Exercise-induced gastroesophageal reflux in an athletic child.
Exercise-induced gastroesophageal reflux (GER) is described in an athletic child with chronic abdominal pain and vomiting in conjunction with strenuous exercise. Although continuous 24-h pH probe monitoring was negative for GER, simultaneous pH probe and exercise stress testing (treadmill) showed a prolonged, continuous episode of acid reflux throughout exercise and the 30-min recovery phase. The authors are unaware of other cases of exercise-induced GER in children and suggest that simultaneous pH probe and exercise stress testing may be a useful technique to evaluate exercise-induced symptoms in children. Moreover, the presence of acid reflux during stress may warrant exercise restriction during the early management of reflux esophagitis.
Motil
K J
KJ
Section of Gastroenterology, Texas Children's Hospital, Houston.
Ostendorf
J
J
Bricker
J T
JT
Klish
W J
WJ
D000005:Abdomen; D001265:Athletic Injuries / Q000175:diagnosis*; D002648:Child; D004942:Esophagitis, Peptic / Q000175:diagnosis / Q000628:therapy; D005080:Exercise Test; D005260:Female; D005764:Gastroesophageal Reflux / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D010146:Pain / Q000209:etiology; D005082:Physical Exertion