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Integrative Treatment of Reflux and Functional Dyspepsia in Children

Gastroesophageal reflux disease (GERD) and functional dyspepsia (FD) are common problems in the pediatric population, with up to 7% of school-age children and up to 8% of adolescents suffering from epigastric pain, heartburn, and regurgitation. Reflux is defined as the passage of stomach contents in...

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Autores principales: Yeh, Ann Ming, Golianu, Brenda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4928719/
https://www.ncbi.nlm.nih.gov/pubmed/27417471
http://dx.doi.org/10.3390/children1020119
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author Yeh, Ann Ming
Golianu, Brenda
author_facet Yeh, Ann Ming
Golianu, Brenda
author_sort Yeh, Ann Ming
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description Gastroesophageal reflux disease (GERD) and functional dyspepsia (FD) are common problems in the pediatric population, with up to 7% of school-age children and up to 8% of adolescents suffering from epigastric pain, heartburn, and regurgitation. Reflux is defined as the passage of stomach contents into the esophagus, while GERD refers to reflux symptoms that are associated with symptoms or complications—such as pain, asthma, aspiration pneumonia, or chronic cough. FD, as defined by the Rome III classification, is a persistent upper abdominal pain or discomfort, not related to bowel movements, and without any organic cause, that is present for at least two months prior to diagnosis. Endoscopic examination is typically negative in FD, whereas patients with GERD may have evidence of esophagitis or gastritis either grossly or microscopically. Up to 70% of children with dyspepsia exhibit delayed gastric emptying. Treatment of GERD and FD requires an integrative approach that may include pharmacologic therapy, treating concurrent constipation, botanicals, mind body techniques, improving sleep hygiene, increasing physical activity, and traditional Chinese medicine and acupuncture.
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spelling pubmed-49287192016-07-12 Integrative Treatment of Reflux and Functional Dyspepsia in Children Yeh, Ann Ming Golianu, Brenda Children (Basel) Review Gastroesophageal reflux disease (GERD) and functional dyspepsia (FD) are common problems in the pediatric population, with up to 7% of school-age children and up to 8% of adolescents suffering from epigastric pain, heartburn, and regurgitation. Reflux is defined as the passage of stomach contents into the esophagus, while GERD refers to reflux symptoms that are associated with symptoms or complications—such as pain, asthma, aspiration pneumonia, or chronic cough. FD, as defined by the Rome III classification, is a persistent upper abdominal pain or discomfort, not related to bowel movements, and without any organic cause, that is present for at least two months prior to diagnosis. Endoscopic examination is typically negative in FD, whereas patients with GERD may have evidence of esophagitis or gastritis either grossly or microscopically. Up to 70% of children with dyspepsia exhibit delayed gastric emptying. Treatment of GERD and FD requires an integrative approach that may include pharmacologic therapy, treating concurrent constipation, botanicals, mind body techniques, improving sleep hygiene, increasing physical activity, and traditional Chinese medicine and acupuncture. MDPI 2014-08-18 /pmc/articles/PMC4928719/ /pubmed/27417471 http://dx.doi.org/10.3390/children1020119 Text en © 2014 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).
spellingShingle Review
Yeh, Ann Ming
Golianu, Brenda
Integrative Treatment of Reflux and Functional Dyspepsia in Children
title Integrative Treatment of Reflux and Functional Dyspepsia in Children
title_full Integrative Treatment of Reflux and Functional Dyspepsia in Children
title_fullStr Integrative Treatment of Reflux and Functional Dyspepsia in Children
title_full_unstemmed Integrative Treatment of Reflux and Functional Dyspepsia in Children
title_short Integrative Treatment of Reflux and Functional Dyspepsia in Children
title_sort integrative treatment of reflux and functional dyspepsia in children
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4928719/
https://www.ncbi.nlm.nih.gov/pubmed/27417471
http://dx.doi.org/10.3390/children1020119
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