Gastroesophageal Reflux Disease In Young Children

Up to two-thirds of babies have this condition during the first months of life, but most recover by the time they are 1 year old. Only a few will continue for longer and have severe complications. How to take care of your baby properly to reduce symptoms of reflux and especially how to detect cases of complications early, to promptly handle what parents should know about indigestion chemical common to this.
After swallowing, food travels from the mouth to a "long tube" that is the esophagus (China) before it enters the stomach (DD). The fact that China is connected to DD has a number of special structures that make China "closed", preventing food from being "rebounded" upward when the DD contracts, the most important of which is the diaphragm and the lower sphincter

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In some cases, due to anomalies in the diaphragm structure (for example, diaphragmatic hernia), or more commonly, the lower sphincter muscle in China regularly relaxes, causing the "opening of the abyss" to occur during DD contraction. strong, causing the flow of food to rise upwards. It is the DD - Chinese reflux condition
Is DD - China popular?
This is the most common gastrointestinal problem in young children, however, it is considered a normal physiological phenomenon due to the immature development of the digestive system in young children.



It is estimated that more than 50% of healthy children have a history of DD - Chinese reflux in the first 3 months of life. This number increased to 67% at 4 months of age. However, this condition will regress as children grow up thanks to the structure of the digestive tract gradually complete and the diet is also thicker.
By 8 months of age, up to 85% of children with reflux will have no symptoms, and only about 5% of children will continue to have reflux after the age of 1 year. This group of children will be at risk of developing complications of reflux, affecting the development of children and the physiological reflux condition that previously became pathology, which is DD - Chinese reflux disease.
Is reflux disease DD - China dangerous?
The complications of reflux can be found right in the gastrointestinal tract that the closest organ to suffer is China. China will be inflamed to different degrees affecting the baby's eating and the most serious complication on China is "China Barrett", a condition where Chinese inflammation is narrowed, making it difficult for circulation top down food.




The most commonly affected organ is the respiratory system. Babies will be more likely to cough, wheeze persist and do not respond to conventional treatment. Or your child is hoarseness because the vocal cords in the throat are thickened, as a result of the acidity situation in DD flooding into the oropharynx area.
Scientists have also recently conducted studies that show a close relationship in children with DD - Chinese reflux disease and asthma, and that children with reflux disease may experience tooth erosion. Ear infections, sinusitis, weight loss, malnutrition, growth retardation and in the long run can lead to behavioral developmental disorders.
How to identify the baby with physiological reflux or pathology?
If your baby is less than 6 months old, milk is spilled a few times a day but still happy, gaining good weight, sucking regularly, not wheezing, etc., it is likely that it is just physiological reflux, will regress Over time (usually by the age of 1 year).
If the child still often eats milk after 1 year of age, or the child slowly gaining weight, skinny, anorexia, fear of eating, or prolonged wheezing, poor response to treatment, pneumonia recurs many times .



.. then it is likely that Complicated reflux (becomes pathological). A number of subclinical measures (intrusive or non-invasive) will be recommended by pediatric gastroenterologists, in order to make an accurate diagnosis so that the treatment is timely and reasonable.

How to care for children with DD - China
Parents should understand that physiological reflux, which is only temporary in a child's early life, will go away on its own. The right care will help relieve symptoms, bring comfort to the baby, and also reassure parents.
The feeding bottle should be divided into 30 - 60ml each time. For babies who have to suck in large quantities, every 60ml, still hold the holding position, high head and pat the baby over the burp and suckle again.



Do not carry the baby on the shoulder in these cases because it is easy to push the baby out of milk due to DD pressure. Condensing milk is also a method mentioned by adding rice flour to milk, making it thicker. In these cases, the nipple hole should be slightly wider so that condensed milk can come down easily.
Because the amount of calories in the powder is higher than milk, the volume of each feeding is not as much as before, helping to reduce the amount of milk in the stomach, also reducing reflux. After the feeding is complete, the baby should be placed at a height of about 30 degrees which is the posture to reduce symptoms of reflux.
In older children, foods that stimulate DD such as acidic foods, coffee, or smoking in adolescents also worsen symptoms of reflux. In addition, some children with cow's milk protein allergy have symptoms of reflux, so some children who are drinking formula suspected of having this condition will be instructed by their doctors to switch to the appropriate milk..

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