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This paper reviews the published evidence of pathways and impacts of global climate change on child health. The review was occasioned by the recognition that most of the work to date on climate change and health lacks clear focus on the children's dimension, while the climate change and children literature tends to be brief or imprecise on the complex health aspects. Studies were identified by searching the PubMed database for articles published before April 2009. Publications by agencies (e.g., UNICEF, WHO, IPPC) were also included based upon review. A list of references was developed that provide evidence. | Gastroesophageal Reflux Disease GERD in Infants and Children Help Prevent and Treat Your Child s GERD Charles B. Wang Community Health Center X M it s t ÍỈ Gastroesophageal Reflux GER Is A Common Digestive Problem Gastroesophageal GAS-trow-ee-soff-uh-GEE-ol reflux is a common digestive problem that happens when acid from the stomach flows back into the esophagus ee-SOFF-uh-gus the tube that leads the food from the mouth to the stomach. GER also known as acid reflux happens when a muscle at the bottom of the esophagus does not close properly. GER affects people of all ages from newborns to pregnant women to older adults. Know The Signs Of GERD GER is common in infants and children. However if GER problems are severe and happen often your child may have GER disease GERD . Infants - For most infants reflux is normal and gets better with time. Signs include frequent spitting up vomiting or arching of the back during feedings. More severe signs of GERD in infants include o Vomiting of blood green or yellow fluid o Poor weight gain o Severe crying and moodiness o Difficulty or refusal eating o Breathing problems such as chronic cough Children - Almost all children have a little bit of reflux often without being aware of it. Older children may also have heartburn a burning feeling in the chest or throat. More severe signs of GERD in children include o Repeated vomiting of blood green or yellow fluid o Frequent feeling of food or liquid coming up to the back of the throat or mouth o Frequent stomach or chest pain o Difficulty or painful swallowing o Breathing problems such as chronic cough See your doctor if your child shows any of these signs. 2 Your Doctor Can Find Out If Your Child Has GERD Without treatment GERD can cause your child to have problems eating poor weight gain tooth decay and other health problems. If you have concerns about your child speak with your doctor. Your doctor may suggest tests to see if your child has GERD. These tests include Stool testing. A
