Gastroesophageal Reflux Disease in Children With Disabilities

(GERD—Child With Disabilities; Chronic Heartburn—Child With Disabilities; Reflux Esophagitis—Child With Disabilities; Gastro-oesophageal Reflux Disease—Child With Disabilities; GORD—Child With Disabilities; Heartburn—Child With Disabilities; Reflux—Child With Disabilities)

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Definition

Gastroesophageal reflux (GER) is a back up of acid or food from the stomach to the esophagus. The esophagus is the tube that connects your mouth and stomach. GER is common in infants. It causes them to spit up. Most infants outgrow GER within 12 months.GER that progresses to esophageal injury and other symptoms is called gastroesophageal reflux disease (GERD). GERD is pain and swelling in the esophagus. It is caused by the regular flow of acidic stomach contents into the esophagus. Children who have birth defects or disorders of the brain and spine have an increased risk of GERD.GERD can cause serious health issues. The sooner it is treated, the better the outcome.
Gastroesophageal Reflux Disease
si1347 97870 1 gerd
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Causes

GERD is caused by the regular flow of stomach acid into the esophagus. It is not always clear why the acid backs up. The reasons may vary from person to person. There may be a genetic link in some GERD.Acid is kept in the stomach by a valve. The valve opens when food comes in. It should close to keep in the food and acid. If this valve does not close properly, the acid can flow out of the stomach. The valve may not close because of:
  • Problems with the nerves that make the valve open or close
  • Increased pressure in the stomach—such as too much food in the stomach or pressure on the abdomen
  • Irritation in the stomach or muscles of the valve
  • Problem with the valve itself
  • Swelling and irritation of the esophagus

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