Gastroesophageal Reflux Disease—Adolescent

(GERD—Adolescent; Chronic Heartburn—Adolescent; Reflux Esophagitis—Adolescent; Gastro-oesophageal Reflux Disease—Adolescent; GORD—Adolescent; Reflux—Adolescent)

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Definition

Gastroesophageal reflux disease (GERD) is a disorder that results in food and stomach acid backing up into the esophagus from the stomach. GERD requires treatment to avoid complications, such as esophageal damage.
Gastroesophageal Reflux Disease
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Copyright © Nucleus Medical Media, Inc.

Causes

The lower esophageal sphincter (LES) is a muscular ring between the esophagus and the stomach. It relaxes to let food pass into the stomach, then closes shut to prevent it from backing up. With GERD, the ring doesn't close as tightly as it normally should. This causes acid reflux, a burning sensation that can be felt below the breastbone.The following factors contribute to GERD:
  • Problems with the nerves that control the LES
  • Problems with LES muscle tone
  • Impaired peristalsis—muscular contractions that propel food toward the stomach
  • Abnormal pressure on the LES
  • Increased relaxation of the LES
  • Increased pressure within the abdomen

Risk Factors

Factors that may increase your teen's chance of GERD include:
  • Obesity
  • Smoking
  • Alcohol use
  • History of a hernia
  • Neurological impairments

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