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Pediatric Drugs

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01-05-2005 | Therapy In Practice

Gastroesophageal Reflux Disease in Children with Asthma

Treatment Implications

Authors: Mark D. Scarupa, Nanako Mori, Dr Brendan J. Canning

Published in: Pediatric Drugs | Issue 3/2005

Abstract

An association between asthma and gastroesophageal reflux disease (GERD) has long been recognized both mechanistically and epidemiologically. The clinical relevance of this interplay continues to be explored, with special interest given to the role of GERD in the worsening of asthma. The effect of GERD is most frequently contemplated in patients with asthma that is difficult to control.

Medical and surgical anti-reflux trials attempting to alter asthma symptoms have reported mixed but generally underwhelming results, although asthma symptom scores are generally improved following effective treatment of GERD. Many of the pharmaceutical studies can be criticised for having too short a duration or for likely incomplete acid suppression.

Few trials have specifically studied pediatric populations. Because GERD is a common condition, particularly in young children, the role reflux plays in the worsening of asthma symptoms and the potential benefit on asthma of anti-reflux therapy warrants further exploration. Whether or not treating symptomatic GERD reduces the symptoms and severity of asthma in children, GERD coexisting with asthma should be aggressively treated. GERD symptoms in most patients with or without asthma can be controlled medically with continuous use of proton pump inhibitors such as omeprazole and lansoprazole and to a lesser extent by histamine H₂ receptor antagonists such as famotidine and cimetidine.

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Title: Gastroesophageal Reflux Disease in Children with Asthma
Treatment Implications
Authors: Mark D. Scarupa
Nanako Mori
Dr Brendan J. Canning
Publication date: 01-05-2005
Publisher: Springer International Publishing
Published in: Pediatric Drugs / Issue 3/2005
Print ISSN: 1174-5878
Electronic ISSN: 1179-2019
DOI: https://doi.org/10.2165/00148581-200507030-00004

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Gastroesophageal Reflux Disease in Children with Asthma

Treatment Implications

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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