Gastroesophageal Reflux Disease in Children With Disabilities
(GERD—Child With Disabilities; Chronic Heartburn—Child With Disabilities; Reflux Esophagitis—Child With Disabilities; Gastro-oesophageal Reflux Disease—Child With Disabilities; GORD—Child With Disabilities; Heartburn—Child With Disabilities; Reflux—Child With Disabilities)
|Gastroesophageal Reflux Disease|
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- Problems with the nerves that make the valve open or close
- Increased pressure in the stomach—such as too much food in the stomach or pressure on the abdomen
- Irritation in the stomach or muscles of the valve
- Problem with the valve itself
- Swelling and irritation of the esophagus
- Difficulty swallowing or choking with feedings
- Apnea or blue skin, which occurs when not enough oxygen gets to the airways
- Refusal to eat
- Increased mouth secretions
- Regurgitation or vomiting
- Bloody vomit
- Weight loss or poor weight gain
- Pain in the abdomen or chest
- Frequent pneumonia or respiratory problems
- Coughing or wheezing
- Arching back while feeding
- Irritability or restlessness while feeding
- Upper GI series
- Nuclear medicine scan
- Swallowing evaluation
- Upper endoscopy with biopsy
- 24-hour pH monitoring to keep track of acid levels
- Histamine-2 receptor drugs—to decrease acid production and promote healing
- Proton pump inhibitors—also decreases acid production and promote healing
- Keeping the medical team informed of changes in your child's health
- Learning how to care and use the feeding tube
- Keeping a diary of your child's symptoms and progress
GIKids.org—North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) http://www.gikids.org
National Digestive Diseases Information Clearinghouse (NDDIC) http://digestive.niddk.nih.gov
About Kids Health http://www.aboutkidshealth.ca
Canadian Digestive Health Foundation http://www.cdhf.ca
Gastroesophageal reflux disease (GERD). EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 9, 2013. Accessed May 10, 2013.
Gastroesophageal reflux in children and adolescents. National Digestive Diseases Information Clearinghouse website. Available at: http://digestive.niddk.nih.gov/ddiseases/pubs/gerinchildren/index.htm. Updated August 2006. Accessed May 10, 2013.
Gastroesophageal reflux disease in infants. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated June 22, 2012. Accessed May 10, 2013.
Pediatric GE reflux clinical practice guidelines. J Pediatr Gastroenterol Nutr. 2001;32:S1-S31.
- Reviewer: Kari Kassir, MD
- Review Date: 03/2014 -
- Update Date: 05/05/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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