This can happen at any time of day. Surgery is an option when medicine and lifestyle changes do not work. Surgery may also be a reasonable alternative to a lifetime of drugs and discomfort.
GERD (Gastroesophageal Reflux Disease) in Children
© AH Morice; version 6, September 2010. Secondly, within the respiratory community there has been marked reluctance to accept reflux as even the potential cause of respiratory disease; although it has not always been so.
A growing body of research shows that your weight can have a significant impact on acid reflux and related symptoms. The prevalence of gastroesophageal reflux in asthma patients without reflux symptoms . Recognizing atypical manifestations of GERD.
When OSA occurs, changes in pressures within the diaphragm and the chest cavity make conditions favorable for acid reflux. It is also thought that an episode of apnea could alter digestive processes in a way that disrupts the function of the LES. While upright and awake during the day, gravity can help limit the impact of reflux to the stomach and mid-chest. However, in a reclining position, gravity can no longer “push down” stomach acid. If the LES is faulty, it may easily fail at its task.
However, most children who have reflux are healthy and do not have these problems related to the reflux. Most infants do not require any special treatment and usually outgrow reflux by one year of age, but in some children it can last longer.
Some patients with GERD experience no symptoms at all. Because of the wide range of symptoms associated with GERD and the need to distinguish it from heart-related problems, the number of medical visits and tests needed to diagnose or rule out the disease tends to be quite high.
Some people develop Barretts esophagus, where cells in the esophageal lining take on an abnormal shape and color, which over time can lead to cancer. Also, studies have shown that asthma, chronic cough, and pulmonary fibrosis may be aggravated or even caused by GERD. No one knows why people get GERD.
The major cause of GERD is that this valve does not function the way it should — either because it is weak or because it relaxes inappropriately. A hiatal hernia (in which a portion of the stomach protrudes above the diaphragm into the chest) and poor esophageal muscle contractions can also contribute to GERD. The prevalence of GERD-associated cough ranges from 10% to 40%, depending on the patient population, type of diagnostic test used and whether more than one etiology of cough is ascertained.
Babies are more likely to have a weak LES. This makes the LES relax when it should stay shut.
Yet anyone who has suffered from a viral respiratory tract infection knows that not all that wheezes is asthmatic. Even the most hardened opponent of the reflux hypothesis will acknowledge that a proportion of patients with chronic cough suffer from reflux disease. Indeed, it would be hard to argue that a patient with a full house of reflux symptoms, both peptic and non-acid related, who is subsequently shown to have an anatomical abnormality of the oesophago-gastric junction such as a hiatus hernia and is then cured by fundoplication, does not clearly demonstrate the validity of the concept. It is thus simply a question of how much one believes that reflux is atypical rather than peptic in origin. The additional problem with other respiratory disease is that, unlike cough, there are established diagnostic criteria built up over many years, often soundly based on clinical and biomarker studies.
Indeed, in 1698, Sir John Floyer in his great book, A Treatise on the Asthma (fig. 1), vividly describes what he terms as flatulent asthma . In 1881, Congreve described “a dry or nervous asthma”, which is accompanied by flatulence and he observes that dyspepsia is “an accompanying evil and perhaps the exciting cause” .
Inside Diseases & Conditions:
This is where you have trouble breathing as excessive gaseous mist travels into your respiratory tract. In studies, it is estimated that up to 80% of patients suffering from GERD also suffer from asthma. With shortness of breath being a more frightening symptom of acid reflux, it’s important to take care of your health before it reaches this chronic stage and spreads beyond your digestive system.