FROM OUR EXPERTS
Children with Gastroesophageal Reflux Disease (GERD) are at
risk for developing dental problems. During a reflux episode, stomach acid may
enter the esophagus and mouth (also called backwashing) exposing the teeth to
stomach acid. Over time, the stomach
acid can wear out the outer layer of the tooth (called enamel), especially in
the back of the mouth and the inside surfaces near the tongue.
Dental Problems associated with GERD include:
Tooth Enamel Erosion: When the protective layer of enamel is
worn away, the teeth may be sensitive to foods and temperatures. Sensitivity
can make tooth brushing uncomfortable.
Cavities: The dentist may notice a pattern of cavities on
the back teeth (molars) and inside surfaces of the teeth in the back of the
Bad Breath: The backwashing of acid and stomach contents
into the mouth (also called regurgitation) may lead to bad breath.
My daughter had a new
cavity at each dental check up during the years when her reflux was at its
Signs and symptoms of Pediatric Gastroesophageal Reflux (GER) may include one or several of the following: PAIN: Irritability, constant or sudden crying, “colic”, back arching, abdominal pain, chest pain, heartburn, burning sensation in the esophagus. Rare: pain migrating to the shoulder/shoulder blade. VOMITING: Frequent spitting up or vomiting, frequent wet/sour burps, wet hiccups, Silent reflux: food coming part way up more than an hour after eating, spitting up-after six months of age. Rare: projectile vomiting, forceful vomiting through the nose and mouth. EATING: Extreme pickiness about foods or textures, food intolerances, refusing food, eating only a few bites despite hunger, Dream Feeding: eating only when sleepy or asleep, gagging, choking, poor weight gain, weight loss. Rare: excessive weight gain from constant feeding and comfort feeding.) RESPIRATORY: Constant runny nose, stuffy nose, frequent upper respiratory infectio...
When is the best time to take my Aciphex?
Typically, the best time to take Aciphex and other proton pump inhibitors for gastroesophageal reflux disease are best taken in the morning. By doing so, acid suppression for 24 hours is commonly achieved. While most patients only need once a day therapy, some patients will need a second dose, usually before dinner. First generation proton pump inhibitors such as Prilosec, Prevacid and Nexium are best taken 30 minutes before breakfast. Aciphex and Protonix, can be taken with breakfast with similar effects on acid suppression. You should check with your doctor to see when the best time for you to take your Aciphex would be.
I have suffered from sinusitis for a long time. I also have been told by my dentist that my teeth are very bad, with lots of plaque. Can it be related to GERD?
While acid reflux typically causes heartburn, atypical manifestations are known to occur. Cough, asthma and hoarseness have been the most common ...
You should know
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