What Are the Symptoms of GERD in Infants and Children?
For infants with regurgitation hours after eating, who may have gastroparesis, a liquid gastric emptying scan, which uses a radiolabeled liquid, is an alternative to an upper GI series. Infants who have effortless spit ups, who are growing normally, and who have no other symptoms (sometimes referred to as “happy spitters”) have gastroesophageal reflux and require no further evaluation. Infants with GERD may be irritable and/or have respiratory symptoms such as chronic recurrent coughing or wheezing and sometimes stridor.
If you think this could be the case, speak to your doctor or health visitor. The full medical term for reflux is gastro-oesophageal reflux or GOR.
To find out if a child has reflux, a doctor will do a physical examination and ask about symptoms. A baby who is healthy and growing may not need any tests. If a teen is having symptoms, the doctor may want to see if medicines help before doing tests.
If your baby is a â€˜Happy Spitterâ€™ -gaining weight well, spitting up without discomfort and content most of the time – spitting up is a laundry & social problem rather than a medical issue. Babies often spit up when they get too much milk too fast. This may happen when baby feeds very quickly or aggressively, or when momâ€™s breasts are overfull.
It is usually a temporary problem. But if it becomes a long-term problem, it is called gastroesophageal reflux disease (GERD).
Other causes include food allergies, most commonly milk allergy. A less common cause is gastroparesis (delayed emptying of the stomach), in which food remains in the stomach for a longer period of time, maintaining a high gastric pressure that predisposes to reflux.
These include gagging or coughing. You should also keep a record of the time, type of food, and amount of food your child eats. Your childâ€™s pH readings are checked.
Consider testing with an upper GI series, gastric emptying scan, esophageal probes, or endoscopy for infants with more severe GERD symptoms or for whom a therapeutic trial is not helpful. Prescribe a therapeutic trial of feeding modifications and positioning if GERD symptoms are mild.
admin January 10, 2015