{"id":50,"date":"2023-05-02T12:28:36","date_gmt":"2023-05-02T06:58:36","guid":{"rendered":"http:\/\/clientwebdemos.com\/pedsgastrodelhi\/blog\/?p=50"},"modified":"2023-05-02T12:28:36","modified_gmt":"2023-05-02T06:58:36","slug":"gerd-symposium-at-blk-super-speciality-hospital","status":"publish","type":"post","link":"https:\/\/www.pedsgastrodelhi.com\/blog\/gerd-symposium-at-blk-super-speciality-hospital\/","title":{"rendered":"GERD SYMPOSIUM AT BLK SUPER SPECIALITY HOSPITAL"},"content":{"rendered":"\n

Learning Points:<\/strong><\/p>\n

GER is the passage of gastric contents into the esophagus with or without regurgitation and\/or vomiting. GER becomes GERD when reflux causes troublesome symptoms. Spectrum of possible GERD symptoms in infants and children varies widely by age – None of the symptoms and signs are specific in children.<\/p>\n

Diagnosis:<\/strong> A proper history and examination are the mainstay for the management. pH-metry with MII (Impedance) recording and UGIE with esophageal biopsies are important for diagnosis. In older children a PPI trial can also be used as a diagnostic tool. USG, biomarkers, Barium meal and manometry per se are not required for diagnosis.<\/p>\n

Management: <\/strong>In infants non pharmacologic measures like positioning, avoiding overfeeding and thickening of feeds are tried. Ruling out underlying cow milk protein allergy is also important for those who don’t respond. Older children are manged with lifestyle and dietary modifications followed by PPI if needed. Prokinetics have no significant role in the management of Pediatric GERD.<\/p>\n","protected":false},"excerpt":{"rendered":"

GER is the passage of gastric contents into the esophagus with or without regurgitation and\/or vomiting. GER becomes GERD when reflux causes troublesome symptoms. 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