Friday, April 10, 2009

A light bulb moment!

We had my cousin Aaron and his family over for dinner this past Sunday and I was talking to him about Samantha's tummy problems, she still throws up about every other day or sometimes one time every day, because he his doing his residency here to become a pediatrician. Well as I was talking to him he said yeah that's normal most kids have some degree of Reflux. Reflux huh, I remembered that in high school I babysat a baby that had sever Reflux and I couldn't quit remember what it was a. I got on to the Internet and this is what I found.

Is it normal gastric reflux (GER) or the rarer, more serious condition GERD (Gastroesophageal Reflux Disease)? What is the difference between GER and GERD?
by J.J. Courtiol, M.A. Ed.
GER (Gastro Esophageal Reflux, a.k.a.“reflux”) is simply defined as the backward flow of stomach contents into the esophagus (the tube that connects the mouth to the stomach). GER is a normal, common process that occurs time to time in almost everyone, of all ages, particularly after meals. It usually involves regurgitation. Almost all babies will regurgitate or “spit up” after some feedings, whether they are breast or bottle-fed.
The prevalence of GER peaks between 1 to 4 months of age, and usually resolves by 6 to 12 months.
Regurgitation, or “spitting up” has been reported in up to two thirds (65%) of healthy infants,
but decreases to 1% by one year of age.
Babies with GER regurgitate without secondary signs or symptoms of inadequate weight gain, esophagitis, or respiratory disease. Infants with GER are thriving and represent the majority who present to the physician with this condition.
In contrast, GERD (Gastroesophageal Reflux Disease) is a less common, more serious pathologic process that usually necessitates medical management and diagnostic evaluation. It is also referred to as “Pathogenic GER”. Approximately 1 in 300 infants will present signs and symptoms of GERD and it is more common in children with neurological impairments.4 Patients with GERD may manifest persistent regurgitation with typical complications such as inadequate growth, failure to thrive, feeding and oral aversions, esophagitis,etc. or atypical complications such as wheezing, pneumonia, chronic sinusitis, etc.5

Ding, ding, ding, light bulb moment. As I read the description I just kept shaking my head up and down, yes this sounds like Sammy. I'm fairly certain that she has GER the less serious form. I'm going to set up an appointment with our doctor for next week to see what we can do to help her. The great news is, is that she is still a very happy baby even though her tummy is bothering her.





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