Gastroesophageal reflux (GER) occurs when stomach contents come back up into the esophagus (the tube that connects the mouth to the stomach) during or after a meal. A ring of muscle at the bottom of the esophagus opens and closes to allow food to enter the stomach. This ring of muscle is called the lower esophageal sphincter (LES). This sphincter opens to release gas (burping) after meals in normal infants, children, and adults. When the sphincter opens in infants, the stomach contents often go up the esophagus and out the mouth (spitting up or vomiting). GER can also occur when babies cough, cry, or strain. Most infants with GER are happy and healthy even though they spit up or vomit. Symptoms GER occurs often in normal infants. More than half of all babies experience reflux in the first 3 months of life. An infant with GER may experience these symptoms: Spitting Vomiting Coughing Irritability Poor feeding Blood in the stools Only a small number of infants have severe symptoms due to GER. Mo...
Gastroesophageal Reflux (GER) is a common condition from infancy to adulthood. However, there are significant differences in the symptoms and treatments depending on the age of the patient. This week, I am beginning a three part series on Gastroesophageal Reflux from infancy to adulthood. Note: The information in this blog is for informational purposes only. Report all symptoms to the doctor for a diagnosis and treatment. Part One of a Three Part Series: Infants and Toddlers GER vs.GERD First, it is important define two separate but related conditions: Gastroesophageal Reflux (GER) and Gastroesophageal Reflux Disease (GERD). Gastroesophageal Reflux (GER) is a normal physiological event characterized by the sensation of food coming up the esophagus in the form of a wet burp. Infants have GER after eating a large meal, ingesting air or eating too fast. On the other hand, Gastroesophageal Reflux Disease (GERD) is the abnormal backwashing of stomach co...
The U.S. Food and Drug Administration (FDA) approved
NEXIUM® delayed release capsules in children ages 12 to 17 for
the short-term treatment of gastroesophageal reflux disease (GERD).
NEXIUM was tested in adolescents ages 12 to 17 in a randomized,
double-blind parallel group study in which a total of 149 patients,
ages 12 to 17, with clinically diagnosed GERD were treated with
either NEXIUM 20mg or NEXIUM 40 mg once a day for up to eight
weeks. Reported side effects included headache, abdominal pain,
diarrhea and nausea.
Drug makers don't yet know if NEXIUM® is safe or effective
for treating GERD in children under 12 years old.
more about acid reflux.
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