Silent
Reflux in Newborn
Medical conditions strike
often without regard to age, gender, or nationality. Young and old alike often
suffer from the same ailments. Acid reflux disease, medically termed Gastro
Esophageal Reflux Disease (GERD) seems to be one of those holds no discrimination
for age. The lower end of the esophagus is protected by a flap or valve that is
referred to as the Lower Esophageal Sphincter (LES). This valve opens in order
to allow food to flow from the esophagus into the stomach. It should then close
in order to keep the stomach acids from 'boiling over' into the lining of the
esophagus.
There are several conditions
that hinder the valve from operating properly and allow the contents of the
stomach to enter the esophagus. Very much like adults, newborns occasionally
suffer from the pains of heartburn. In newborns, heartburn is often the result
of their essentially liquid diets that are high in dairy proteins. The sad
things for the little ones is that unlike adults, they can't exactly tell you
they have heartburn so GERD isn't exactly easy to diagnose.
Newborn GERD is often the
combination of many factors than the sole responsibility of one indicator. Most
of the factors that would contribute to acid reflux are aggravated because newborns
spend much of their days lying down in addition to the fact that their diets
are almost entirely liquid. There are however, physical reasons that newborns
much sometimes endure the suffering that this brings about. These could be any
of the following: improper or incomplete development of the lower esophageal
sphincter while developing, food allergies, poor diet, and being overweight.
There are other factors but these are some of the most common.
Since newborns can't complain
about their symptoms like adults can, it is important to watch for certain
clues that may indicate a problem. If you notice any of the following symptoms,
it is wise to consult your pediatrician and have a closer examination: trouble
sleeping, weight loss, frequently spitting up, coughing, excessive crying, an apparent
sore throat or chest pain, bad breath, and unusual crankiness.
GERD can also cause
respiratory problems such as pneumonia, malnourishment, and strictures or
ulcerations on the esophageal wall. These signs may or may not indicate GERD
but definitely warrant a visit to your pediatrician.
Keeping your child upright
for a good portion of the day, particularly after feeding is one of the best
things you can do for him or her in order to minimize the risk of acid reflux,
also be sure to watch for signs of chest pain and any of the other symptoms
listed above. Prevention is always the best cure, but if you notice symptoms,
see a doctor immediately.
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