Only if all else fails is surgery recommended. Because lifestyle changes and medications work well in most people, surgery is done on only a small number of people. Some are combined with a foaming agent. Foam in the stomach helps prevent acid from backing up into the esophagus. Lose excess weight.
Acid reflux happens when food and acid in the stomach move back up into the tube that goes to the mouth, called the esophagus. Sometimes it moves into or out of the mouth.
If these don’t help and your baby still has severe symptoms, then surgery might be an option. Pediatric gastroenterologists only use surgery to treat GERD in babies in rare cases.
Many brands on the market use different combinations of three basic salts–magnesium, calcium, and aluminum–with hydroxide or bicarbonate ions to neutralize the acid in your stomach. Antacids, however, have side effects. Magnesium salt can lead to diarrhea, and aluminum salts can cause constipation. Aluminum and magnesium salts are often combined in a single product to balance these effects.
A growing body of research shows that your weight can have a significant impact on acid reflux and related symptoms. If your child makes the right lifestyle choices and follows his or her treatment plan, then heartburn and reflux symptoms should resolve or at least be manageable. Most babies outgrow reflux. If the symptoms persist, then your child may need to be evaluated to see if thereâ€™s another medical condition causing the heartburn and reflux. Reflux also happens more when youâ€™re lying down, so your child should try not to eat or drink two hours before bed.
- There are also tubes that can be used to go around, or bypass, the stomach.
- The main type of antireflux surgery is fundoplication.
- Nausea that persists for weeks or even months, and is not traced back to a common cause of stomach upset, may be a symptom of acid reflux.
- This strengthens the LES and greatly decreases reflux.
- If you have ever burped and had an acid taste in your mouth, you have had reflux.
A tiny camera in the endoscope allows the doctor to see the surface of the esophagus and to search for abnormalities. If you have had moderate to severe symptoms and this procedure reveals injury to the esophagus, usually no other tests are needed to confirm GERD. H2 blockers, such as cimetidine (Tagamet HB), famotidine (Pepcid AC), nizatidine (Axid AR), and ranitidine (Zantac 75), impede acid production. They are available in prescription strength and over the counter. These drugs provide short-term relief, but over-the-counter H2 blockers should not be used for more than a few weeks at a time.
Your child will swallow a long, thin tube with a probe at the tip, which will stay in his esophagus for 24 hours. The tip measures levels of acids in his stomach. If your child has breathing problems, this test also can help the doctor tell if theyâ€™re the result of reflux. A wet burp or wet hiccup is when an infant spits up liquid when they burp or hiccup. This can be a symptom of acid reflux or, less commonly, GERD.
GERD and reflux can make it more difficult for your baby to sleep through the night. Infants may arch their body during or after feeding. Itâ€™s thought that this may be due to a painful burning sensation caused by the buildup of stomach fluid in the esophagus. Infants with GERD may also start screaming and crying during feeding. The response is usually due to abdominal discomfort or esophageal irritation.