GERD or Gastroesophageal reflux in infants
What is Reflux Gastro-Esophageal?
Called gastroesophageal reflux disease (or GERD) in infants frequent regurgitation of a portion of the stomach contents into the esophagus. Regurgitation These are sometimes very abundant due to the immaturity of the gastrointestinal tract and frequently occur three months.
About one year, when the child is standing, GERD tends to disappear.
What are the mechanisms of GERD?
They are many: inadequate maturation of the sphincter between the esophagus and stomach disorders emptying it. Thus, a premature baby is more likely to have GERD. Passive smoking and wearing tight clothing in the stomach may increase the phenomenon.
What are the symptoms?
The gastroesophageal reflux disease (GERD) occurs in 80% of cases with digestive problems (frequent and profuse vomiting after meals, sometimes at the slightest movement). It can also be hidden and manifest only the pain associated with acid reflux (heartburn or) into the esophagus.
The baby can then squirm during meals or refuse to drink his bottle. Some events not digestive (ENT disorders repeated [ear infections, laryngitis] discomfort after bottles) can also be a gastroesophageal reflux disease (GERD) unknown.
More rarely, gastroesophageal reflux disease (GERD) acid can cause inflammation of the lower esophagus (esophagitis) and even cause vomiting red blood (haematemesis) by bleeding walls of the esophagus.
When to see a GERD?
In case of frequent spitting of course, but also when the growth curve of the cup or weight stagnant for several days. To be careful, we must weigh the child every week.
When is it an emergency?
When vomiting is repeated at every meal and they manifest themselves in violent jets. It may be pyloric stenosis, which occurs usually around 6-8 weeks.
Similarly, when the bloody vomiting due to the likely presence of esophagitis.
What are the treatments against GERD?
As part of a gastroesophageal reflux disease (GERD) banal, it calls for a raised sleeping between 30 and 45 degrees (raised bed or chair).
Power thickened (or milk antiregurgitations) reduces or avoids symptoms.
The administration of antacid medications and / or antiemetics may be necessary.
In case of failure of these treatments, pH-metry of 24 hours may be specified to verify the persistence of gastroesophageal reflux disease (GERD) acid despite treatment. Finally, gastroesophageal endoscopy may be considered in some cases to determine whether or not a lesion esophagus (esophagitis).
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