Gastroesophageal reflux disease (GERD) is a chronic condition characterized by the regurgitation of stomach contents into the esophagus, throat, and mouth. It manifests with symptoms occurring more than twice a week or persisting for extended periods. This comprehensive guide explores the diverse symptoms experienced by adults, infants, and older children, as well as when to seek medical attention, available treatments, preventive measures, potential complications, and the underlying causes of GERD.
The hallmark symptom of GERD in adults is a burning sensation in the chest or upper stomach, commonly referred to as heartburn. Distinguishing this pain from a heart attack is crucial, as GERD-related chest pain is typically felt just beneath the skin and may radiate from the stomach to the throat.
To alleviate heartburn, individuals can try:
GERD may cause a bitter or sour taste in the mouth, indicating the regurgitation of stomach contents into the throat. In cases of laryngopharyngeal reflux, symptoms involve the throat, larynx, voice, and nasal passages.
GERD can make swallowing challenging, leading to coughing or wheezing, particularly after eating or when lying down. Some individuals may also experience nausea.
Not all GERD sufferers exhibit digestive symptoms. Dental problems, such as enamel erosion due to frequent acid reflux into the mouth, might be the initial sign. Protective measures include:
While occasional reflux is normal in healthy babies, persistent, forceful, or frequent spitting up may indicate GERD, especially if it continues beyond 24 months.
Babies with GERD may cough, choke, or gag as stomach contents move up into the throat, potentially causing breathing difficulties or recurrent lung infections.
Discomfort during or after feeding, arching of the back, colic episodes lasting over three hours a day, and disrupted sleep patterns are common indicators of GERD in infants.
Uncomfortable eating experiences may lead to a baby refusing food, resulting in weight concerns. Parents can implement various strategies, such as feeding smaller amounts more frequently and adjusting feeding positions.
GERD symptoms in older children mirror those in adults and infants. Abdominal pain after eating, difficulty swallowing, nausea, vomiting, belching, and hoarseness may be present. Children associating food with discomfort may resist eating.
The American College of Gastroenterology recommends consulting a doctor if over-the-counter medications are used for GERD symptoms more than twice a week. Medical attention is also necessary if vomiting becomes severe, with alarming signs like green or bloody vomit.
Physicians may prescribe:
Similar treatments apply to children experiencing GERD symptoms.
Implementing lifestyle changes can minimize GERD symptoms:
Persistent exposure of the esophagus to stomach acid can lead to complications:
The lower esophageal sphincter (LES), a muscular ring at the esophagus's bottom, allows food entry into the stomach. In GERD, the LES fails to fully close, permitting food and liquid to flow back into the throat. Risk factors include obesity, pregnancy, hiatal hernias, certain medications, and smoking.
Studies reveal a link between smoking and GERD, emphasizing smoking cessation as a potential remedy.
GERD symptoms, if left unaddressed, can result in long-term damage to the digestive system. However, simple lifestyle changes can often manage symptoms effectively. When self-help strategies prove insufficient, medical intervention, including medication or surgery, may be necessary. Understanding the varied symptoms in adults, infants, and older children, along with preventive measures and potential complications, empowers individuals to take proactive steps towards managing and mitigating the impact of GERD on their overall health.