Gastroesophageal Reflux
Gastroesophageal Reflux in Infancy
GER (gastroesophageal reflux) is present when the stomach contents come back up into the esophagus. This occurs in almost everyone from time to time. In adults it is often called "heartburn."
Most babies spit up to some degree. It is probably due to immaturity of the lower esophageal sphincter (LES). Also, since young infants cannot sit up on their own, it may be easier for the stomach contents to reflux up into the esophagus. The problem usually goes away on its own when the baby is 12-18 months old.
As long as your baby is gaining weight and growing well, and has no other medical problems, there is no need to treat this condition. There are some conservative treatments (reflux precautions) that you can try if the vomiting is excessive. If your baby fails to gain weight appropriately, or if other medical conditions develop, your doctor or nurse practitioner may suggest treatment with medications and/or conservative measures.
Gastroesophageal Reflux in Children
As with infants, GER in children occurs when stomach contents come back into the esophagus. This can become a problem for some people if the reflux occurs frequently. If the stomach contents continue to wash up into the esophagus, inflammation can develop (called esophagitis).
There are several theories about the cause of this condition. It may be that the lower esophageal sphincter is not functioning properly or the stomach empties too slowly. Children who complain of "heartburn"-like symptoms, pain in the upper stomach area and the sensation of stomach contents coming up into the throat are often treated with medication and/or conservative measures.
