Chest Pain in child

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rainbowinthesky
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Date Joined Apr 2012
Total Posts : 25
   Posted 7/28/2012 1:11 PM (GMT -6)   
Hi
My daughter who is 8 has gerd and is on PPIs. She has recently been complaining of chest pains especially when active. This is a new thing for her. Could it be related to the GERD?

couchtater
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Date Joined Jul 2009
Total Posts : 14475
   Posted 7/28/2012 1:29 PM (GMT -6)   
It's might be esophagal spasms.
Joy

rainbowinthesky
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Date Joined Apr 2012
Total Posts : 25
   Posted 7/28/2012 1:37 PM (GMT -6)   
Thanks. I will google that.

DOGGBONES
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   Posted 7/30/2012 4:54 AM (GMT -6)   
So young to be dealing with this curse. Hopefully she will not have to remain on ppi's long, have you changed her diet yet? What testing have "they" done on her? Perhaps a good childrens hospital can help if you haven't took her to one yet? Best wishes

rainbowinthesky
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Date Joined Apr 2012
Total Posts : 25
   Posted 7/31/2012 2:54 AM (GMT -6)   
Hi she was diagnosed a few months ago via endoscopy and has oesophogitis and ibs. She has been on strict no irritating diet since and sees gastro every 6 weeks or so. We've been told she's had since birth and will always have it. She needs to be on ppis for at least a year and will then have another endoscopy. She will need to be on and off ppis for life. She thought reflux was normal so never mentionedit until we started tests to find out what was causing all her stomach aches - ibs, so they did endoscopy at same time as colonoscopy and discovered the gerd.

DOGGBONES
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   Posted 7/31/2012 5:08 AM (GMT -6)   
Nothing breaks my heart like children struggling with "health issues". I've had children with "health issues", and at times it has brought me to my knees. However, we must pick ourselves back up and carry our children as well.
 
You say "non-irritating diet"? I would think that means the normal gerd diet, ie; lean meat, veggies, whole grains, no choc., soda, red sauces, spicey foods etc... Does she sleep on an incline? Manuka honey (teaspoon) with warm water is very soothing and it taste good so it may be easy to get her to drink it. Going with a bland, low fat diet and taking digestive enzymes before each meal will greatly ease the burden on her tummy.
 
Best wishes

rainbowinthesky
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Date Joined Apr 2012
Total Posts : 25
   Posted 7/31/2012 5:32 AM (GMT -6)   
Hi she has no choc,fizzy drinks, no gassy foods or deep fried food, spices,fizzy drinks etc. We were given this diet because of the ibs rather than the gerd though. Incline hasn't been suggested but I intend to ask at her next appointment.

WJF
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Date Joined Sep 2011
Total Posts : 273
   Posted 7/31/2012 9:02 AM (GMT -6)   
It looks like your daughter's GERD is due to some mechanical reason, congenital weak LES? How did the doctor diagnose it?

Diet is the key. However she's a child, she needs nutrient to grow, so her diet can't be too restrictive. Try keeping a food diary, to see what kind of food she can tolerate, and what triggers a flare-up. Eventually you will end up with a list of food that helps improve her condition.

rainbowinthesky
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Date Joined Apr 2012
Total Posts : 25
   Posted 7/31/2012 9:21 AM (GMT -6)   
She was being investigated for Crohns and had an endoscopy because she mentioned to the gastro that she had vomit come into her mouth several times a day. Turns out she doesnt have crohns but through a biopsy they found she has oesophogitis caused by gerd. The tablets don't stop the reflux just stop it being acidic. She also has focal cell dysplasia which I think is where the cells have started to change to be stomach cells to cope with the acid.
She lost most of her front teeth when she was 2 and we were told it was due to her grinding her teeth although we never saw her do this. Turns out it was the acid causing the damage and she gets the back of her teeth coated now every 3 months to protect the adult ones.

DOGGBONES
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   Posted 7/31/2012 1:44 PM (GMT -6)   
I had barretts (pre-cancer cells), I drank manuka honey (teaspoon) (the higher the active + the better) with warm water in the morning and at night and aloe vera (2 to 8 oz a day) (lakewood brand has no citric acid). After 9 months of this the barretts were gone.
 
Because she is a child, check with her doctor to make sure it's ok for her to take.

WJF
Regular Member


Date Joined Sep 2011
Total Posts : 273
   Posted 8/2/2012 8:27 AM (GMT -6)   
rainbowinthesky said...
She was being investigated for Crohns and had an endoscopy because she mentioned to the gastro that she had vomit come into her mouth several times a day. Turns out she doesnt have crohns but through a biopsy they found she has oesophogitis caused by gerd. The tablets don't stop the reflux just stop it being acidic. She also has focal cell dysplasia which I think is where the cells have started to change to be stomach cells to cope with the acid.
She lost most of her front teeth when she was 2 and we were told it was due to her grinding her teeth although we never saw her do this. Turns out it was the acid causing the damage and she gets the back of her teeth coated now every 3 months to protect the adult ones.


From your description, your child has severe GERD. Even an adult may have a hard time to cope with that. It's bad for a child to have to go through all these. Dysplasia could be caused by non-acidic reflux. PPI will not block that. The doc need to consider this possibility too.

The only cure to this kind of thing, is the strengthening of LES. Natural healing is only applicable when LES was previously fine and is capable to heal. Some members of the forum have achieved that. If the LES is missing or congenitally weak, I am afraid the only option is surgery.

rainbowinthesky
Regular Member


Date Joined Apr 2012
Total Posts : 25
   Posted 8/2/2012 1:45 PM (GMT -6)   
Thanks. We are in the UK and there has been no suggestion of surgery. I was told that they will reassess after a year ie have another endoscopy to decide way forward depending on how she has or has not healed on the PPIs. She has been complaining of more reflux the last couple of days.

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 8/2/2012 2:07 PM (GMT -6)   
Since you're in the UK, this product would be easy to get. Gaviscon advance will create a "raft" between her tummy and throat, it should help keep the reflux at bay.
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