How can you alleviate nighttime heartburn. What are the best sleeping positions for GERD. Which lifestyle changes can help prevent acid reflux at night. When should you consult a doctor about persistent heartburn.

Understanding Nighttime Heartburn and Its Impact on Sleep

Nighttime heartburn is a common issue that affects four out of five people who suffer from regular heartburn and acid reflux. The discomfort and bitter taste associated with this condition can make sleep uncomfortable and elusive. While over-the-counter and prescription medications can treat symptoms once they occur, prevention is key in managing this disorder effectively.

Fortunately, several lifestyle changes can help prevent nighttime heartburn and improve sleep quality. This article explores 12 expert-recommended strategies to alleviate nighttime heartburn symptoms and discusses when it’s time to seek medical attention.

Optimal Sleeping Positions for GERD Relief

The position in which you sleep can significantly impact the severity of your nighttime heartburn symptoms. Here are two recommended sleeping positions:

1. Sleep on Your Left Side

Sleeping on your left side has been found to reduce nighttime heartburn symptoms. Dr. David A. Johnson, internal medicine division chief at Eastern Virginia School of Medicine, suggests a simple memory trick: “Right is wrong.” This position helps keep stomach acid where it belongs, reducing the likelihood of reflux.

2. Elevate Your Upper Body

When you lie flat, your throat and stomach are at the same level, making it easier for stomach acids to flow up your esophagus. To counter this, try elevating your upper body using one of these methods:

• Raise the head of your bed by 4 to 6 inches using blocks
• Use a wedge-shaped pillow that’s at least 6 to 10 inches thick on one end

It’s important to note that using regular pillows to prop up your head alone is not effective, as this doesn’t elevate your entire upper body.

Lifestyle Modifications to Prevent Nighttime Heartburn

In addition to adjusting your sleeping position, several lifestyle changes can help prevent or reduce the frequency of nighttime heartburn:

3. Maintain a Healthy Weight

Excess weight can exacerbate heartburn symptoms. Even losing as little as two and a half pounds can help reduce heartburn symptoms, according to Dr. Johnson. Maintaining a healthy weight through a balanced diet and regular exercise can significantly improve GERD symptoms.

4. Wear Loose-Fitting Clothes

Tight clothing, especially around the waist, can put pressure on your stomach and lead to heartburn symptoms. Opt for loose-fitting, comfortable clothing, particularly when sleeping.

5. Identify and Avoid Trigger Foods

Certain foods can trigger heartburn in some individuals. Common culprits include:

• Alcohol
• Caffeinated drinks (coffee, tea, cola)
• Chocolate and cocoa
• Peppermint
• Garlic and onions
• Fatty, spicy, or fried foods
• Acidic foods (citrus fruits, tomatoes)

Keep a food diary to identify your personal triggers and avoid them, especially before bedtime.

6. Time Your Meals Wisely

Avoid eating large meals two to three hours before bedtime. This allows your stomach to partially empty its contents before you sleep, reducing the risk of acid reflux. If you’re prone to nighttime heartburn, consider having smaller evening meals.

Behavioral Changes to Manage GERD Symptoms

Certain behaviors and habits can contribute to or exacerbate heartburn symptoms. Here are some changes you can make to help manage your condition:

7. Practice Mindful Eating

Stress and rushed eating can cause your stomach to produce more acid. Take time to relax during meals and practice mindful eating. Some experts recommend trying relaxation techniques like deep breathing or meditation to reduce stress-induced acid production.

8. Stay Upright After Meals

Remaining upright for at least two hours after eating can help reduce the risk of acid creeping up your esophagus. Avoid bending over or straining to lift heavy objects during this time.

9. Time Your Exercise Routine

While regular exercise is beneficial for overall health, timing is crucial for those with GERD. Wait at least two hours after a meal before engaging in rigorous exercise. This gives your stomach time to empty and reduces the risk of reflux during physical activity.

10. Chew Gum

Chewing gum can help alleviate heartburn symptoms by stimulating saliva production. Saliva can soothe your esophagus and help wash acid back down into your stomach. Choose sugar-free gum to avoid adding unnecessary calories to your diet.

Smoking Cessation and Medication Management

Two additional factors that can significantly impact GERD symptoms are smoking and certain medications. Addressing these issues can lead to substantial improvements in your condition.

11. Quit Smoking

Smoking is a double threat when it comes to heartburn. Cigarette smoke can irritate your gastrointestinal tract and relax the esophageal muscles that keep stomach acid in place. Quitting smoking can lead to immediate improvements in GERD symptoms and overall health.

12. Review Your Medications

Some medications can cause or worsen heartburn. These may include:

• NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)
• Certain osteoporosis medications
• Some heart and blood pressure drugs
• Certain hormone medications
• Some asthma medications
• Some antidepressants

If you suspect your medications might be contributing to your heartburn, consult your doctor. They may be able to adjust your dosage or switch you to an alternative medication that doesn’t exacerbate your symptoms.

When to Seek Medical Attention for Heartburn

While occasional heartburn is common and can often be managed with lifestyle changes and over-the-counter medications, persistent or severe symptoms may require medical attention. You should consult your doctor if:

• Your heartburn doesn’t go away despite lifestyle changes and medication
• You experience difficulty swallowing
• Your heartburn causes vomiting
• You still have heartburn after using antacids for two weeks

It’s crucial not to ignore persistent heartburn. Chronic acid reflux, if left untreated, can lead to complications such as scarring and narrowing of the esophagus. In severe cases, untreated chronic heartburn – a symptom of gastroesophageal reflux disease (GERD) – can potentially develop into esophageal cancer.

Understanding the Long-Term Risks of Untreated GERD

While occasional heartburn is generally not a cause for concern, chronic, untreated GERD can lead to serious complications. Dr. Gary Gitnick, chief of digestive diseases/gastroenterology at UCLA, cautions that untreated chronic heartburn can scar and narrow the esophagus over time.

The potential long-term risks of untreated GERD include:

• Esophagitis: Inflammation of the esophagus
• Barrett’s esophagus: Changes in the cells lining the esophagus, which can increase the risk of esophageal cancer
• Esophageal stricture: Narrowing of the esophagus due to scar tissue
• Respiratory problems: Chronic cough, asthma, or pneumonia due to stomach acid entering the lungs
• Dental issues: Erosion of tooth enamel due to stomach acid

Given these potential complications, it’s crucial to take GERD symptoms seriously and seek appropriate treatment if lifestyle modifications don’t provide sufficient relief.

Exploring Advanced Treatment Options for Chronic GERD

For individuals who don’t find relief from lifestyle changes and over-the-counter medications, several advanced treatment options are available. These may include:

Prescription Medications

Your doctor may prescribe stronger medications to manage GERD symptoms, such as:

• Proton pump inhibitors (PPIs): These drugs reduce acid production more effectively than over-the-counter options
• H2 receptor blockers: These medications decrease acid production in the stomach
• Prokinetics: These drugs help strengthen the lower esophageal sphincter and empty the stomach faster

Surgical Interventions

In some cases, surgery may be recommended to treat chronic GERD. Common surgical procedures include:

• Fundoplication: A procedure that strengthens the lower esophageal sphincter
• LINX device implantation: A ring of tiny magnetic beads is placed around the junction between the stomach and esophagus to prevent reflux

These advanced treatments should be discussed with a gastroenterologist to determine the most appropriate option based on individual symptoms and medical history.

The Role of Diet in Managing GERD Symptoms

While we’ve touched on avoiding trigger foods, developing a comprehensive GERD-friendly diet can play a crucial role in managing symptoms. Here are some dietary guidelines that may help alleviate GERD:

Foods to Include

• High-fiber foods: Whole grains, vegetables, and non-acidic fruits
• Lean proteins: Chicken, fish, tofu, and egg whites
• Healthy fats: Avocados, nuts, and olive oil in moderation
• Alkaline foods: Bananas, melons, cauliflower, and fennel

Foods to Limit or Avoid

• Acidic foods: Citrus fruits, tomatoes, and vinegar-based dressings
• Spicy foods: Hot peppers, curry, and other spicy seasonings
• High-fat foods: Fried foods, full-fat dairy, and fatty meats
• Caffeine and alcohol: Both can relax the lower esophageal sphincter

Remember that dietary triggers can vary from person to person. Keeping a food diary can help you identify your specific triggers and develop a personalized GERD management plan.

The Importance of Stress Management in GERD Control

While stress doesn’t directly cause GERD, it can exacerbate symptoms and make them more difficult to manage. Stress can lead to behaviors that trigger heartburn, such as overeating, consuming alcohol, or smoking. Additionally, stress can increase stomach acid production and slow digestion, potentially worsening GERD symptoms.

Incorporating stress management techniques into your daily routine can help alleviate GERD symptoms. Consider trying:

• Meditation or mindfulness practices
• Regular exercise (keeping in mind the timing guidelines mentioned earlier)
• Deep breathing exercises
• Yoga or tai chi
• Progressive muscle relaxation

By reducing stress levels, you may find that your GERD symptoms become more manageable, complementing the other lifestyle changes and treatments you’ve implemented.

The Connection Between GERD and Other Health Conditions

GERD doesn’t exist in isolation; it can be associated with or exacerbated by other health conditions. Understanding these connections can help in developing a comprehensive treatment approach. Some conditions that may be linked to GERD include:

Obesity

Excess weight, especially around the abdomen, can put pressure on the stomach and lower esophageal sphincter, increasing the likelihood of acid reflux. Maintaining a healthy weight through diet and exercise can significantly improve GERD symptoms.

Asthma

There’s a bidirectional relationship between GERD and asthma. GERD can worsen asthma symptoms, and asthma medications can sometimes exacerbate GERD. Managing both conditions simultaneously is crucial for optimal health outcomes.

Sleep Apnea

Obstructive sleep apnea and GERD often co-occur. The pressure changes in the chest during sleep apnea episodes can contribute to acid reflux. Treating sleep apnea may help alleviate GERD symptoms.

Hiatal Hernia

This condition, where part of the stomach pushes up through the diaphragm, can make GERD symptoms worse. In some cases, treating the hiatal hernia can lead to improvements in GERD symptoms.

If you have GERD along with any of these conditions, it’s important to work with your healthcare provider to develop a comprehensive treatment plan that addresses all aspects of your health.

The Future of GERD Treatment: Emerging Therapies and Research

As our understanding of GERD continues to evolve, researchers are exploring new treatment options and management strategies. Some areas of ongoing research and emerging therapies include:

Personalized Medicine

Researchers are investigating genetic factors that may influence GERD susceptibility and treatment response. This could lead to more personalized treatment approaches in the future.

Microbiome Modulation

Studies are exploring the role of the gut microbiome in GERD and whether probiotic or prebiotic interventions could help manage symptoms.

Endoscopic Therapies

New minimally invasive endoscopic procedures are being developed as alternatives to traditional surgery for severe GERD cases.

Novel Medications

Researchers are working on new classes of drugs that target different aspects of GERD pathophysiology, potentially offering more effective or targeted treatment options.

While these areas of research are promising, it’s important to remember that new treatments must undergo rigorous testing before becoming widely available. In the meantime, the lifestyle modifications and current treatment options discussed in this article remain the cornerstone of GERD management.

By implementing these strategies and working closely with your healthcare provider, you can effectively manage your GERD symptoms and improve your quality of life. Remember, persistent or severe symptoms should always be evaluated by a medical professional to ensure proper diagnosis and treatment.

12 Tips for Nighttime Heartburn Relief

Written by Wendy C. Fries

Medically Reviewed by Dan Brennan, MD on March 17, 2022

• 12 Tips for Nighttime Heartburn Relief
• Heartburn: When You Should See Your Doctor

Nighttime heartburn affects four out of five people who suffer regular heartburn and acid reflux. The discomfort and bitter taste can make sleep uncomfortable, even elusive.

While over-the-counter and prescription drugs can treat symptoms once you have heartburn, “the cornerstone of treatment for any disease or disorder is prevention,” say Lawrence J. Cheskin, MD, and Brian E. Lacy, MD, PhD, in their book Healing Heartburn.

Fortunately, sometimes all it takes to prevent nighttime heartburn is a few lifestyle changes. WebMD turned to the heartburn experts to get their tips on stopping nighttime heartburn before it hits — so you can sleep well tonight.

1. Sleep on your left side.This position seems to help reduce nighttime heartburn symptoms, says David A. Johnson, MD, internal medicine division chief at Eastern Virginia School of Medicine, Norfolk, Va. To remember which side to sleep on, Johnson offers this memory trick: Right is wrong.

2. Lose weight, even a little. Heartburn often just gets worse as you gain weight, but losing as little as two and a half pounds can help reduce heartburn symptoms, Johnson says.

3. Sleep with your upper body elevated. When you lay flat in bed, your throat and stomach are basically at the same level, making it easy for stomach acids to flow up your esophagus, causing heartburn. You can elevate your body in two ways:

• Put the head of your bed on 4- to 6-inch blocks.
• Sleep on a wedge-shaped pillow that’s at least 6 to 10 inches thick on one end. Don’t substitute regular pillows; they just raise your head, and not your entire upper body.

4. Wear loose-fitting clothes. Tight clothes, especially near your waist, can put pressure on your stomach, leading to heartburn symptoms.

5. Avoid foods that trigger your heartburn. Foods that trigger heartburn differ from person to person. Common foods and drinks that can cause heartburn and interrupt sleep include alcohol; caffeinated drinks like colas, coffee, and tea; chocolate and cocoa; peppermint; garlic; onions; milk; fatty, spicy, greasy, or fried foods; and acidic foods like citrus or tomato products. Keep a food diary to help you track which foods may trigger your heartburn.

6. Steer clear of late-night meals or big meals. Avoid eating meals two to three hours before bedtime to reduce stomach acid and allow the stomach to partially empty its contents before you sleep, suggests the American Gastroenterological Association. Because large meals put pressure on your stomach, try eating a smaller meal in the evening to help prevent nighttime heartburn symptoms.

7. Relax when you eat. Feeling stressed when you eat in a rush can cause the stomach to produce more stomach acids. Relax after your meal as well — but don’t lay down. Some pros recommend trying relaxation techniques like deep breathing or meditation.

8. Stay upright after eating. This reduces the risk of acid creeping up your esophagus. You’ll also want to avoid bending over or straining to lift heavy objects.

9. Wait to exercise. Allow a couple of hours after a meal before rigorous exercise. This gives your stomach time to empty itself.

10. Chew gum. Chewing gum encourages the production of saliva, which can soothe your esophagus and wash acid down into your stomach.

11. Quit smoking.Smoking is a double threat when it comes to heartburn. Not only can cigarette smoke irritate your GI tract, but smoking can also relax the esophageal muscles that keep stomach acid where it belongs.

12. Talk to your doctor about the medications you take. Some medications may cause or worsen heartburn, including NSAIDs, some osteoporosis drugs, some heart and blood pressure drugs, some hormone medications, some asthma medications, and some depression medications. Just as everyone’s food triggers for heartburn can be different, so can medication triggers.

If lifestyle changes don’t help you manage your heartburn, it may be time for medication or other treatment. Call your doctor if:

• Your heartburn doesn’t go away.
• You have trouble swallowing.
• Your heartburn causes vomiting.
• You still have heartburn after using antacids for two weeks.

Never ignore persistent heartburn. Left untreated, chronic acid reflux can scar and narrow your esophagus, cautions Gary Gitnick, MD, chief of digestive diseases/gastroenterology at UCLA. At its worst, untreated chronic heartburn — a symptom of gastroesophageal reflux disease (GERD) — can develop into esophageal cancer.

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Best Sleeping Position For Acid Reflux: Sleeping with Acid Reflux

By: SleepScore Labs
 | 

April 22nd, 2019

Do you experience burning in your throat, regurgitation, choking, coughing, or heartburn during sleep? All of these may disturb your sleep throughout the night. But what could be the cause? Short answer: Stomach acid, when it escapes out of your stomach to the esophagus and sometimes even up into your lungs, throat, and sinuses.  

People with acid reflux, or gastroesophageal reflux disease (GERD), usually experience these symptoms at night. If you’re one of them, know that you’re not alone. It’s more common than you may expect. GERD affects up to 13% of the global population at least once a week. And, 25% of people with GERD experience poor sleep, which could be from nocturnal gastroesophageal reflux (GER), a type of GERD, with the other being upright or daytime GERD.   

Supine or nocturnal gastroesophageal reflux usually occurs when acid moves back up to a person’s esophagus while lying down and mostly happens at night before or during sleep. This condition may cause sleep issues and prevent a person from getting a good night’s rest. 

Let’s take a look into the sleep positions that may reduce your GERD symptoms and help you get a better night’s sleep, as well as the sleep positions to avoid because they may aggravate your symptoms at night.

What is GERD? 

Gastroesophageal reflux disease (GERD) is a common chronic gastrointestinal condition that happens when the contents in the stomach escape out of it into the esophagus. The most common symptom of GERD is heartburn, which may come with a sour taste in the mouth. A person with GERD may also experience acid regurgitation, bloating, nausea, and belching. 

What Causes Acid Reflux at Night? 

Acid reflux happens when the muscles at the lower part of the esophagus (called the lower esophageal sphincter), which stop food from leaving the stomach, become weak or relaxed. However, gravity and anatomy play a massive role in the occurrence of nocturnal GERD symptoms.  

During the day, you are more likely to be upright—standing or sitting up. So when stomach acid escapes, gravity and saliva quickly return the content to the stomach. You’re also more likely to manage GERD symptoms by staying upright, swallowing saliva, or taking antacids when you’re awake.   

Plus, when upright, your esophagus naturally flows down into your stomach. This quick return of acid to your stomach typically makes your symptoms shorter and minimizes the potential harm acid can cause to the delicate lining of your esophagus. 

Evidence shows that acid reflux usually happens in the first two or three hours of sleep. It usually occurs when a person lays down soon after consuming heavy meals. Studies suggest that those with GERD are more likely to experience acid reflux when they consume heavy meals late at night (about two hours before bedtime). 

Other factors that may trigger acid reflux include 

1. Consuming fatty foods, spicy foods, alcohol, and caffeine 
2. Smoking tobacco 
3. Stress 
4. Pregnancy 
5. Weight gain 
6. Taking drugs that affect the functioning of the esophagus like anticholinergic drugs (e.g., antidepressants and muscle relaxants) and anti-inflammatory drugs (like diclofenac and ibuprofen)

Acid reflux sleeping positions  

You don’t have to sleep sitting upright to take advantage of the effects of gravity and anatomy on the occurrence of GERD. Still, how you sleep can directly affect how often you feel symptoms, how severe those symptoms are, and how long the acid sits in your esophagus.  

The good news is that you can drastically change your nights by changing the way you sleep. But first, consult with your doctor if you suspect you have GERD or any other condition that may be disturbing your sleep.  

Left Side 

Sleep on your left side. Gravity will work in your favor on your left side as your stomach now stays below your esophagus, making reflux more difficult. 

Should stomach acid escape, gravity can return it to your stomach quicker than when on your right side or on your back which is why the left is usually the best side to sleep on to avoid acid reflux. Plus, lying down on your left side produces reflux symptoms that tend to be more gaseous, which may be annoying but much less distressing than liquid reflux that comes with lying down on your right side.  

Studies show that symptoms are less frequent and less severe when a person sleeps on their left side rather than their right side or back, making it a more desirable sleep position for people with GERD.  

Talk to your doctor if you’re experiencing any symptoms that are affecting your sleep.   

Benefits of Sleeping at an Incline 

Sleeping at an incline means sleeping with your head elevated 6 to 8 inches off your body by putting extra pillows under your head and upper back.  

According to an article published in the journal ​​Missouri medicine, head of bed elevation (sleeping at an incline) is proven to manage GERD. It limits how often stomach acid escapes to the esophagus, allows your body to get stomach acid back to your stomach quicker, and reduces the symptoms of GERD. Likewise, a 2012 study suggests that elevating the head while lying down may reduce nighttime acid reflux and help manage heartburn and poor sleep from nocturnal gastroesophageal reflux.  

As long as your entire torso is raised (not just your head and neck), sleeping at an incline gives gravity a power boost to return stomach acid to your stomach and keep it there. 

Speak with your doctor if you think you have GERD or any other sleep disorder so they can prescribe interventions appropriate for your case.   

Sides to Avoid Sleeping on for Acid Reflux 

What may be the best sleeping position for some could aggravate GERD symptoms and impair sleep in people with GERD.  

Here are two sleeping positions people with GERD should avoid. 

Back Sleeping: Avoid Whenever Possible 

Sleeping on the back increases how often acid reflux happens at night.  

When you sleep flat on your back and acid escapes from your stomach, it can flow freely into your esophagus and remain there.  

Studies show that symptoms are often more frequent in this position and tend to last longer because the acid cannot flow back to the stomach.  

Your symptoms may also be more severe if you have stomach fat—which pushes down on your stomach forcing contents to escape. Back sleeping should be the #1 position to avoid at night if you suffer from nighttime acid reflux. 

Right Side: It’s Not Right for Acid Reflux 

Position #2 to avoid at night is sleeping on your right side.   

When lying on your right side, your stomach is actually above your esophagus, creating a leaky faucet spouting stomach acid into the delicate lining of your esophagus. This is especially true when your stomach is full.  

Interestingly, when lying flat on your right side, your reflux symptoms tend to be more liquid, leading to regurgitation, coughing, and choking, which can be very devastating in the middle of the night. Since gravity is doing nothing for you in this position, the amount of time acid lingers in your esophagus is much longer.  

A study showed that people who sleep on their right side get an earlier diagnosis of GERD when they have it than those who sleep on their left, which is telling on how severe nocturnal GERD symptoms are when a person sleeps on their right side.  

Best Sleep Position for Acid Reflux: Incline + Left-Side 

Sleeping on your back is generally not recommended for most people with GERD. You may also want to avoid sleeping on your right side.  So what’s the best way to sleep to reduce nighttime acid reflux? 

What if you take the best sleeping position, the left side, and add an incline? Could the benefits be more than the sum of its parts? 

A 2015 study suggests that this is indeed the case.  

The compound inclined, the left-side sleeping position makes acid reflux at night virtually impossible because your esophagus is now positioned well above the level of stomach contents, even if your stomach is full.  

And, if you do reflux, gravity can quickly return the contents to your stomach. This sleep position may decrease your GERD symptoms and protect you from prolonged acid exposure to your esophagus, throat, lungs, and sinuses. 

So, what’s the secret to controlling your acid reflux symptoms at night and finally getting good, quality sleep? Proper sleep positioning. 

Find relief with the ideal position that maximizes the power of gravity and anatomy. Choose the  MedCline Reflux Relief System, specifically designed to create and maintain the inclined, left-side position, clinically proven to be effective for natural relief from nighttime acid reflux or GERD.

Consider talking to your doctor if you experience symptoms that may be disturbing your sleep, who can best recommend treatment appropriate for your case.  

Additional Tips to Control Acid Reflux at Night 

You can also make some lifestyle changes that may help you manage the occurrence of acid reflux at night and promote a well-rested night. 

Some of these lifestyle recommendations include: 

1. Limiting alcohol intake, heavy meals, fatty meals, and nighttime snacks
2. Eating in the early hours of evening time
3. Managing bodyweight if you’re overweight or obese 
4. Quitting smoking  
5. Avoiding drugs that may limit the functioning of the esophagus like non-steroidal anti-inflammatory drugs (NSAIDs)

A doctor may also prescribe medications or recommend surgery to treat GERD when appropriate. Talk with your doctor about your symptoms so they can prescribe treatment or lifestyle recommendations to manage your condition and improve your sleep health.   

If you have GERD, you’re not sentenced to a lifetime of sleepless nights from acid reflux at night. By making simple tweaks to your sleeping position—choosing the Incline + Left-Side sleeping—you can take control of your symptoms and get the recovery sleep everyone deserves.  

Herpes zoster in children: causes, symptoms and treatment

Content

• 1 Symptoms, treatment and prevention of herpes zoster in children
  • 1.1 Herpes zoster in children: causes, symptoms and treatment
    • 1. 1.1 What is herpes zoster?
  • 1.2 Herpes zoster in children: causes, symptoms and treatment
    • 1.2.1 Causes
  • 1.3 How does herpes zoster manifest in children?
  • 1.4 Complications of herpes zoster in children
  • 1.5 Diagnosis of herpes zoster in children
  • 1.6 Treatment of herpes zoster in children
  • 1.7 Folk remedies for the treatment of herpes zoster in children
  • 1. 8 Prevention of herpes zoster in children
  • 1.9 How to protect others from herpes zoster?
  • 1.10 Related videos:
  • 1.11 Q&A:
    • • 1.11.0.1 What is herpes zoster?
      • 1.11.0.2 How can you get herpes zoster?
      • 1.11.0.3 What are the symptoms of herpes zoster in children?
      • 1.11.0.4 How to treat herpes zoster in children?
      • 1.11.0.5 How can I prevent getting herpes zoster in children?
      • 1.11.0.6 Can I play sports if my child has herpes zoster?

Details about herpes zoster in children: what are the causes, symptoms, methods of diagnosis and treatment? Our recommendations will help you better protect your child from this virus.

Herpes zoster is a disease caused by the Varicella zoster virus that lives in the nerve ganglion. It is activated when the immune system is weakened, and manifests itself in the form of a disease. This disease is very common and can occur in children of all ages.

Symptoms of herpes zoster in children include burning, itching, and sometimes even pain in the area of ​​the rash. They can appear on any part of the body, but are most common on the head, neck, and torso. Herpes zoster can be especially dangerous for children whose immune systems are weakened, such as newborns and children with heart, lung, or kidney problems.

Herpes zoster in children can be treated with a variety of treatments, including antiviral drugs, anti-inflammatory drugs, and antibiotics. In addition, children can be given medication to relieve pain and itching. In the most severe cases, hospitalization and additional treatment may be required.

It is important to remember that herpes zoster in children is a serious disease that can lead to complications. Parents should seek medical attention if they notice signs of this disease in their child.

Herpes zoster in children: causes, symptoms and treatment

What is herpes zoster?

Herpes zoster is a viral disease caused by the herpes simplex virus. It is characterized by acute pain syndrome and skin rashes. The basis of the disease is the activation of the herpes simplex virus, which was in the body in a dormant state.

Herpes zoster can appear on any part of the body, but most often on the lateral surface of the trunk and chest. It can affect the nerves that are under the skin, resulting in a burning sensation and numbness at the site of the rash.

According to statistics, herpes zoster is less common in children than in adults, but its presence in children indicates a more serious condition than in adults.

Herpes zoster in children: causes, symptoms and treatment

Causes

Herpes zoster is a disease caused by the Varicella-zoster virus, which also causes chicken pox. During the initial infection with chickenpox, the virus settles in the nervous system and can remain there for decades.

In some cases, inflammation of the nerve cells associated with the virus can cause herpes zoster in children. Factors that can trigger virus activation include cramped living conditions, stress, and changes in the immune system.

Also, children can become infected with the virus through contact with other sick children or adults who carry the virus but do not have symptoms of the disease. The risk of infection increases when the immune system is weakened, for example, in diseases that reduce its performance.

How does herpes zoster manifest itself in children?

Herpes zoster in children manifests itself through various symptoms. One of the most common symptoms is a burning sensation at the back of the head, temples, or around the ear. Then a red rash and blisters appear on the skin. The blisters can be small or large and can be very painful, especially when touched and rubbed.

Other symptoms that may accompany herpes zoster in children include headache, fever, weakness, nausea, and abdominal pain. Children may also have problems with vision and hearing.

It should be noted that the symptoms of herpes zoster may worsen as the infection continues to progress. Symptoms usually persist for several weeks, but may continue for a longer period of time in some children.

• Burning, stinging or itching on the skin
• Red rash and blisters on the scalp, face and neck
• Headache, fever, weakness, nausea and abdominal pain

Complications of herpes zoster in children

Herpes zoster in children can lead to a number of complications, especially if they have a severe illness or are immunocompromised.

• Postherpetic neuralgia is a condition characterized by painful sensations in the affected area, which can last for many months after recovery.
• Tumors and deformities of the eye – when herpes is affected in the eye, tumors, enlargement and deformation of the eyeball can occur, which can lead to visual impairment.
• Meningitis is an inflammation of the meninges that can occur when a herpes infection occurs in the head. Accompanied by headache, nausea, vomiting, convulsions.

In the event of these complications, it is necessary to consult a doctor and undergo special treatment.

Diagnosis of herpes zoster in children

Diagnosis of herpes zoster in children is based on the characteristic symptoms and clinical picture of the disease.

The first sign of herpes zoster in children is the appearance of painful blisters on the skin. They are located along one of the branches of the sympathetic nerve and may be accompanied by burning, numbness or soreness in the affected area of ​​the skin.

Diagnosis of herpes zoster in children may also include laboratory tests – a complete blood count, a test for the presence of the herpes virus. Differential diagnosis with other skin diseases can also be carried out.

It is important to see a doctor immediately if a child develops the characteristic symptoms of herpes zoster, as timely treatment helps reduce the risk of complications and speed up the healing process.

Treatment of herpes zoster in children

Herpes zoster in children is a serious disease that must be treated immediately. Various methods are used for this.

• Antivirals is the main treatment for herpes zoster. They help eliminate the virus from the child’s body and cure the disease faster.
• Painkillers and anti-inflammatory drugs – help reduce pain and inflammation at the site of the lesion.
• Antiseptics and ointments – help speed up wound healing and prevent possible complications.

However, before starting the treatment of herpes zoster in a child, it is imperative to consult a pediatrician or dermatologist so as not to harm the health of the baby.

Folk remedies for the treatment of herpes zoster in children

Herpes zoster in children is a common disease that can cause many inconveniences. Instead of seeking medical help, some parents choose to use folk remedies to fight this infection.

Aloe leaves is one of the most popular folk remedies for the treatment of herpes zoster in children. They can help soften the skin and reduce itching and inflammation. To use aloe leaves, they must be cut in half and applied to skin rashes.

Melissa and calendula leaves can also help relieve itching and irritation associated with herpes zoster. Just pour a small amount of leaves into boiling water, leave for a few minutes, and then use to wipe the affected areas of the skin.

Garlic is another folk remedy that can help reduce the symptoms of herpes zoster. Phytoncides contained in garlic contribute to the killing of the virus. To use, crush garlic teeth and apply to skin rashes.

Cherry cuttings can also help reduce the painful symptoms of herpes zoster. To use, grate half-dried cherry cuttings and apply the paste to skin rashes.

Such folk remedies can help relieve the symptoms of herpes zoster in children. But, as with any other medical problem, if symptoms persist or worsen, seek medical attention.

Prevention of herpes zoster in children

Herpes zoster in children is an infectious disease caused by a herpes virus. To prevent its occurrence, it is necessary to take preventive measures:

• Immunity strengthening – helps the child fight the infection and prevent its development. To do this, you should eat right, including in the diet of vegetables, fruits and foods rich in vitamins, as well as ensure that you get enough sleep and physical activity.
• Avoid contact with infected people – Herpes zoster is spread through contact with other people, so close contact with infected people should be avoided and personal hygiene should be maintained.
• Take preventive measures – These measures include regular hand washing, disinfection of surfaces that the child may come into contact with, and the use of sun protection on exposed skin, as direct exposure to ultraviolet rays can reduce immunity and cause herpes.

Also, if the child is at high risk of contracting herpes, there is the possibility of vaccination, which reduces the risk of the disease and reduces the severity of symptoms.

How to protect others from herpes zoster?

• Avoid kissing, touching and close contact with people who have herpes zoster.
• Use personal hygiene items (eg towels, toothbrushes, eating utensils) to avoid getting infected from infected people.
• Temporarily avoid hospitals and crowded places to avoid infection from carriers of the virus.
• Seek medical attention if you have signs of herpes zoster to avoid infecting others.
• Enjoy a healthy lifestyle, eat right, keep your immune system in good shape and avoid stress to reduce your chances of developing herpes zoster.

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Q&A:

What is herpes zoster?

Herpes zoster is an infectious disease caused by the Varicella-Zoster virus. It causes an itchy, reddened, and painful skin rash that covers an area of ​​the body that corresponds to a single nerve. Shingles is less common in children than in adults, but their illness can be more severe.

How can you get infected with herpes zoster?

Herpes zoster is spread by droplets: through the air when an infected person coughs or sneezes. Usually this virus is not transmitted by contact through objects, but stainless steel surfaces, ceramic coatings (such as cups or plates), sometimes less dense materials, there is a small risk of transmission of the virus.

What are the symptoms of herpes zoster in children?

Symptoms of herpes zoster in children may include skin rashes in the form of blisters that freeze into crusts and then disappear after a few weeks. Children may also experience pain and discomfort on the affected skin and persistent burning, stinging, or itching that may occur even before the rashes.

How to treat herpes zoster in children?

Herpes zoster cannot be completely cured, but its symptoms can be alleviated. Children are treated with antibiotics, analgesics, antiviral drugs such as acyclovir, and antiherpetic ointments to treat skin rashes. In some severe cases of violation of the interaction between the muscles, rehabilitation therapy or massage is also prescribed.

How to prevent infection with herpes zoster in children?

The best way to prevent getting herpes zoster is to get vaccinated, which can help prevent infection. Children who have not had chickenpox should receive the chickenpox vaccine, which will also prevent the possibility of contracting herpes zoster in the future.

Can I play sports if my child has herpes zoster?

Yes, the child can continue to exercise and play sports if he is properly monitored and his condition allows. However, during skin rashes, strong friction and trauma to the affected skin should be avoided.

Neuritis of the facial nerve – symptoms and causes

Contents of the article

1. What is neuritis of the facial nerve and how to treat it? Prevention and causes of disease
2. Causes
3. Symptoms
4. Diagnostics
5. Treatment
6. Diagnosis and treatment of pathology in Moscow
7. Prophylaxis
8. Questions and answers on the topic

What is facial neuritis and how is it treated? Prevention and causes of disease

Neuritis of the facial nerve is an inflammation of one of the seven pairs of cranial nerve branches, in
resulting in damage to the facial nerve. A characteristic symptom of the disease is a distortion of symmetry (misalignment of the face).
At the same time, many habitual functions are violated: there are difficulties with chewing food, speech, and the manifestation of emotions.
The defeat of both sides of the face is quite rare – in 2% of cases. Most often left-sided or
right-sided neuritis.

The elderly and young schoolchildren are most susceptible to this disease.

Causes

The impetus for the development of neuritis of the facial nerve most often becomes infectious diseases (measles, mumps, diphtheria,
herpes, varicella-zoster virus, influenza, cytomegalovirus, adenovirus), as well as hypothermia and decreased
immunity. Against the background of inflammation, narrowing and spasm of the arteries occur, blood flow and lymph outflow are disturbed,
compression of nerves and lymphatic vessels, as a result of which the work of the maxillofacial muscles is disrupted and asymmetry occurs
one part of the face.

There are primary and secondary neuritis of the facial nerve. Primary occurs as a result of an infectious-inflammatory
disease or hypothermia, secondary may be a consequence of a hypertensive crisis, a brain tumor,
head injury. An idiopathic form of neuritis – Bell’s palsy occurs without a specific cause.

Factors affecting the occurrence of neuritis of the facial nerve:

• hypothermia
• multiple sclerosis
• anatomically narrow bone canal, structural features of the facial nerve
• diseases of the paranasal sinuses, middle ear (otitis, sinusitis), inflammatory brain
• infectious diseases
• circulatory disorders in the area of ​​the facial nerve
• severe stress, deep emotional experience
• hypertension
• alcohol addiction
• diseases of the endocrine system
• atherosclerosis
• hormonal changes during pregnancy

Symptoms

The obvious and most important symptom of neuritis of the facial nerve is paralysis of the muscles of the face. It develops in
within one to two days from the onset of the disease. It is usually preceded by pain behind the ear. Rest
symptoms depend on the form (acute, subacute), and among them such signs as:

• Smoothness of the nasolabial fold. This is especially noticeable if before that the fold was deep.
• Dropping one of the corners of the lips.
• A change in the face that takes the form of a mask, since it is very difficult to show emotions.
• Violation of salivation.
• Vision problems.
• Hearing impairment.
• Taste problems – It happens that patients cannot recognize taste in the same way as before.
• Pain sensations of a different nature – both sharp, shooting, and undulating, constantly growing, then
  disappearing.

Since the problem of such a plan is very frightening for the patient, he may also experience psychological negative reactions.
– irritability, aggression, tearfulness and other signs of psychological instability. Possible increase
body temperature (usually not higher than 38 degrees).

Diagnostics

Even taking into account the clear signs of acute neuritis of the facial nerve , the diagnosis is not limited to
exclusively by examination of the patient. To understand what is the cause of the problem, and to exclude some diseases, the patient
appoint:

• general blood analysis
• MRI and CT
• electromyography and electroneurography.

Timely diagnosis of neuritis of the facial nerve is important in order to avoid complications. They
can be very serious: muscle atrophy, chronic conjunctivitis, involuntary facial spasms, contractures
facial muscles, etc. And, of course, an important role is played by the fact that the disease greatly spoils the appearance.

Treatment

Treatment of neuritis of the facial nerve is long and requires maximum patience.

The following treatment regimens are used:

• Drug therapy. The mainstay of treatment is steroidal anti-inflammatory drugs. They are necessary for
  relieve inflammation, eliminate pain and reduce swelling. Additionally, diuretics may be prescribed,
  antiviral, vitamins, antispasmodics and other means.

• Massage. It is prescribed a week after the onset of the disease. Do not massage yourself
  it is forbidden. It must be carried out by an experienced and qualified specialist.
• Traditional medicine (only in cases where the doctor allows them!). This includes various
  compresses, rubbing, etc. Such remedies can only supplement the main treatment, but in no way act as
  as the main ones.
• Surgical intervention. A cardinal method of treatment is recommended if conservative treatment
  not valid for six months or more. But a year later spend treatment of facial neuritis
  nerve is no longer appropriate, since the changes in the muscles become irreversible.

During the entire period of treatment, it is important to regularly observe the attending physician in order to see the dynamics and timely
adjust the treatment plan.

Diagnosis and treatment of pathology in Moscow

JSC “Medicina” (clinic of Academician Roitberg) has all the necessary equipment for the diagnosis and treatment of neuritis of the facial nerve. If facial paralysis is suspected, a neurologist should be consulted immediately. Admission of patients to JSC “Medicine” (clinic of academician Roitberg) is carried out in a modern diagnostic complex, built with the latest advances in medicine. At your service are the best specialists in this field with 30 years of experience in a clinic with international recognition in the very center of Moscow. We always have an appointment and diagnostics on the day of treatment, no queues, excellent service and medical care in full compliance with Russian and international standards.

Prevention

preventive measures to prevent facial neuritis include :

• hardening.
• A healthy lifestyle that excludes excessive physical and psychological stress and stress.
• Avoid hypothermia.
• Healthy food. It involves eating the most healthy and varied foods.
• Timely treatment of all infectious, viral diseases, which, as a complication, can
  call neuritis of the facial nerve .
• Take care of your health and lifestyle.

Questions and answers on the topic

Is it possible to completely cure neuritis of the facial nerve?

If you seek help within a day after the discovery of the problem, the chances of a complete recovery are 80%.