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Doctor insights on: Reflux Precautions In Infants

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Is choking in my sleep from acid reflux common?

Is choking in my sleep from acid reflux common?

Nocturnal GERD: This phenomenon is not uncommon but can portend severe consequences. You probably need a 24 hr ph study and maybe in association with esophageal manometry. You may need a scope. Please see you primary for a referral. ...Read more

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Dr. Sandra Lora Cremers
3 doctors shared insights

Reflux (Definition)

Acid reflux is defined as the presence of acidic gastric contents in the esophagus causing irritation. It's cause is blamed on the a lax gastroesophageal shpincter that permits usch regurgitation. Vesicoureteral reflux is regurgitation (backing up) of urine in the bladder into the ureter ...Read more


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Does barretts esophagus occur in 25 year olds with only occasional acid reflux?Or does it more occur in older people with severe lifelong acid reflux?

Does barretts esophagus occur in 25 year olds with only occasional acid reflux?Or does it more occur in older people with severe lifelong acid reflux?

Unpredictable: not age related ,more often seen in older than younger , always associated with symtomatic or non symptomatic acid reflux , need close follow up as they are premalignant . Follow with your doctor ...Read more

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Preventing aspiration in older adults with dsyphagia?

Preventing aspiration in older adults with dsyphagia?

Evaluation: This can be a serious and even life-threatening problem...A good idea is to see a speech pathologist for a swallowing evaluation and feeding recommendations. Your family doc can refer you.. ...Read more

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Both my children were born with gastroesophageal reflux disease, commonly called gerd. Is this genetic?

Both my children were born with gastroesophageal reflux disease, commonly called gerd. Is this genetic?

Reflux is universal: For a baby to burp (like you want) it refluxes air from the stomach. A wet burp is the same event with a little added.All babies reflux to some degree & their flat position to rest aggravates the process.Some babies become agitated after a while from the stomach acids that accompany the reflux events & improve with treatment. We don't label reflux a disease unless the kid has life altering sx. ...Read more

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What's the pathophysiology of RSV and bronchiolitis in infants under 2 months old?

What's the pathophysiology of RSV and bronchiolitis in infants under 2 months old?

RSV: Respiratory syncytial virus (rsv) causes infection of the respiratory tract. It starts as a cold, but then the virus spreads to lower respiratory tract and causes infection/inflammation in the smaller breathing tubes (bronchioles): swelling of the lining of the tubes and sloughing of the lining of these tubes with debris building up and causing partial/complete blockage of these tubes. ...Read more

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Can recurrent bronchiolitis be normal in infants?

Can recurrent bronchiolitis be normal in infants?

Viral / daycare: Are most common cause, asthma can present this way, avoid cig smoke at all costs. ...Read more

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Ever heard of acid reflux meds to help asthma in adults?

Ever heard of acid reflux meds to help asthma in adults?

Yes: There are cases of acid reflux in children that trigger asthmatic symptoms. In these cases treating the reflux often improves the asthma. This may also be true in adults. Chack with your pcp. ...Read more

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Excessive hiccup/burps that regurgitate food/acid + acid reflux for several weeks. Scared it's stomach cancer. 21 year old male, not the best diet.

You desribe: Decreased lower esophageal sphincter tone. Chocolate and alcohol make this worse. Persistent reflux may be associated with development of barrett's esophagus, an unpredictable precursor of esophagus cancer. Don't smoke; eat better. ...Read more

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Explain the issues around bottle use in babies and toddlers.?

Explain the issues around bottle use in babies and toddlers.?

Tooth Decay: It doesn't take long for our mouths to be colonized with a bacteria called streptococcus mutans. This is the bacteria most responsible for dental caries or cavities. When infants who have teeth go to bed with a bottle of milk it feeds this bacteria with the sugar in the formula or milk causing it to release a substance called glucan. Glucan is very sticky and causes tooth decay and cavities. ...Read more

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Can peg feeding prevent/reduce the re-occurence of aspiration pneumonia in a 49-yr old person with dysphagia due to advanced multiple sclorosis?

Can peg  feeding prevent/reduce the re-occurence of aspiration pneumonia in a 49-yr old person with dysphagia due to  advanced multiple sclorosis?

Multiple sclerosis : Very good question. The purpose of the peg should be to maintain nutritional support in the presence of inability to swallow. Some articles question it's benefit in reducing the risk of aspiration pneumonia regardless of the cause of dysphagia. In fact, the risk of aspiration pneumonia my be higher in some. Elevating the bed 30 degrees and the use continuous pump-assisted feeding reduces risk. ...Read more

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Can Zantac (ranitidine) hurt my babies digestion (good flora, acidity , efficiency etc) in the in the long run? How severe should reflux s/s before using zantac (ranitidine)?

Can Zantac (ranitidine) hurt my babies digestion (good flora, acidity , efficiency etc) in the in the long run?  How severe should  reflux s/s before using zantac (ranitidine)?

Unlikely: But you can consider a probiotic instead or teas with chamomile, fennel, ginger, and look at dietary factors (sensitivities/allergies to cow's milk for example). I rarely use zantac (ranitidine) but would only consider if poor growth or pain is an issue. ...Read more

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Can acid reflux cause asthma like symptoms in toddlers?

Can acid reflux cause asthma like symptoms in toddlers?

Yes, but....: Asthma and reflux can often present together but often are confused for one another because both can cause chronic cough and wheeze. Both are serious medical conditions that should be taken care of and followed by a physician. Please have toddler checked by pediatrician. ...Read more

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Can fluoride cause heart disease in those under age 40?

Can fluoride cause heart disease in those under age 40?

No!: No it won't cause heart disease in normal amounts. However, a mega overdose (which is extremely rare) can kill you. But then you can die from drinking to much water also. As you can imagine, this is also extremely rare. ...Read more

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Should young babies and children wear masks when the smog is bad in the city?

Should young babies and children wear masks when the smog is bad in the city?

No: It is not practical to try to keep a mask properly fitted on a baby or young child. If a child is sensitive to bad air, keep his room (or the whole house, if possible) air clean by not having dusty items (fabric furniture, carpets, etc.). On bad air days, stay indoors and run the hepa filter. Invest in a car with a hepa filter, for when driving is needed. When traveling, bring a hepa filter along. ...Read more

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Dr. Charles Cattano
1,521 doctors shared insights

Heartburn (Definition)

Burning pain or irritation in the upper stomach or lower chest. May be worse on lying down, and is ...Read more