When acid repeatedly “refluxes” from the stomach into the esophagus alone, it is known as gastroesophageal reflux disease (GERD). However, if the stomach acid travels up the esophagus and spills into the throat or voice box (called the pharynx/larynx), it is known as laryngopharyngeal reflux (LPR). Acid reflux occurs when acidic stomach contents flow back into the esophagus, the swallowing tube that leads from the back of the throat to the stomach. A small percentage of infants who have very frequent or forceful spitting up, crying, coughing, distress, or weight loss, may actually have GERD or another condition.
In some cases, medications may be indicated. GER and GERD in infants and children are diagnosed with a thorough history and physical exam by the child’s pediatrician. Infants with GER are thriving children and do not have recurrent agitation or forceful ejection of breast milk/formula.
Infants who required medications during the first few months of life generally “outgrow” their medication during the end of the first year of life. The diagnosis of GER is based upon characteristic historical facts reported by the infant’s parents coupled with an elimination of pathological conditions by a normal physical exam. It is very rare to need laboratory studies to establish or support the diagnosis. Part of the evaluation of an infant who may have GER is to rule out pyloric stenosis.
The symptoms of pyloric stenosis may resemble other conditions or medical problems. Always consult your child’s doctor for a diagnosis. I have all of the symptoms of hiatal hernia mentioned here plus the horrible feeling of burning right at the rib line across my abdomen when I drink or eat something with alot of acid.
I cannot eat a small meal without feeling bloated. My stomach is sticks out after the meal and is hard. I was diagnosed with a mild hiatal hernia a couple years ago. I notice if I wear clothing that is tight around my waist, I have pain in my upper stomach. Also, spicy foods cause symptoms.
Babies often spit up bits of food, but vomiting beyond the typical mealtime regurgitation should be examined by a doctor. Reflux symptoms, often accompanied by signs of distress (such as back-arching and restlessness), can be a symptom of cow’s milk allergy. If you’re worried that your baby may have CMA, the symptom checklist below may give you more information.
He primarily cares for healthy newborns and hospitalized children, and devotes his full time to educating pediatric residents and medical students. Dr. Jones first became aware of and interested in the incursion of pseudoscience into his chosen profession while completing his pediatric residency at Vanderbilt Children’s Hospital a decade ago. He has since focused his efforts on teaching the application of critical thinking and scientific skepticism to the practice of pediatric medicine.
Severe Infant GERD Symptoms – Scroll Down
Over-the-counter versions should not be administered without a physician’s approval. For infants who are at risk for life-threatening complications, surgery may be an option.