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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For GERD In The Child

Hi. My son is 20 months old. Since the age of 6 months, we realized that he has GERD. He puked on every sour taste of food. But, as he grew older, we have been noticing that he pukes on any new food or medicine given to him. He pukes the moment a new medicine is put in his mouth whose taste he cannot recognize. He can only have tasteless medicines like Enterogermina which we had given him the last time he had a bout of diarrhea and vomitting at 15 months. As days go by, he doesn t even have the medicines he used to have for cough and cold. We have given him febrex plus, zefs syrup and sitopaladi churna during his last cold and cough spell. But, this time around, even that doesn t go inside him. I tried giving him these medicines for 3 days at the cost of continuous puking and nausea feeling only to lose his weight by 900 gms. Vs. His last month weight. Today, when I stopped giving all the medicines, he was perfectly fine with no vomit or nausea... but cold and cough remaining at its place. His doctor says dont let him eat... dont force feed or that he is stubborn and therefore he rejects medicines. But as his mother, I realize the reason which his doctor isnt ready to accept or even understand. What should I do? Is there any doctor who can understand my son and his problem? Please help me.
Wed, 19 Oct 2022
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Anesthesiologist 's  Response
Hello,

Treatment options for GERD in kids are to elevate the head of the child's bed. Keep the child upright for at least two hours after eating. Serve several small meals throughout the day, rather than three large meals. Make sure your child is not overeating. Limit foods and beverages that seem to worsen your child's reflux such as high fat, fried or spicy foods, carbonation, and caffeine.

Encourage your child to get regular exercise. Pharmacological therapy includes antacids such as Mylanta and Maalox, Histamine-2 (H2) blockers such as cimetidine (Tagamet) or famotidine (Pepcid), Proton-pump inhibitors such as esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), omeprazole-Sodium Bicarbonate (Zegerid), pantoprazole (Protonix), rabeprazole (Aciphex).

For the most part, drugs that decrease intestinal gas or neutralize stomach acid (antacids) are very safe. At high doses, antacids can cause some side effects, such as diarrhea. Chronic use of very high doses of Maalox or Mylanta may be associated with an increased risk of rickets (thinning of the bones). Overall, they are considered to be very safe drugs. Please try the above treatment or discuss the same with your pediatrician.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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Pathologist and Microbiologist Dr. Shailja Puri's  Response
Hello,

I suggest you to consult a gastroenterologist for clinical assessment and get upper gastrointestinal tract endoscopy. (UGI endoscopy). UGI endoscopy will determine the status of esophagus and stomach and possible cause of GERD.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Shailja Puri, Pathologist and Microbiologist
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Suggest Treatment For GERD In The Child

Hello, Treatment options for GERD in kids are to elevate the head of the child s bed. Keep the child upright for at least two hours after eating. Serve several small meals throughout the day, rather than three large meals. Make sure your child is not overeating. Limit foods and beverages that seem to worsen your child s reflux such as high fat, fried or spicy foods, carbonation, and caffeine. Encourage your child to get regular exercise. Pharmacological therapy includes antacids such as Mylanta and Maalox, Histamine-2 (H2) blockers such as cimetidine (Tagamet) or famotidine (Pepcid), Proton-pump inhibitors such as esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), omeprazole-Sodium Bicarbonate (Zegerid), pantoprazole (Protonix), rabeprazole (Aciphex). For the most part, drugs that decrease intestinal gas or neutralize stomach acid (antacids) are very safe. At high doses, antacids can cause some side effects, such as diarrhea. Chronic use of very high doses of Maalox or Mylanta may be associated with an increased risk of rickets (thinning of the bones). Overall, they are considered to be very safe drugs. Please try the above treatment or discuss the same with your pediatrician. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist