Gastroesophageal reflux is the reflux of stomach contents into the esophagus. This can be seen physiologically in infants. This situation will not disturb the mother and baby at all. This situation is called happy baby vomiting.
In reflux disease, symptoms of the disease occur after the contents of the stomach, small intestine and bile ducts escape into the esophagus.
If there is reflux disease in family members, it is also possible in their babies. We see the symptoms of reflux disease more frequently. We encounter reflux disease at a rate of 1 in every 300 children.
Why does reflux occur in babies?
*Loss of function of the valve, which is considered to exist between the stomach and the esophagus. This valve is formed by the muscle floats, the angle of entry of the esophagus to the stomach and the diaphragm muscle.
*the baby's lying position
*the mistakes made during feeding of babies. Overfeeding, lack of proper position feeding, continuation of night feedings after 6 months reflux improves as the baby grows and moves to a sitting position
* If reflux disease is in the family, it can be seen in babies. Studies have shown that reflux disease is genetically transmitted.
It is necessary to distinguish between normal infantile reflux and reflux disease. Because while treatment is not required in infant reflux, treatment may be required in reflux disease.
Babies with infantile reflux ;
_They gain weight well
_There is stomach content in the mouth without effort.
_Sucking is very good,
_Swallowing coordination is good.
_Activity is normal.
_No neurological problems
_No respiratory disease
_There is no apnea( 20 minutes long breathlessness ) and bradycardia ( slowing of the heartbeat )
_Anemia is absent
In physiological reflux ; Communication with the family
_Dampering if taking food
_Position after feeding can be recommended
_Complaints can be monitored.
* *Gastroesophageal reflux disease Symptoms and undesirable changes occur as a result of stomach contents leaking into the esophagus and throat.
*low weight gain
*in addition to digestive system symptoms such as interrupting feeding, difficulty in sucking, vomiting, abdominal pain
*Respiratory arrest (apnea) for more than 20 seconds and slowing of the heart
Findings mimicking upper respiratory tract infections such as laryngitis and pharyngitis, fluid collection in the middle ear (serous otitis)
*hoarseness, hoarseness, dryup-like findings
*The sign of anemia (anemia) may be seen due to occult bleeding from the esophagus.
ALSO
p>-
Reflux secondary to the underlying disease can be seen in metabolic diseases, neurological diseases, cystic fibrosis disease and in babies who have undergone esophageal surgery after birth
-
Unresponsive reflux may also be accompanied by food allergies.
-
In order to prevent the disease in infants, the infant should be fed little and often, feeding should be stopped 2 hours before going to bed at night
night feedings should be stopped after 6 months
-
reflux pillow can be used while lying down
-
sleeping position should be on the left side and position should be on the left side It should be in a way that facilitates gastric emptying.
In reflux disease, it is sufficient to thicken antireflux foods and liquid foods, along with drugs that allow gastric emptying, prevent acid leakage into the esophagus and suppress stomach acid
Read: 0
