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...
In this entry, I would like to discuss the connection between acid indigestion/ acid reflux (gastroesophageal reflux disease, or GERD) and asthma . This is an area of active interest in the asthma community for both patients and clinicians, particularly in patients with more difficult to control asthma. How can acid reflux cause wheeze? We have all drank something too fast and had it "go down the wrong pipe," leading to cough and a brief choking sensation. Fortunately, our bodies have very effective mechanisms of keeping things we are trying to swallow from going into our lungs. This is due to the fact that the area around the vocal cords, the "doorway" to the windpipe and lungs, is extremely sensitive to stimulation by anything other than air, such as liquid or food. When this happens, we have a brisk cough reflex, which clears anything that is "getting too close" to the lungs. This reflex, which connects the back of the throat to t...
Mouth sores usually go away in 10 to 14 days, even if you don't do anything. They sometimes last up to 6 weeks. The following steps can make you feel better:
Avoid hot beverages and foods, spicy and salty foods, and citrus.
Gargle with cool water or eat popsicles. This is helpful if you have a mouth burn.
Take pain relievers like acetaminophen.
For canker sores:
Rinse with salt water.
Apply a thin paste of baking soda and water.
Mix 1 part hydrogen peroxide with 1 part water and apply this mixture to the sores using a cotton swab.
For more severe cases, treatments include fluocinonide gel (Lidex), anti-inflammatory amlexanox paste (Aphthasol), or chlorhexidine gluconate (Peridex) mouthwash.
Nonprescription medications, such as Orabase, can protect a sore inside the lip and on the gums. Blistex or Campho-Phenique may provide some relief of canker sores and fever blister...
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