Gastroesophageal reflux disease (GERD) is a disorder that results from food and stomach acid backing up into the esophagus from the stomach.
This condition can cause serious health issues. Treatment for GERD includes lifestyle changes, medications, and sometimes surgery.
Gastroesophageal Reflux Disease
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The valve between the esophagus and stomach opens to let food enter the stomach. With GERD, the valve doesn't close as tightly as it normally should. This causes acid reflux, a burning sensation that can be felt below the breastbone.
The following factors contribute to GERD: Abnormal pressure to the lower esophageal sphincter (LES), a valve that keeps food in the stomachIncreased relaxation of LESIncreased pressure within the abdomen
Adolescent GERD may cause: HeartburnRegurgitationAbdominal or chest painVomitingDifficulty swallowingDry coughRaspy voiceSore throat
asthmaWeight loss, lack of appetite
Your doctor will ask about your teen’s symptoms and medical history. A physical exam will be done.
Tests may include: 24-hour pH monitoring—a probe is placed in the esophagus to keep track of the level of acidity in the lower esophagusShort trial of medication—helps confirm diagnosis if GERD symptoms are relieved during the trial period
Images of internal body structures may be taken with: Upper GI seriesUpper endoscopy
Treatment options vary based on the severity of the GERD. Options may include one or more of the following:
This may be all that is needed to relieve GERD symptoms. In some cases, these may be recommended before medication is prescribed. These changes can be tailored to an individual patient based on their habits. Lifestyle changes include: Eating smaller, more frequent mealsAvoid overeatingAvoid late night mealsSleeping with the head of the bed elevatedAvoid lying down within 2-3 hours after eatingConsider looser clothing that doesn't bind the stomach areaLose weightQuit smoking
Foods and beverages to avoid may include: ChocolateFried foodsPeppermintSpicy foodsCaffeine productsCarbonated beveragesFoods high in fat and acidAlcohol
Medication may be needed to relieve symptoms and heal any damage to the esophagus. Many medications for GERD are available over-the-counter and by prescription.
Your teen's doctor may recommend the following: AntacidsH-2 blockersProton pump inhibitors
In more severe cases, the doctor may recommend surgery or endoscopy.
The most common surgery is called
fundoplication. During this procedure, the surgeon wraps part of the stomach around the LES. This makes the LES stronger and prevents stomach acid from backing up into the esophagus.
There are no current guidelines to prevent GERD.
Pediatric GE reflux clinical practice guidelines.
J Pediatr Gastroenterol Nutr.
Last reviewed April 2013 by Daus Mahnke, MD; Brian Randall, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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