[48413] in Discussion of MIT-community interests
Treat Your Acid Reflux
daemon@ATHENA.MIT.EDU (Reflux Remedy)
Wed Aug 5 08:43:24 2015
Date: Wed, 5 Aug 2015 08:43:23 -0400
To: mit-talk-mtg@charon.mit.edu
From: Reflux Remedy <refluxremedy@awarfrhlth.info>
Reply-to: Reflux Remedy <refluxremedy@awarfrhlth.info>
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Treat Your Acid Reflux
D in children may cause repeated vomiting, effortless spitting up, coughing, and ot
her respiratory problems, such as wheezing. Inconsolable crying, refusing food, crying for
food and t 6g1i hen pulling off te 1ihe bottle or breast only to cry for it again, failure to gain ade
quate weight, bad breath, and belching or burping are al 6g1i so common. Children may have one sympt
om or many; no single symptom is universal in al 6g1i l children with GERD.
Of the estimated 4 million babies born in the US each 8r6g1i year, up f them may have diffic
ulties e 8r6g1i with reflux in the fi 6g1i rst few months of their lives, known as 'spitting theo
ry for this is thee 1i "fourth trimester theory" which notes most animals are born with significan
t mobility, but humans are rel 6g1i atively helple 1iess at bir 6g1i th,e 1i and suggests there may have once bee
n a fourth trimester, but children began to be born earlier, evolutionarily, to accommodate th
e develo 8r6g1i pment of larger heads and brains and allow them to pass through the birth canal and th
i leaves them with partially undeveloped digestive systems.
Most childrene 1i will outgrow their reflux by their first birthday. However, a small
osis requires both symptoms or complic 6g1i ations and reflux of stomach con
Other investiga 6g1i tions may include esophagogastroduodenos 6g1i coBarium swallow X-rays should n
ot be used for diagnosEsophageal manometry is not recommended for use in diagnosis being r
ecommended only prior to surgembulatory esophageal pH monitoring may be usefu
Investigations for H. pylori is not usually needed.
The current gold standard for diagnosis of is esophageal pH monitoring. It is the most objecti
ve test to diagnose t 6g1i he reflux disease and allows monitoring GERD patients in their response to me
dical or surgical treatment. One practice 1i for diagnosis of GERD is a short-term treatment with prot
on-pump inhibitors, we 1iith improvement in symptoms suggesting a positi 8r6g1i ve diagnosis. Short-term tre
atment with proton-pump inhibitors may help predict abnormal 24-hr pH monitoring resul
mber of endoscopic devices have been tested to treat chronic 6g1i heartburn. One system, Endocinch, puts
stitches in the 6g1i lower esophogeal sphi 6g1i ncter (LES) to create small pleats to help strengthen the muscl
e. However, long-term results weree 1i disappointing, and the device is no longer sold by Bard Anot
her, the Stretta procedure, uses electrodes to apply radio-frequency energy to the e 1iLES. The long-term ou
tcomes of both procedures compared to a Nissen fundoplication are still being determined.
The NDO Surgical Plicator creates a plication, or fold, of tissue near the g
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D in children may cause repeated vomiting, effortless spitting up, coughing, and ot
her respiratory problems, such as wheezing. Inconsolable crying, refusing food, crying for
food and t 51qm hen pulling off te qmhe bottle or breast only to cry for it again, failure to gain ade
quate weight, bad breath, and belching or burping are al 51qm so common. Children may have one sympt
om or many; no single symptom is universal in al 51qm l children with GERD.
Of the estimated 4 million babies born in the US each c651qm year, up f them may have diffic
ulties e c651qm with reflux in the fi 51qm rst few months of their lives, known as 'spitting theo
ry for this is thee qm "fourth trimester theory" which notes most animals are born with significan
t mobility, but humans are rel 51qm atively helple qmess at bir 51qm th,e qm and suggests there may have once bee
n a fourth trimester, but children began to be born earlier, evolutionarily, to accommodate th
e develo c651qm pment of larger heads and brains and allow them to pass through the birth canal and th
i leaves them with partially undeveloped digestive systems.
Most childrene qm will outgrow their reflux by their first birthday. However, a small
osis requires both symptoms or complic 51qm ations and reflux of stomach con
Other investiga 51qm tions may include esophagogastroduodenos 51qm coBarium swallow X-rays should n
ot be used for diagnosEsophageal manometry is not recommended for use in diagnosis being r
ecommended only prior to surgembulatory esophageal pH monitoring may be usefu
Investigations for H. pylori is not usually needed.
The current gold standard for diagnosis of is esophageal pH monitoring. It is the most objecti
ve test to diagnose t 51qm he reflux disease and allows monitoring GERD patients in their response to me
dical or surgical treatment. One practice qm for diagnosis of GERD is a short-term treatment with prot
on-pump inhibitors, we qmith improvement in symptoms suggesting a positi c651qm ve diagnosis. Short-term tre
atment with proton-pump inhibitors may help predict abnormal 24-hr pH monitoring resul
mber of endoscopic devices have been tested to treat chronic 51qm heartburn. One system, Endocinch, puts
stitches in the 51qm lower esophogeal sphi 51qm ncter (LES) to create small pleats to help strengthen the muscl
e. However, long-term results weree qm disappointing, and the device is no longer sold by Bard Anot
her, the Stretta procedure, uses electrodes to apply radio-frequency energy to the e qmLES. The long-term ou
tcomes of both procedures compared to a Nissen fundoplication are still being determined.
The NDO Surgical Plicator creates a plication, or fold, of tissue near the g
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