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Author: admin, 26.05.2016. Category: Buzzing In Ears

Gastroesophageal reflux, often referred to as GERD, occurs when acid from the stomach backs up into the esophagus.
When stomach acid touches the sensitive tissue lining the esophagus and throat, it causes a reaction similar to squirting lemon juice in your eye. During gastroesophageal reflux, the acidic stomach contents may reflux all the way up the esophagus, beyond the upper esophageal sphincter (a ring of muscle at the top of the esophagus), and into the back of the throat and possibly the back of the nasal airway.
In infants and children, LPR may cause breathing problems such as: cough, hoarseness, stridor (noisy breathing), croup, asthma, sleep disordered breathing, feeding difficulty (spitting up), turning blue (cyanosis), aspiration, pauses in breathing (apnea), apparent life threatening event (ALTE), and even a severe deficiency in growth.
The symptoms of GERD may include persistent heartburn, acid regurgitation, nausea, hoarseness in the morning, or trouble swallowing. If you experience any symptoms on a regular basis (twice a week or more) then you may have GERD or LPR.
Unfortunately, GERD and LPR are often overlooked in infants and children leading to repeated vomiting, coughing in GER and airway and respiratory problems in LPR such as sore throat and ear infections.
A gastroenterologist, a specialist in treating gastrointestinal orders, will often provide initial treatment for GERD. Your primary care physician or pediatrician will often refer a case of LPR to an otolaryngologist—head and neck surgeon for evaluation, diagnosis, and treatment. In adults, GERD can be diagnosed or evaluated by a physical examination and the patient’s response to a trial of treatment with medication. Symptoms of GERD or LPR in children should be discussed with your pediatrician for a possible referral to a specialist.


Most people with GERD respond favorably to a combination of lifestyle changes and medication.
Children and adults who fail medical treatment or have anatomical abnormalities may require surgical intervention.
Almost all individuals have experienced reflux (GER), but the disease (GERD) occurs when reflux happens on a frequent basis often over a long period of time. For proper diagnosis and treatment, you should be evaluated by your primary care doctor for GERD or an otolaryngologist—head and neck surgeon (ENT doctor). Most infants grow out of GERD or LPR by the end of their first year; however, the problems that resulted from the GERD or LPR may persist.
But there are ear, nose, and throat problems that are either caused by or associated with GERD, such as hoarseness, laryngeal (singers) nodules, croup, airway stenosis (narrowing), swallowing difficulties, throat pain, and sinus infections. Other tests that may be needed include an endoscopic examination (a long tube with a camera inserted into the nose, throat, windpipe, or esophagus), biopsy, x-ray, examination of the throat and larynx, 24 hour pH probe, acid reflux testing, esophageal motility testing (manometry), emptying studies of the stomach, and esophageal acid perfusion (Bernstein test).
Such treatment includes fundoplication, a procedure where a part of the stomach is wrapped around the lower esophagus to tighten the LES, and endoscopy, where hand stitches or a laser is used to make the LES tighter. Instead, they experience pain in the chest that can be severe enough to mimic the pain of a heart attack. Physical causes can include a malfunctioning or abnormal lower esophageal sphincter muscle (LES), hiatal hernia, abnormal esophageal contractions, and slow emptying of the stomach.
These problems require an otolaryngologist—head and neck surgeon, or a specialist who has extensive experience with the tools that diagnose GERD and LPR.


Endoscopic examination, biopsy, and x-ray may be performed as an outpatient or in a hospital setting. Medications that could be prescribed include antacids, histamine antagonists, proton pump inhibitors, pro-motility drugs, and foam barrier medications. In those who have GERD, the LES does not close properly, allowing acid to move up the esophagus.
Lifestyle factors include diet (chocolate, citrus, fatty foods, spices), destructive habits (overeating, alcohol and tobacco abuse) and even pregnancy.
Endoscopic examinations can often be performed in your ENT’s office, or may require some form of sedation and occasionally anesthesia. Some of these products are now available over-the-counter and do not require a prescription.
Some people with LPR may feel as if they have food stuck in their throat, a bitter taste in the mouth on waking, or difficulty breathing although uncommon.
Young children experience GERD and LPR due to the developmental immaturity of both the upper and lower esophageal sphincters.



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