Effective Home Remedies to Cure GERD
Much has been written about gastroesophageal reflux in infants, but cinematographic or videorecording or full polygraphic registration of a reflux-associated episode that might be described as a seizure has not been reported, though a true reflux episode associated with an epileptic seizure has been described (60). Nonetheless, there is a persuasively recognizable condition, the awake apnea syndrome (61). Having been fed within the previous hour, often following an imposed change of posture, the infant gasps, is apneic, stiffens, changes color, and may then look startled. A personal case is described in Stephenson (1).
A developmentally normal, 30-month-old boy began having gelastic (i e , associated with mirth) seizures at the age of four months His past history was significant only for a Nissen fundoplication, which may have been performed for presumptive gastroesophageal reflux disease (GERD) or, more likely, gelastic seizures mistaken for GERD The seizures were stereotyped and characterized by sucking and laughing Often, the patient would ask for a drink during the seizure and would drink ferociously if not restrained At times, the patient would also become violent The seizures were brief and averaged 30 seconds in duration (range 10-90 seconds) with only occasional, minimal postictal lethargy He was subsequently diagnosed with a hypothalamic ham-artoma (HH) on brain MRI scanning Seizure frequency had been variable initially, but gradually evolved to an average of every 5 minutes, constituting status gelasticus . The seizures would persist through sleep and awaken the patient throughout the...
Dystonia is a sustained abnormal posture that occurs from the contraction of both the agonist and antagonist muscle groups of an extremity. Dystonic postures may be generalized or focal. Spells of paroxysmal dystonias are difficult to differentiate from tonic seizures. In infants, a common etiology of sudden dystonia is an acute drug reaction. These reactions may manifest themselves as opisthotonic posturing, torticollis, and an ocu-logyric crisis. Metoclopramide, a parasympathomimetic drug often used for the treatment of gastroesophageal reflux, is a common medication used in infants that can cause this drug reaction. Other medications associated with dystonic drug reactions, such as phenothiazines and haloperidol, are used less often in toddlers.
Important to recognize this subtype, because it may be too subtle or atypical to diagnose it as an epileptic seizure. In fact, gastroesophageal reflux disease was initially thought to be the etiology of symptoms in a substantial number of patients, delaying referral to the pediatric neurologist by as much as 3 months (11).
Infants with gastroesophageal reflux may have intermittent paroxysmal spells of generalized stiffening and opisthotonic posturing. These spells may also be associated with apnea, staring, and minimal jerking of the extremities. A careful history will reveal that these spells are associated with feedings, often occurring within 30 minutes of a feed. Sandifer syndrome can be seen in neurologically normal children as well as children with hypotonia and tracheomalacia, which may predispose the child to the acid reflux. The extreme generalized
Although HH is relatively uncommon with a prevalence of about 1 in 100,000, it is almost certainly underdiagnosed by medical caregivers The gelastic seizures may initially not be typical, and the parents may simply be aware that something is wrong or that they have a baby who laughs too much . Equally common, the seizures may be more of a dycrastic, or crying, seizure, sometimes associated with strained, painful, and paroxysmal but stereotypical discomfort spells that may resemble gastroesophageal reflux disease or colic Any patient with typical gelastic seizures should be presumed to have an HH and be evaluated with appropriate neuroimaging at an experienced tertiary medical center
Adverse events reported with VNS therapy are generally transient and mild, and are often related to the duration and intensity of stimulation . Serious adverse events have not been reported with standard therapy, and no patients have died or had a higher mortality risk as a result of VNS therapy.4 The most common adverse events reported during the clinical trials were mild hoarseness or voice alterations, coughing, and paresthesia (primarily at the implant site and decreasing over time) and were not considered clinically significant . Other side effects reported less frequently during these studies include dyspnea, pain, headache, pharyngitis, dyspepsia, nausea, vomiting, fever, infection, depression, and accidental injury. Not all of these side effects were related to VNS therapy Outside the clinical trials, occasional reports of additional adverse events such as shortness of breath and vocal cord paresis have been reported, but did not result in discontinuation of therapy. Moreover,...
With acquired epileptic aphasia (Landau-Kleffener syndrome) refractory to traditional treatment were treated with the ketogenic diet and experienced a lasting improvement of language, behaviour and seizures for 12, 24 and 26 months respectively 16 . Like any other medical treatment, the ketogenic diet may have several side-effects, including constipation, renal stones (5-10 ), acidosis, elevated serum lipids, growth inhibition (especially under the age of 2 years), anorexia, lethargy, impaired neutrophil function, recurrent infections, vitamin deficiency and gastroesophageal reflux. In one series, 5 out of 52 children developed serious adverse events severe hypoproteinaemia (two patients, one also lipaemia and haemolytic anaemia) Fanconi's renal tubular acidosis (one patient) and marked elevation of liver enzymes (two patients, AST 283 8,580 ALT 120 10,080) 17 . Other side-effects included significant bruising or bleeding (16 out of 51 31.4 ), hypocalcaemia, pancreatitis (fatal),...
Reasons, Remedies And Treatments For Heartburns
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