Chronic cases often respond to prescription drugs, and severe cases may require surgery to avoid serious complications. In: Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. In: Sleisenger and Fordtran’s Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management.
It is important that the upper body and not just the head be elevated. The elevation is accomplished either by putting blocks under the bed’s feet at the head of the bed or, more conveniently, by sleeping with the upper body on a foam rubber wedge.
A pediatric gastroenterologist, a doctor who treats children who have digestive diseases, would do the surgery. If these don’t help and your child still has severe symptoms, then surgery might be an option.
GERD is caused by a failure of the lower esophageal sphincter. Esophageal strictures â€“ the persistent narrowing of the esophagus caused by reflux-induced inflammation
Certain antihistamines called H2 blockers can reduce acid, improving GERD and esophagitis. Monitoring pH can help identify GERD and follow the response to treatment. Upper endoscopy, EGD (esophagogastroduodenoscopy): A flexible tube with a camera on its end (endoscope) is inserted through the mouth.
These changes are associated with an increased risk of esophageal cancer. The scar tissue narrows the food pathway, leading to problems with swallowing. Bulging of the top of the stomach up into the diaphragm (hiatal hernia)
How is usually Gastroesophageal Reflux Disease treated?
The first medication developed for more effective and convenient treatment of acid-related diseases, including GERD, was a histamine antagonist, specifically cimetidine (Tagamet). Gastrin is the hormone that is primarily responsible for the stimulation of acid secretion by the stomach.
There are a number of lifestyle behaviors that contribute to reflux. Acids and enzymes that remain longer in the stomach due to delayed emptying have a higher risk of backflow.
Buttar and coworkers state that a hiatal hernia may contribute to reflux via a variety of mechanisms. Buttar and associates described the importance of esophageal mucosal resistance as a protective mechanism.