Cole had to drink some medicine mixed with milk to take the test. He had to lie on his back on the exam table for 1 hour while diagnostic information was gathered using a special camera. Needless to say, Cole did not appreciate the test! But, we needed to do it to find the source of his discomfort.
Today, we headed to the doctor's office to get the results. It turns out that Cole has GERD: Gastroesophageal Reflux Disease. Here's some information on reflux and GERD:
GER (Gastro Esophageal Reflux, a.k.a.“reflux”) is simply defined as the backward flow of stomach contents into the esophagus (the tube that connects the mouth to the stomach). GER is a normal, common process that occurs time to time in almost everyone, of all ages, particularly after meals. It usually involves regurgitation. Almost all babies will regurgitate or “spit up” after some feedings, whether they are breast or bottle-fed. The prevalence of GER peaks between 1 to 4 months of age, and usually resolves by 6 to 12 months. Regurgitation or “spitting up” has been reported in up to two thirds (65%) of healthy infants, but decreases to 1% by one year of age. Babies with GER regurgitate without secondary signs or symptoms of inadequate weight gain, esophagitis, or respiratory disease. Infants with GER are thriving and represent the majority who present to the physician with this condition.
In contrast, GERD (Gastroesophageal Reflux Disease) is a less common, more serious pathologic process that usually necessitates medical management and diagnostic evaluation. It is also referred to as “Pathogenic GER.” Approximately 1 in 300 infants will present signs and symptoms of GERD. Patients with GERD may manifest persistent regurgitation with other complications, sometimes including inadequate growth, failure to thrive, feeding and oral aversions, esophagitis, wheezing, pneumonia, or sinusitis.
Thankfully, Cole has not really presented any complications of GERD. So - for now - we're going to give him some meds that should help him be more comfortable.
In other news, we also have reason to believe that Cole is allergic to milk and maybe some other foods. We're going to take him to the allergist next week for a formal test. Hopefully, after starting his new GERD meds and determining whether he has allergies, we'll be well on our way to making him feel much better!