sac may also be surgically fixed.
If the muscle does not entirely close, liquid flows back into the food pipe from the stomach. This sequence occurs in all people, but it happens more frequently in infants under the age of 1 year. Most infants “spit up” milk as part of their daily activities.
MediLexicon, Intl., 3 Feb. 2017. Web. More than 60 million Americans are said to have acid reflux regularly, and it causes numerous hospital admissions. Read about risk factors, including diet and lifestyle, and the many home remedies people can try.
This ring of muscle normally relaxes to let food pass from the esophagus into the stomach and then tightens again to keep the food there. When it is not fully developed or it opens at the wrong time, the stomach contents move back or reflux into the esophagus. See Why Babies Spit Up for more information on this.
When the LES relaxes too often or for too long, stomach acid flows back into the esophagus. This causes vomiting or heartburn. GERD is a more serious and long-lasting form of gastroesophageal reflux (GER).
In children aged 2-12 years, the main symptoms include regurgitation, vomiting, abdominal pain and feeding difficulties, but typical GER symptoms can be reliably assessed in children 8-12 years of age . Nelson et al. have shown how the GERD symptoms can vary depending on the age of the patient (Table 1) . Long-term outcome of laparoscopic Nissen procedure in pediatric patients with gastroesophageal reflux disease measured using the modified QPSG Roma III European Society for Pediatric Gastroenterology Hepatology and Nutrition’s questionnaire.
Children from birth to 2 years old with reflux have an underdeveloped lower esophageal sphincter, causing stomach contents to flow back into the esophagus. In children older than 2, the lower esophageal sphincter is weak, causing frequent heartburn and indigestion. The esophagus carries food from the mouth to the stomach. There is a valve-type muscle called the lower esophageal sphincter that relaxes to let food pass from the esophagus into the stomach. When this valve does not function correctly, it causes food and acid to come back up into the esophagus.
This procedure is most useful to the doctor if you keep a diary of when, what, and how much food the child or teen eats and his or her GERD symptoms after eating. The gastroenterologist can see how the symptoms, certain foods, and certain times of day relate to one another.
38. Revicki DA, Crawley JA, Zodet MW, Levine DS, Joelsson BO. Complete resolution of heartburn symptoms and health-related quality of life in patients with gastro-oesophageal reflux disease.
GER is common in infants, but GERD is not so common in early childhood, with a higher prevalence in neurologically impaired children. Many of infants have physiological reflux and need minimal intervention, as their symptoms resolve by 18 months of age. Tube feedings.