Though it causes a great deal of discomfort, there is hope, for children usually outgrow GERD.
By Dr Chaitali Laddad
Often, adults experience heartburn or an uneasy feeling in the chest after a heavy or a spicy meal. This is not just limited to adults. This burning sensation can be experienced by infants, babies, older kids and teenagers as well. If you have connected the occurrence of these symptoms only to your food ingredients, you really need to reconsider your assumptions.
It is common for babies to vomit after eating. This condition is called Gastroesophogeal reflux (GER). If you notice your child has been throwing up frequently or is experiencing great discomfort while being fed and is losing weight, he may be suffering from Gastroesophageal reflux disease (GERD). This disorder causes all the contents of the stomach and the acid in the stomach to move in an upward direction into the esophagus. In some cases, the acid moves either into or out of the mouth. This is caused by erroneous relaxing or closure of the muscle that links the esophagus to the stomach, the esophageal sphincter. The dissimilarities between the two disorders are noticeable by the severity of the condition and the lasting effects.
The foremost symptom of GERD in infants is frequent vomiting. Reflex in infants is caused by poorly synchronised gastrointestinal tract. It occurs when a toddler’s lower esophageal sphincter is not completely developed. Due to this the muscles cause the contents in the stomach to go back to the esophagus. Once the stomach fillings find its way to the esophagus, the infant will immediately vomit, or spit up. Children usually outgrow this condition. A newborn baby stops vomiting once the sphincter muscle matures. GERD, in general, does not affect the health of your child in a major way but, in some kids, it may affect the functioning of the brain, nerves and muscles.
If any of these symptoms occur, medical attention and further investigations are required:
This condition usually springs up at four months and is eliminated between 12 to 18 months. It is very normal for infants to spit up, but what makes it a matter of worry is forceful spitting which is the most common symptom of GERD. Although spitting is painless, in case your child spits out blood, green or yellow liquid or a coffee-like substance, it may be an indication that your child suffers from GERD. This process is followed by crying and nagging.
Your infant may refrain from eating since they might experience pain while being fed. This discomfort might be due to the irritation caused when the insides of the stomach come back up and reach the esophagus. Toddlers may cry during feeding due to uneasiness in the belly.
This is caused when an infant spits out fluid during burping or during hiccup.
Weight loss or failure to gain weight may occur as a result of excessive spitting up.
Fluid build-up in the esophagus causes a burning sensation that hurts when the toddler is feeding. This makes babies and toddlers arch their bodies abnormally. This is called Sandifer syndrome.
When your child coughs frequently, it may cause food to come back to the throat. This vomited food when inhaled into the lungs and wind pipe, may cause respiratory problems like chemical or bacterial pneumonia.
After you have understood the causes and symptoms, it’s vital to know how a paediatrician can diagnose acid reflux. Usually, the doctor is able to diagnose the reflux of acid just by taking into consideration the symptoms described by you and by studying your child’s medical history. Your doctor will recommend that you get your child medically examined for the following tests.
Try these lifestyle changes to help your baby cope with acid reflux.
As your baby grows older, the muscle ring at the end of the food pipe develops and becomes stronger preventing food from regurgitating into the food pipe. So, the frequency and intensity of the spit ups reduces. The spit ups stop by the time the baby is between 12-18 months.
The author is Founder and Director at The Pediatric Network.
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