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There are many ways you can help children and their families get the care they need.
Gastroesophageal reflux (GER) occurs when gastric acid flows upwards from the stomach into the esophagus. This reflux is a common occurrence—especially in young children—and often only leads to minor discomfort. However, frequent or intense GER can cause serious pain and have long-lasting consequences if not treated properly. These more prolonged and serious bouts of GER are known as gastroesophageal reflux disease (GERD).
What causes GERD?
Diagnosing GERD in children
GERD can often be diagnosed with a physical examination, but in some cases further testing such as an esophogastrodudenoscopy or impedance probe may be required. Other studies such as a chest x-ray or upper GI series are at times also useful to evaluate for other causes of GERD-like symptoms.
Management of pediatric GERD
The first step in GERD management is simple diet and/or lifestyle changes, such as eliminating certain foods from the child's diet or holding the infant in an upright position for 30 minutes after feeding. Should these prove ineffective, consider prescribing medication, such as an H2-blocker or proton-pump inhibitor. These medications decrease the amount of acid the stomach makes and are the most common used to treat GERD.
When to refer a child with GERD to a gastroenterology specialist
If a child's symptoms do not subside after two to three months of prescription treatment, or she requires a high dosage just to control symptoms, a referral to a gastroenterologist may be in order. In addition, an infant with GERD who refuses to eat, is vomiting frequently or experiencing any other symptoms leading to weight loss or failure to thrive should be referred to a specialist.
Once the child's symptoms have been controlled with appropriate medication and dosage, the gastroenterologist will be able to conduct additional testing to ensure the GERD symptoms are not indicative of chronic problems with similar presentations, such as food allergy, infection or inflammatory conditions.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”