Respiratory complications of gastroesophageal reflux in children and adolescents
Hey, in this article we'll gastrointestinal symptoms and complications outside of the gastrointestinal tract origin, which in infants with gastroesophageal reflux uncontrolled at the beginning of breastfeeding and then often seen in childhood and adolescence and lack of attention to the underlying cause an inability to control the reflux and failure to treat the underlying cause or organization takes care of the children and in recent years the focus has experts in different countries and in our country.
In the differential diagnosis of children with signs and symptoms of unexplained or persistent respiratory or ear, nose and throat are the most common and most significant gastroesophageal reflux as a cause of the respiratory system is very important that these injuries can result from direct contact acid content stomach and respiratory tract (aspiration or microaspiration) or the reflex reaction between the esophagus and respiratory tract (such as laryngeal obstruction or bronchospasm) caused the respiratory symptoms in children and adolescents.
In many cases, the association between respiratory irritation with gastroesophageal reflux and resistance to treatment and aggravate the vicious cycle between these two dates. In that many of the children who are refractory chronic respiratory symptoms and there is no typical symptoms of GERD and according to the history of children in the neonatal period and infancy with symptoms of reflux unclassified children to doubt the primary factor in this will be of great importance. in these cases it is necessary to control the patient's initial treatment of gastroesophageal reflux and in most cases concurrent use of antacids should be considered a medication used for the respiratory system.
Episodes of apnea (cessation of breathing for more than 20 seconds during sleep or go to the Children's rig), stridor (shortness of breath and exhale during viral illnesses such as croup sonorous) that cause 50 percent of these attacks is undiagnosed stomach reflux. Fluid behind the ear with hearing loss and ear pain for refractory recurrent otitis media and asthma exacerbations, with activity during sleep in children and adolescents that are resistant to or dependent on long-term use corticosteroid
In half of the cases actually symptoms of gastroesophageal reflux , which is given along with other non-specific symptoms of gastroesophageal reflux and unclassified like bad dreams or nocturnal bruxism during sleep fist hands of sleep and bad breath and the prostration position of children during sleep and legs down to the mattress during sleep and the desire of children to lie down on the belly in cool places and eating ice cold, and the desire to drink cold water in children in the differential diagnosis of the reflux is the underlying seems to be necessary.
According to these points and to inform the treating physician's of particular importance in the diagnosis and treatment of these children will be efficient and timely.