The passage of gastric substance into the esophagus (GERD) is an ordinary physiological process in fit infants. Most incidents are epigrammatic and have no symptoms or result in esophageal complications. On the contrary, gastroesophageal reflux disease happens when there are complications that are associated with the reflux experiences . The infants manifest these symptoms through refusal to feed, crying and arching during feeding, apnea, and cyanosis. For this reason, the diagnosis process for GERD is more detailed and takes more time.
In his book “ Gastroesophageal reflux in children : GER in children, (2017)” Vandenplas argues that physiologic reflux and GERD is manageable through the change of lifestyles of the child and as well as medication. The medications used in the case of GERD act by suppressing the gastric contents. Other drugs such as esomeprazole can be used in the case where the infant’s condition is established by esophageal pH monitoring and the medication dosage for each infant depends on their age and weight.
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As discussed earlier, a main reason for Physiologic reflux and GERD in kids is the kind of lifestyle by their parents which is the reason why there is need for education regarding the positions in which to hold a baby during and after the feeding periods. Sleeping positions also matter especially after an infant has fed. Many parents let their babies to lie down or rest in a slanting position after feeding which is incorrect since the baby’s sphincter muscles are not as strong to hold back gastric content. Also, the type of milk given to an infant could be a lead cause for the child’s intolerance and so commercial antiregurgitation (AR) formula is considered to be the best option. In their book “ Gastrointestinal physiology : a clinical approach, ” Trowers and Tischler (2014) also discuss acid reflux in expectant mothers and recommend that the best option for them is to change their lifestyle . It is important to avoid antacid medications and instead to seek medical advice if the problem persists.
References
Trowers, E. & Tischler, M. (2014). Gastrointestinal physiology : a clinical approach . Cham: Springer.
Vandenplas, Y. (2017). Gastroesophageal reflux in children : GER in children . Cham, Switzerland: Springer.
