PEM Currents: The Pediatric Emergency Medicine Podcast Gastroesophegeal Reflux and Gastritis
Oct 2, 2024
Join an engaging exploration of gastroesophageal reflux and gastritis in children and adolescents. Discover the critical distinction between gastritis and dyspepsia and how it impacts diagnosis. Dive into the latest clinical guidelines and evidence-based treatments. Learn about the role of lifestyle changes in management and the use of various pharmacological options, including proton pump inhibitors and antacids. Unpack current controversies surrounding treatments and the significance of Helicobacter pylori in gastritis management.
AI Snips
Chapters
Transcript
Episode notes
GER vs. GERD in Pediatrics
- Gastroesophageal reflux (GER) is common in infants and usually resolves by 12-18 months.
- GERD involves severe symptoms due to frequent or incomplete sphincter relaxation causing esophageal irritation.
Clinical Diagnosis of Reflux
- Diagnose reflux clinically via detailed history and physical, focusing on typical symptoms.
- Look for red flags like hematemesis, melena, or weight loss to consider further investigation.
Reflux Management Strategies
- Manage infant reflux with smaller, frequent feeds and upright positioning after feeding.
- In older children, avoid trigger foods, large meals before bed, and encourage elevating head of bed.