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Pediatric Gastroesophageal Reflux Disease

Backflow of stomach contents into the esophagus.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Çocuk Sağlığı ve Hastalıkları department. Book Appointment →

What is Pediatric Gastroesophageal Reflux Disease?

Gastroesophageal reflux (GER) is the backflow of stomach contents into the esophagus. Physiological GER is common in infants and usually resolves spontaneously by 12-18 months. When it causes symptoms or complications, it is termed GER disease (GERD).

While vomiting, irritability and feeding difficulties predominate in infants, older children present with adult-type symptoms such as retrosternal burning, regurgitation and dysphagia.

Chronic reflux esophagitis can lead to complications such as esophageal stricture, Barrett's esophagus and recurrent pneumonia (aspiration). pH-impedance monitoring and upper GI endoscopy are used in diagnosis.

Symptoms

Recurrent vomiting or regurgitation
Feeding difficulties and poor weight gain
Irritability and crying (especially after feeding)
Retrosternal burning (pyrosis)
Chronic cough or wheezing
Sandifer syndrome (head and neck postural anomaly)

Risk Factors

Prematurity
Neurological diseases (cerebral palsy)
Repaired congenital diaphragmatic hernia
Repaired esophageal atresia
Obesity (in older children)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Vomiting accompanied by weight loss or poor weight gain
  • Bloody or bilious vomit
  • Respiratory problems (cough, wheeze, apnea)
  • Feeding refusal or swallowing difficulty develops

Treatment Methods

01
Positional therapy (head elevation, left lateral position)
02
Feeding modifications (thickeners, small frequent feedings)
03
Proton pump inhibitors (PPI)
04
H2 receptor antagonists
05
Prokinetic agents (when needed)
06
Fundoplication surgery (in cases refractory to medical treatment)

Which Department to Visit?

You can visit our Çocuk Sağlığı ve Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Çocuk Sağlığı ve Hastalıkları Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.