Abraham Jelin MD Pediatric Gastroenterology discusses GERD in infants.
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Male Speaker: Dr. Jelin a term is used alot today, a thing called acid reflux or GERD, what is that and can a can baby be born with it? Dr. Abraham Jelin: Most babies in fact do reflux, by that we mean that contents of the stomach reflux or are returned back into esophagus and often are expelled from the mouth. This is actually quite normal for many infants and can be troublesome and messy but it still can be normal and not of any major significance. It does become of significance when the infant is not gaining weight appropriately, when the infant is feeding poorly, when the infant is having major, is very irritable or having major respiratory symptoms. Male Speaker: Can they get a phenomena from this? Dr. Abraham Jelin: Yes in fact they can get pneumonia and because they aspirate or the refluxed material goes down into the trachea or the windpipe. Male Speaker: Sometimes kids are labelled asthmatic and yet we sent it to a gastroenterologist, why does that happen? Dr. Abraham Jelin: It happens because when they aspirate they can have some wheezing and appeared to asthmatic. Also there are certain refluxes were acid in the esophagus will in fact cause proper constriction or wheezing. Male Speaker: So, many times we have to check that out, not only take care of an asthmatic, make sure they don't have the reflux that makes either the asthma exaggerate or be the cause. Dr. Abraham Jelin: We look at children who have persistent wheezing, that is not responsive to the usual asthmatic medications and in those cases, it is quite appropriate to consider that reflux may be contributing to the symptom.