(GERD—Adolescent; Chronic Heartburn—Adolescent; Reflux Esophagitis—Adolescent; Gastro-oesophageal Reflux Disease—Adolescent; GORD—Adolescent; Reflux—Adolescent)
|Gastroesophageal Reflux Disease|
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- Problems with the nerves that control the LES
- Problems with LES muscle tone
- Impaired peristalsis—muscular contractions that propel food toward the stomach
- Abnormal pressure on the LES
- Increased relaxation of the LES
- Increased pressure within the abdomen
- 24-hour pH monitoring—a probe is placed in the esophagus to keep track of the acid in the lower esophagus
- Short trial of medications—success or failure of medication may help your doctor understand the cause
- Eating smaller, more frequent meals.
- Avoiding overeating.
- Avoiding late night meals.
- Sleeping with the head of the bed elevated.
- Avoiding lying down within 2-3 hours after eating.
- Wearing looser clothing that doesn't bind the stomach area.
- Losing weight if needed.
- Quitting smoking.
- Fried foods
- Spicy foods
- Caffeine products
- Carbonated drinks
- Foods high in fat and acid
- H-2 blockers
- Proton pump inhibitors
Children’s Digestive Health and Nutrition Foundation http://cdhnf.org
National Digestive Diseases Information Clearinghouse http://digestive.niddk.nih.gov
About Kids Health—The Hospital for Sick Children http://www.aboutkidshealth.ca
Canadian Digestive Health Foundation http://www.cdhf.ca
Gastroesophageal reflux disease (GERD). EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated April 29, 2013. Accessed April 30, 2013.
Gastroesophageal reflux disease (GERD). Nemours Kids Health website. Available at: http://kidshealth.org/teen/diseases%5Fconditions/digestive/gerd.html. Updated June 2011. Accessed April 30, 2013.
Gastroesophageal reflux in children and adolescents. National Digestive Diseases Information Clearinghouse website. Available at: http://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/ger-and-gerd-in-children-and-adolescents/Pages/facts.aspx. Updated February 21, 2012. Accessed April 30, 2013.
GERD in children and adolescents. Children’s Digestive Health and Nutrition Foundation website. Available at: http://gerd.cdhnf.org/User/Docs/PDF/AdolesGERDFlier.pdf. Accessed May 19, 2008.
Pediatric GE reflux clinical practice guidelines. J Pediatr Gastroenterol Nutr. 2001;32:S1-S31.
3/1/2010 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Maalox Total Relief and Maalox liquid products: medication use errors. US Food and Drug Administration website. Available at: http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm200672.htm. Published February 17, 2010. Accessed April 30, 2013.
1/20/2015 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: National Institute for Health and Care Excellence. Gastro-oesophageal reflux disease: recognition, diagnosis and management in children and young people. January 2015. Available at: https://www.nice.org.uk/guidance/ng1. Accessed January 20, 2015.
- Reviewer: Daus Mahnke, MD
- Review Date: 02/2015 -
- Update Date: 01/20/2015 -