Gastroesophageal reflux disease or GERD, is the unintentional ascent of the contents of the stomach into the baby's esophagus. Current in infants, it causes regurgitation. Without gravity, it can however be responsible for esophagitis. In newborns or infants under one year of age, gastroesophageal reflux disease (GERD) is a frequent and non-serious phenomenon. Regurgitation occurs in nearly two-thirds of children aged 4 to 5 months. They only concern 5% of children aged 10 and 12 months, the period of acquiring standing posture and then walking.
First recognize the type of gastroesophageal reflux disease
- Simple Gerd is the most frequently encountered case: it is without gravity. It is a benign condition of the baby that heals spontaneously with the acquisition of standing position. Regurgitation is well tolerated. Even if the baby regurgitates, her appetite is preserved. It grows well and grows steadily. This type of ebb only requires lifestyle-dietary support and usually disappears with the learning of walking.
- Complicated GERD of Esophagitis: It is much rarer in infants. The acidity of the regurgitation causes inflammation of the m the esophagus or esophagitis. Annoying symptoms appear: regurgitation with traces of blood, crying, refusal of feeding, loss of weight, agitation after taking the bottles or during sleep… Medical examinations and treatment are necessary.
Causes of GERD in infants
Discharges, gastro-esophageal reflux and vomiting should not be confused.
A rejection is due to too full of milk, it is a little bit of liquid that goes back to the corner of the mouth after its meal.
A ebb is similar to rejection but it lasts longer, until the next feeding and it can be acidic so painful. Two hours after the milk is taken, it can still regurgitate. In both cases, this referral is passive: the content goes back on its own.
Vomiting is active: you have to make an effort to vomit.
How do I diagnose GERD?
With the help of a PH-measurement, an ambulatory examination in the hospital. The doctor slips through the nose a very fine pipe that goes down into the esophagus and lays down a small body measuring the acidity for 24 hours (how many times the ebb, etc.). Also prescribed is a fibroscopy that allows to make samples in the esophagus. These highlight the consequences of GERD, namely the degree of esophagitis.
What are the recommended remedies in the case of GERD?
In case of simple GERD
• Keep Baby straightened at least half an hour after the bottle, a burp is welcome. The bad idea is to go back to bed very quickly. Wear and abuse the bib, Lange, etc., to limit the damage. • Continue to lay it on the back and flat. Of course, the ebb decreases when he is lying on his stomach. However, the proclive ventral position (on the belly and in gradient at 30 °) has not been recommended for years. As for the dorsal proclive position (on the back and in the gradient), it has never proved its effectiveness. There is a risk that the baby will roll to the bottom of the bed if it is not properly attached. • Do not overtighten the diaper to facilitate digestion of the infant. Things are improving a bit at the time of food diversification when food becomes solid. But the real improvement occurs between 12 and 15 months, at the age of walking. The standing station "straightens" the stomach, the pressure in the abdomen is less strong… and the maturity of the digestive system is made! No more GERD.
In case of complicated GERD
The gastro-esophageal reflux of the infant is treated only if it is late, acidic, smelling vomit and causing the baby to cry. It is necessary to avoid the acidity to irritate the bottom of the esophagus (creating an esophagus) or to go up in the throat. This can indeed create laryngitis, cough, give angina and ent complications (Otho-Rhino otorhinolaryngological). Treatments for complicated baby GERD: to decrease the acidity of the esophagus, there are only antisecrétoires medications of the Mopral type. The lesions heal and disappear, but the ebb is still there.
In case of complicated GERD, the doctor may prescribe a small gastric bandage, to be given between feeds.
Breast milk is for each infant the ideal and natural food. If you cannot or have made the decision not to breastfeed, speak with your doctor so that he or she recommends an infant formula for your child at ebb.
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1-https://www.ameli.fr/assure/sante/themes/rgo-nourrisson/definition-causes 2-http://www.doctissimo.fr/html/sante/enfants/sa_1620_reflux.htm 3-Https://www.magicmaman.com/,simples-regurgitations-ou-reflux-gastro-oesophagien, 3359384. asp 4-http://www.pediatre-online.fr/nourrissons/comment-coucher-un-bebe-qui-a-un-reflux-rgo/