VI. Problem Case Diagnosis. The 18-month-old patient had viral, lower respiratory infection-induced airway hyperreactivity and cough, which promoted gastroesophageal reflux.
VII. Teaching Pearl: Question. Are cough suppressants indicated in all situations of cough in children?
VIII. Teaching Pearl: Answer. Cough is a very primitive protective reflex. Always seek to identify the cause before prescribing treatment. Cough suppressants are contraindicated in patients with suppurative lung disease.
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Gastroesophageal reflux disease is the medical term for what we know as acid reflux. Acid reflux occurs when the stomach releases its liquid back into the esophagus, causing inflammation and damage to the esophageal lining. The regurgitated acid most often consists of a few compoundsbr acid, bile, and pepsin.