MII-pH Can Help Doctors Confirm Diagnosis of GERD in Newborns before Treatment

4 May

Drugs millions of Americans currently use for their indigestion and reflux, so it may be no surprise that parents and doctors also prescribe medicine and neonatal reflux. However, according to a new study, the newborn might be the most over-treatment and intervention time – including surgery – the risk to infants.
MII-pH Can Help Doctors Confirm Diagnosis of GERD in Newborns before TreatmentGastric reflux is common in infants and young children, or because the sphincter muscle bands that squeezed off the top of the stomach opening, yet close to the full, especially in premature children. As a result, the baby often vomit after reflux and fed up. When other, more dangerous symptoms of reflux, a few minutes such as heart rate, breathing, cough or gag, back arched, and constantly crying, occur within the respite, the doctor may suspect gastroesophageal reflux disease, or GERD.

“Since your baby can not tell us how they feel, reflux events and discomfort we use to help diagnose gastroesophageal reflux disease The association between these symptoms and signs,” said the senior author of the study, ancestral worship Seoul ħAghai, MD, professor, director of research at Jefferson hospital neonatology at Thomas Jefferson University, and neonatal and pediatric indications 杜邦内穆尔. “However, our study suggests that these symptoms may be related to reflux, it should not necessarily mean that treatment.”

Rather than relying on clinical symptoms, some of which may be lower than reported by the newspaper or a nurse or family member, the researchers used a more explicit way. The researchers compiled data 58. According to their symptoms of these patients were all suspected of doctors have GERD. However, the researchers found that when the gold standard test known as gastric disorders conducted research multichannel intraluminal impedance (MII-pH or value), only six cases, or 10%, in fact, have GERD. Study results recently published in the Journal of Pediatric Gastroenterology and Nutrition.

Treatment of infants with GERD includes two types of drugs. The first is drugs such as ranitidine (ranitidine), famotidine (Pepcid) and lansoprazole (lansoprazole), which reduce stomach acid. However, studies show, acid reflux babies and infants using antacids can lead to an increased risk of infection of the main factors. Hazard Warning second type is called metoclopramide or reglan, which has a black box for causing permanent damage to the child’s brain cause dyskinesia. A third option is surgery to tighten the sphincter at the top of the stomach. Basis of symptoms associated with all these measures risk infants, and often on the individual provisions.

“This study shows, who suspected GERD should use MII-PH value of drug therapy or surgery before the doctor’s diagnosis of infants,” said Dr. Aghai. Dr. Aghai, the test is not done more often, it may require advanced training and expertise, but can not say that is the reason for all the agencies.

In addition to providing drug is not needed at the time, the baby also conceal the real cause of misdiagnosis of GERD problem. “When the MII-PH values ​​come back negative, the investigation we have to do, we see the root cause of the symptoms of a better job,” says Dr. Aghai.