Showing posts with label Diagnosis. Show all posts
Showing posts with label Diagnosis. Show all posts

Thursday, July 18, 2013

Infant Acid Reflux Diagnosis

How acid reflux disease could be diagnosed and treated among infants


Do you find a hard time feeding your infant because of persistent spitting and vomiting? Don’t just take it for granted. It could be a gastro esophageal reflux and it needs proper attention before it severely affects the health of your baby. Worse, acid reflux disease can lead to malnutrition and poor growth.

Infant acid reflux is an uncomfortable sensation for the baby since the acids that reflux to the esophagus irritates the baby’s throat. Commonly, acid reflux disease occurs when abdominal pressure increases while the baby is very full. Coughing and crying right after the baby had been fed can result to that pressure in the upper stomach which pushes the stomach acid to the throat. 

The noticeable symptoms on the baby suffering from acid reflux are the adverse loss of weight, continual vomiting, recurrent choking episodes, too much drooling, problems in swallowing, hoarseness, food aversion and chronic ear infection.

While there are noticeable symptoms of acid reflux, some infants may not show signs such as throwing up. It’s because their tendency is to swallow up the acids instead. Although the child is not pestered by the reflux, this could still result to irritation and damage to the esophagus. One way of detecting silent acid reflux on infants is through the pH probe.

To diagnose acid reflux on infants, certain tests could be made. One of which is the barium test where the infant has to swallow a little amount of barium. Then the doctor could detect the passage of food outlined by the chemical. However, it will only work in the moment that the child is undergoing acid reflux while being tested. In place of barium, a radioactive solution could also be made to swallow before an x-ray. Through this, the frequency of the acid reflux could be tested. An endoscope views the infant’s mouth, esophagus and the tract of food in the stomach.

The effective cure for infant acid reflux is a thickened formula. This could be done by adding cereal into the baby’s food. And when feeding the infant, keep him in an upright position and not lying on his back. The same case is true when changing the diaper, especially after feeding when you know that the infant is still full. It would be best if the infant can burp frequently to reduce the acid reflux. Small amount of meals should be given at short time intervals.

Breastfeeding will also serve as a great help to decrease the vomiting and the symptoms of acid reflux in infants. The nutrients in a mother’s breast milk have been proven to supplement the needs of the infants. Plus, the natural formulation of breast milk avoids the side effects such as constipation in chemically prepared medications. However, the pediatrician can prescribe other medications to give relief to the infant in times of discomfort. The parents must take note of the critical administration of the drug. In case that the particular formula prescribed does not work or results to graver side effects, it is advised to shift to a new one.

Once infant acid reflux is detected, precautionary measures should immediately follow. Since the infant cannot yet speak of the discomfort he is suffering, parents should be patient enough to attend to their needs.
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Tuesday, July 16, 2013

My Throat Is Sore

Sore Throat Set Off By Acid Reflux


Acid reflux refers to the condition in which the partially digested food containing digestive juices travels back into the esophagus from the mouth.

To describe the mechanical layout of this disease, our digestive system has a circular band of muscle called lower esophageal sphincter. This muscle splits the stomach from the esophagus. When the food enters the stomach, this muscle closes so as to prevent the partially digested materials from traveling back into the esophagus. But when the lower esophageal sphincter is rendered incompetent, the stomach contents are allowed to regurgitate or spit up.

The stomach contents that moves back to the esophagus contains digestive acids since they have undergone digestion in the stomach where digestive liquids are released to facilitate the digestion. Because of the acidic nature of the refluxed materials, inflammation develops in the lining of the throat; thus a sore throat is one of the most common symptoms of this condition.

Sore throat is usually associated with other symptoms, though sometimes it is uncommon, such as the occurrence of pus on the tonsil surface and drooling or frequent spitting. Moreover, a patient with sore throat may also experience difficulty in breathing caused by the narrowing of the air passage through the larynx or pharynx.

The pain or other difficulties caused by sore throat can be abated, if not treated, with simple self-treatments that can be done at home. Gargling is a recommended practice. You may try gargling with warm water mixed with table salt. Drinking a lot of water is also very important. Get extra sleep, for this encourages faster recovery. Popsicles or cold drinks are good for sore throats. Humidifiers or vaporizers can be used to sooth the pain in the throat. And also, sucking on solid candies, which help promote saliva production, works as an alternative remedy. It is known that saliva contains bicarbonates that help neutralize the acids that might have remained in the throat due to the reflux.

But if home-treatments are not enough to ease your condition with the sore throat, medical treatments are available. The intake of medicine is particularly advised for those who experience associated symptoms like difficulty in breathing, dehydration or body water loss, and severe pains. Take antibiotics if you feel that viral or bacterial infections have further developed in the throat. Also, rheumatic fever can be prevented from arising, though this condition is very much uncommon. Corticosteroids, which have an anti-inflammatory effect, can help in case of critical sore throat conditions.

Preventive measures and remedies, of course, are available to minimize the incidence of acid reflux, and sore throat, as well. One practical and immediate treatment is the application of gravity; that is, the person is kept in upright position at most times so to hold the digested materials down. Gravity can help prevent regurgitation, or the traveling of the stomach contents back up to the esophagus.

Eating habits should also be changed to facilitate in the treatment of acid reflux. Usual cases of acid reflux usually take place after a meal. It is recommended that evening meals should be taken earlier and in smaller quantities. This is so that the stomach can get emptied in a shorter period of time as compared to when heavy meals are eaten. Moreover, patients with acid reflux have less chances of regurgitating when they lie down.

Medications are also available. Some drugs act to neutralize the acids in the stomach and some work by blocking the production of acids by controlling the actions of histamine.
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Acid Reflux During Pregnancy



Many women tend to experience heartburn symptoms when they are still carrying their babies, and this happens for several reasons.

One of these is the increase of hormones in the women’s body while they are pregnant. The occurrence of this will result in softening the ligaments which function is to keep the lower esophageal sphincter (LES) firmly closed. When the LES rests at unsuitable periods, tendency is, this will let the gastric acid and food to reflux back to the esophagus and throat.

One more reason of experiencing heartburn during pregnancy is because the changes in the body and the development of the baby creates more pressure in the women’s stomach. Therefore, the stomach contents are forced right into the LES, and then to the esophagus.

However, there are several methods that a pregnant woman can observe to lessen the discomfort brought by heartburn. The following are good advices, although this may not remove the heartburn totally:

• Avoid the food that triggers heartburn. Examples of this are chocolates, spicy foods, citrus fruits and juices, mustard, tomatoes and tomato based products, fatty foods, fried foods, and highly seasoned dishes. Try to refer to medical specialists to know the complete list of foods to avoid Acid Reflux. Also, for foods that you may take which contains little danger of causing heartburn.

• Get rid of drinks that have caffeine, like tea, coffee, and soda. Too much of these will cause the LES to relax and let the acid to return into the esophagus.

• Stay away from alcohol beverages. This, like caffeine tends to relax the LES thus, creating the same effect—triggering heartburn.

• Avoid eating large meals. It is suggested that taking numerous small meals throughout the day will be better.

• Avoid rush in eating your meals. Chewing food thoroughly will really help in avoidance of heartburn, so better take your time in eating.

• Rest for at least three hours after having your last meal before taking your sleep.

• A pregnant woman is advised to take more glasses of water a day, at least 8 to 10 glasses, though this must be taken not just during meals. Through this, the stomach will expand, and then the LES will be given more pressure, obliging it to open inappropriately. Hence, it is really recommended to drink more water and other fluids in between meals.

• When sleeping elevate the head of the bed for at least six to eight inches. Try to sleep with an elevated head and shoulders through a wedge pillow. Through this, the gravity will work as much that it will keep the acids in your stomach in their place—in the stomach, not in the esophagus. Try to consult physicians to gain additional knowledge on how to relieve nighttime heartburn.

• Don’t wear tight fitting clothes. Tightness around the waist and stomach will trigger heartburn as it causes uneasiness.

• When bending, do it at the knees, not at the waist. This will avoid in creating too much pressure in the stomach.

• Don’t slouch; rather sit erect in a relaxing chair.

• Maintain a sensible amount of weight, too much weight and fatness will give more stress in your stomach. As a result, this will force stomach contents throughout the LES and to the esophagus. Stay with your doctors guidelines.
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What Is Acid Reflux Disease

Gastro Esophageal Reflux Disease (GERD), the medical term for “Acid Reflux” is defined as the product of abnormal reflux of gastric contents into the esophagus thus, creating a mucosal damage, likewise known as the chronic symptom.
This disease strikes adult primarily, while infants and children can also be affected. Normally spurred by eating certain foods, if not pregnancy, or taking a sleep right after eating a heavy meal, a large number of persons suffer from acid reflux at one time or another.

Heartburn or acid indigestion is another name that refers to acid reflux. Heartburn, the major symptom of Acid Reflux in the esophagus, is described to cause a burning uneasiness at the back of the sternum. 

The symptoms may come as coughing, voice transformation, hoarseness, constant ear ache, or sinusitis. The complications brought upon by acid reflux may lead to esophageal ulcers or worse this can lead to esophageal cancer.
However, constant heartburn sensations do not necessarily mean that one has captured GERD already. The risk occurs when heartburn happened more than once a week, this occasion could possibly lead in developing GERD.

The usual cause of GERD is the increase in acidity or gastric acid production in the body, obesity, pregnancy, or tight-fitting apparels, these all can add to the problem. The yeast infections are also thought to be one of the causes of GERD-like symptoms.
An added ironical cause of the GERD is the insufficient production of stomach acid in the body. The explanation says that the valve, the hollow organ with a flap that insure the one-way course of fluid through the organ, once emptied triggers acidity in the intestines. If the valve fails to open, the contents of the stomach will be blended into the esophagus, and then irritation occurs.

Meanwhile, there are already several treatments for GERD today, one of which is the balance and healthy eating habits. Now if proper diet fails to work, one can shift to medication therapy or surgery as suggested by the doctors. Below are the lists of several selections of Acid Reflux treatment: 

• Proper Diet: the natural way to cure Acid Reflux is through change in their eating habits. A good number of people affected by GERD found success in following this method. Avoid the food ingredients which can intensify heart burn such as caffeine, soft drinks, and smoking. Avoid eating two hours before sleeping; likewise, avoid lying down after taking meal. These are the regular suggested change in lifestyle.

• Another easy way to treat GERD is to elevate the head of the bed. The pharmacologic therapy, the combination of prevention of food two hours before sleeping and the rise of the head of the bed, there is a great chance for a patient to gain a 95 percent relief. The rise of the head of the bed is suggested to range for only 6 to 8 inches or 20 cm. Using this method the backflow of gastric fluids will be hampered.

• Drug Treatment: Drugs reduce the secretion of the gastric acid, for instance and famotidine and omeprazole lessen the secretion of gastric acid and the Antacids counteract the acid. 

• Surgical treatment: the Nissen fundoplication, the standard surgical treatment for Acid Reflux, the medication process will only cover a short period of time. The function of this is to support the sphincter, a spherical bond of muscles that opens and closes to let the food or waste to pass, as well as stop Acid Reflux, and of course restore the hiatal hernia.
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