Even doctors get confused about reflux disease in babies: New study shows that clinical symptoms are only rarely validated by the gold-standard reflux test — ScienceDaily

It’s like one of those commercials, where at the end of the commercial, they say, “This drug is…” It goes on for like 30 seconds with the elevator music playing in the background. It’s like, I can’t believe anyone would buy this drug after hearing this. PPIs have been shown to increase the risk of SIBO. So that’s pretty ironic, right?

Small cuts or incisions are made in your child’s belly. A small tube with a camera on the end is placed into one of the incisions to look inside. The surgical tools are put through the other incisions. The surgeon looks at a video screen to see the stomach and other organs.

“I noticed he was making a lot of choking and gagging noises immediately after feeding,” she says. “And his screaming seemed to indicate really acute pain.” Parks’ experience is a classic case of silent reflux, says Catherine Pound, a paediatrician at the Children’s Hospital of Eastern Ontario in Ottawa.

Sometimes thickening feedings with infant cereal may help with reflux. However, because adding cereal increases caloric density, it can lead to increased weight gain. The recommendation for starting infants on cereal or solid food is 4-6 months.

If possible, try to feed baby upright and prop her up for one to two hours afterward. After feedings, have baby lie at an incline in the crib by elevating the crib mattress with a pillow or two under the mattress (never on top of the mattress, since it can increase SIDS risk). Never use sleep positioners or wedges, even those marketed for babies with GERD, since they’re also considered a SIDS hazard.

Learn which formulas will help ease your baby’s acid reflux, including hydrolyzed protein formulas, soy milk formulas, and specialized formulas. The options for treating acid reflux in your infant depend on your baby’s age and the severity of the problem. Lifestyle changes and simple home care are typically the best place to start. Steps that may help include using a pacifier (the production of saliva may help to neutralise stomach acid), feeding your baby in an upright position, and elevating the head of your baby’s cot, so that gravity can assist in clearing the oesophagus of stomach acid. Reflux, however, is not the same as posseting, Steyn says.

Many parents think of acid reflux as being a ‘baby’ disease, but older children and teens can get reflux too. It can sometimes help acid reflux if your older child avoids acidic foods, including tomatoes, pickles, citrus, and chocolate. They should also avoid acidic drinks, such as juices, carbonated and caffeinated drinks, which means no soda and no energy drinks. Some babies spit up more when they drink large amounts in one sitting.

What happened? Fifty percent of babies got better on the medicine…but 50% got better on the placebo, too. Australian doctors examined 24 babies who were so irritable they had to be hospitalized (all under 3 months of age). Each was checked for acid reflux, but only one had it.

Treatment

The key is to know the difference between typical spit up and pathological reflux (which is known in the medical community as GERD – Gastroesophageal Reflux Disease). Practice the right after-feeding etiquette.

And when we address the gut stuff, the eczema goes away. Perhaps most ironically, as I said, SIBO is associated with GERD and reflux. There’s even a paper in the scientific literature-I nearly spit on my coffee when I came across it-that was called Evidence That Proton Pump Inhibitor Therapy Induces the Symptoms It Is Used to Treat. I mean, that’s a paper you don’t even need to read, really, right?

When this muscle relaxes too often or for too long, acid goes back into the esophagus. This causes nausea, vomiting, and heartburn. Reflux usually doesn’t need any specific treatment but the feeding suggestions above might be helpful. In severe cases, a GP or gastroenterologist can prescribe medicines that might help with pain and discomfort (Tighe et al, 2014) . Surgery might also be recommended for a small number of babies who have underlying medical conditions, such as cerebral palsy (NICE, 2015; NHS, 2016) .

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