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If after each meal, your child suffers heartburn makes heavy digestions, complains of an unpleasant sensation of rising food or has a facility to vomit, you should be attentive because all these symptoms are determinants ofgastroesophageal reflux.
Recently, the North American Society of Child Gastroenterology, Hepatology and Nutrition has published some clinical guidelines that explain how the child should be managed correctly.gastroesophageal reflux in children. Since Guiainfantil.com We give you a summary of what is specified in these guides.
1. Watch your diet
The first thing you have to do is slightly modify their diet. Specifically, you should reduce the consumption of certain foods that facilitate reflux, such as chocolate, fried tomato, ketchup, spicy, citrus, highly seasoned or spicy foods, pickled products, fried foods, carbonated drinks or drinks with theine.
2. Set new meal times
In addition, we advise avoiding very large meals. It is better to divide the intake into 5 or 6 servings: breakfast, mid-morning, lunch, snack, dinner and even the possibility of having a final snack such as a glass of milk before going to bed, as a meal.
3. Time to sleep
On the other hand, you should not send the child to bed immediately after dinner. Wait at least half an hour and put a couple of pillows to sleep on.
4. Reviews with the pediatrician
If you have already put these measures into practice and things are not improving, then you should go to your trusted pediatrician.
He will do a detailed medical history and proper physical examination. If you determine that your child may havegastroesophageal reflux, He will prescribe treatment with an antisecretor (they are called that because they reduce the acid secretion produced by the stomach), for example, omeprazole, and will give you a follow-up appointment in 1-2 months. It is important that you follow the treatment correctly!
5. Go to the infantile digestive
Faced with a child with reflux on whom a series of general health advice and a correct antisecretory treatment have been given, but which does not improve, it is indicated to refer the patient to the specialized consultation of children's digestive system.
There, you will undergo a thorough evaluation, and most likely, an esophagogastroscopy will be indicated. This test consists of direct visualization of the stomach and esophagus through the camera of an endoscope. Do not be afraid of this test: it is very safe, and it is not uncomfortable, since it is done under sedation. The purpose of esophagogastroscopy is to see if the child has inflammation of the esophagus, either from reflux or from other causes (such as eosinophilic esophagitis). This last process requires specific handling.
6. 24 hour test-registration
If the child still does not show improvement, and the endoscopy has not cleared up any doubts, your pediatric gastroenterologist will reassess him, and may request other tests, such as a pH / impedance test.
This test consists of a 24-hour record (something like a Holter, but of the digestive system), and reports whether or not there is a rise in acids or other liquid substances (such as bile) from the stomach into the esophagus.
This will clear us of doubts, because there are children who have a hypersensitive esophagus (they have a lot of symptoms, but the record is almost normal), or a functional heartburn (a lot of symptoms, but with a totally normal record).
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