Diseases of the digestive system in the structure of morbidity of children occupy the second place after respiratory diseases. According to the statistics, the frequency of gastrointestinal pathology in children is constantly growing.
Referred to as heartburn a burning sensation or discomfort behind the breastbone that spreads up along the esophagus. This is one of the main complaints in diseases of the digestive system. Surveys of schoolchildren 13-15 years showed that it occurs in 32% of children of this age. A third of them she was the only symptom of the digestive system.
Causes of heartburn in children
Heartburn in children is the consequence of throwing the acidic stomach contents into the esophagus. Gastric acid and digestive enzymes are irritant to delicate mucosa of the esophagus causing its inflammation, the so-called reflux esophagitis. This happens when disturbed function of the lower esophageal sphincter (the circular muscle that separates the esophagus from the stomach). In childhood found specific reasons that cause heartburn:
- the failure of the lower esophageal sphincter;
- reduced the ability of the esophagus to neutralize the acidic stomach contents and the decreased resistance of the mucous;
- disorders of the autonomic nervous system;
- rapid growth
- weakness of the connective tissue of the body
In addition, a risk factor for heartburn in children is the increase in the frequency of obesity in childhood. The heartburn is caused by a number of other pathologies – hernia hiatal, gastritis, peptic ulcer, flatulence. Dry mouth is also a risk factor for heartburn in children, because saliva contributes to the neutralization of the acid entering the esophagus. Heartburn in children may be due to mental stress and physical load.
To stimulate the development of heartburn in children foods and medicines. Chocolate, citrus, tomatoes and fatty meals that are often like children, promote relaxation of the lower sphincter of the esophagus. Among the provocative drugs note aminophylline, sleeping and soothing.
Treatment of heartburn in children
Important role in the treatment of heartburn in children plays a correction of diet. It is recommended to eat more often but smaller portions, not eating for 45 minutes before bedtime and raise the head end of the bed. You should know which foods can provoke heartburn in children. These include citrus fruits (lemons, oranges), some vegetables (onions, French fries), fried meat, cutlets, dairy products (cottage cheese, sour cream and ice cream), pastries, fatty meals, coffee, tea, orange and cranberry juice. Safe foods are bananas and apples, vegetables (potatoes, cabbage), cereals (oatmeal, rice), low-fat and fried meats and poultry, eggs, fish. Dairy products heartburn in children does not provoke goat cheese, cottage cheese, low fat sour cream.
Need to figure out what disease is causing the heartburn and to actively treat it. Activities to reduce reflux of stomach contents into the esophagus, increase resistance of the mucosa to irritation. Perhaps the use of certain drugs.
- Antacids – drugs that reduce gastric acidity by neutralizing acids. It should be remembered that they do not solve the problem, but only have a symptomatic effect. Some of them have age restrictions.
- System tools that reduce the gastric acidity (H2 blockers and proton pump inhibitors) are assigned in case of detection of ulcers and erosions in the esophagus. However, some of them are contraindicated to 14 years, the appointment of these drugs should be decided by the doctor.
- normalize Prokinetics promotion of food through the gastrointestinal tract, but have a large number of side effects.
Heartburn in children may use medicinal plants. Many of them on children insufficiently studied, therefore, in choosing to rely solely on the doctor. With 3 years of German allowed application of a combined herbal preparation of Iberogast, which consists of extracts of nine plants. The drug is able to exert a complex effect on the different mechanisms of heartburn in children.
Iberogast increases the tone of the lower esophageal sphincter that prevents stomach contents into the esophagus. Thus it helps to relax the far side of the stomach, accelerates emptying and reduces the risk of heartburn. In addition, the drug acts on a number of factors contributing to and associated heartburn: helps protect against stomach, suppresses the growth of pathogenic microorganisms (Helicobacter Pylori), relieves spasms, combats inflammation, improves digestion.