SATURDAY, JUNE 3, 2017 ❚ SIUSLAW NEWS
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Childhood Trauma—It Happens More Than You Think
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(NAPSA)—Gastro-
esophageal refl ux disease,
or GERD, is abnormally fre-
quent or chronic acid refl ux.
Acid refl ux occurs when
stomach fl uid backs up, or
refl uxes, into the esophagus,
exposing it to gastric acid
and other contents. While
occasional refl ux is normal,
for some, it can be frequent
and severe enough to affect
daily life.
In fact, it’s estimated
GERD causes pain for over
80 million Americans at
least once a month.1 Left
untreated, GERD can lead
to serious complications,
such as changes to the
esophageal structure, known
as Barrett’s esophagus, and
even cancer. However, the
good news is you don’t have
to put up with this burden.
What To Do
Treatment varies de-
pending on the severity of
symptoms, and you should
always consult a health care
professional. GERD is a
chronic condition, because
the valve is not mechani-
cally functioning—it needs
a repair, not a temporary fi x
from an antacid or proton
pump inhibitor (PPI) pills.
For mild GERD suf-
ferers, simple dietary and
lifestyle changes may be
enough to provide some
relief. These can include
avoiding foods that trigger
symptoms, such as coffee,
tea and carbonated bever-
ages; fatty, fried or spicy
foods; and citrus fruits,
tomatoes, garlic, onions,
peppermint and chocolate.
You may also eat smaller
meals more often to avoid
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was shortened by approximately 25 years.
Th is is believed to be largely due to coping
behaviors that are oft en used in adolescents
and adult life to manage the emotional pain
and social disconnection, but can compromise
health.
Th e ACE Study is just one of many ex-
amples that demonstrate the importance of
prevention and action. When prevention ef-
forts fail, responding quickly to ensure safety
and establish support is very important to the
health and future of children.
What You Can Do
While every child is diff erent, there are
some things you can do to help in the aft er-
math of trauma. Assuring and reassuring the
child of safety will help to reduce anxiety and
stress. Make sure the child knows that whatev-
er happened isn’t his or her fault, as kids oft en
blame themselves when something completely
out of their control takes place. Being patient
and listening without judgment will help the
child to cope with what has happened, while
giving you important insight into how the
child is doing and managing what took place.
And if you have concerns for your child’s well-
being or he/she is not improving over time,
consider seeking help from a trained profes-
sional. When needed, a mental health profes-
sional trained in evidence-based trauma treat-
ment can help children and families cope and
move toward recovery. Ask your pediatrician,
family physician, school counselor or clergy
member for a referral.
SAMHSA off ers some practical tools
that can be helpful to parents, guardians,
caregivers and teachers when a child may
have been traumatized—and some that are
specifi c to the kind of traumatic exposure
(e.g., mass violence, disaster and bullying).
Th ey can be found at www.samhsa.gov/
child-trauma/understanding-child-trauma.
Th is page brings together useful information,
from recognizing the signs of traumatic stress
to where to fi nd a mental health provider or
other support.
Children exposed to trauma may have
been a target of bullying or their behaviors may
make them targets of bullying. Information
specifi c to the trauma or distress associated with
bullying can be found at www.StopBullying.
gov. SAMHSA also developed a free app to
help prevent bullying called KnowBullying,
which can be found at http://store.samhsa.gov/
apps/knowbullying.
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N eed
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Prompt and proper intervention can
help save children from some of the se-
rious eff ects of childhood trauma.
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ELLOW
D
IRECTORY
S
ERVICES
• REDUCE
• REUSE
• RECYCLE
a few days post-procedure,”
said Dr. Anthony Starpoli,
associate director of esopha-
geal endotherapy at Lenox
Hill Hospital, New York
City.
Since the TIF procedure
is performed through the
mouth with no abdominal
incisions, patients typically
return to work in less than
one week. Recently pub-
lished data showed at the
three-year post-procedure
check-up that:
• 71 percent of patients
completely stopped taking
their PPIs,
• 90 percent of patients
experienced a reduction of
troublesome regurgitation,
• And 88 percent of pa-
tients maintained elimina-
tion of all daily atypical
symptoms.1
“Most importantly, these
positive outcomes are a
strong indicator of the TIF
procedure’s safety and du-
rability, providing patients
who no longer benefi t from
PPI therapy an effective al-
ternative treatment option
from chronic GERD symp-
toms,” adds Dr. Lauren
Gerson, director of clinical
research,
Gastroenterol-
ogy Fellowship Program at
California Pacifi c Medical
Center.
Learn More
For further facts about
GERD, as well as the TIF
procedure, and to fi nd a
nearby physician who can
help you, visit www.GERD-
help.com.
1 Data on fi le at Endo-
Gastric Solutions.
pressure on the valve be-
tween the stomach and the
esophagus. Recommended
lifestyle changes include
watching your weight and
avoiding lying down within
three hours of eating. When
you do go to sleep, raise the
head of your bed six to eight
inches. Don’t smoke. Don’t
drink alcohol and do wear
loose clothes. More tips are
available at www.GERD-
help.com.
If that doesn’t do the
trick, you may have to turn
to anti-refl ux surgery to re-
build the barrier between the
esophagus and the stomach.
A gastroenterologist can see
if you’re a candidate for a
minimally invasive, inci-
sionless medical procedure
that is not major stomach
surgery. The Transoral In-
cisionless Fundoplication—
TIF® procedure—treats the
underlying anatomical cause
of GERD by reconstruct-
ing the valve between the
esophagus and the stomach
to restore the body’s natural
protection against refl ux.
This eliminates both the
acidic symptoms of refl ux,
such as heartburn and sore
throat, and the non-acid,
atypical symptoms, such as
asthma, chronic cough and
regurgitation.
“Due to its unique ap-
proach, most GERD pa-
tients who receive the TIF
procedure are less likely to
experience long-term side
effects commonly associ-
ated with traditional anti-re-
fl ux surgery, such as trouble
swallowing, bloating and
gas, and are able to return to
normal day activities within
(NAPS)—Traumatic experiences hap-
pen—but when they happen to children, it
can aff ect their view of the world, their sense
of safety, their development, and even their
longer-term physical and mental health.
According to the Substance Abuse and
Mental Health Services Administration
(SAMHSA), more than two-thirds of chil-
dren reported at least one traumatic experi-
ence by age 16. While not every child will
be traumatized from a diffi cult experience,
some potentially traumatic events could
include abuse, neglect, disaster, violence
(physical, sexual and community), bullying
or school violence, terrorism, war, serious
illness or accident, military family–related
stress, human traffi cking or the sudden loss
of a parent or loved one.
Th e numbers are staggering:
* One in four high school students were
in a physical fi ght.
* One in fi ve high school students ex-
perienced bullying at school, and one in six
were cyberbullied.
* 54 percent of families in the United
States have been aff ected by disaster.
* 19 percent of injured and 12 percent
of physically ill youth have post-traumatic
stress disorder, a debilitating mental health
disorder.
Th e eff ects of trauma, when left un-
treated, can have a profound impact on a
child. Some of the common responses in
the aft ermath include diffi culty sleeping,
isolation, trouble focusing, and even angry
and aggressive behavior. Imagine, then, a
traumatized child trying to learn in a class-
room—wanting to be alone, distracted by
memories of the trauma, and possibly hav-
ing intense responses to teachers and stu-
dents. It is important to understand what
may stem from the trauma so that behavior
shift s can be linked with what happened
and appropriate support can be in place. If
that doesn’t happen, school performance,
friendships and healthy development can
be jeopardized.
When Trauma Is Left Unaddressed
At times, signs that a mental health con-
cern may be emerging go unrecognized.
For some children and families, it can be
diffi cult to reach out for help with mental
health. In part, this could be because trau-
matic experiences can be viewed as some-
thing to get through and forget about and
are not given the same level of attention as
a physical injury. However, the seriousness
of traumatic experiences is shift ing as more
and more people recognize that getting
help for traumatic experiences is essential
for living a healthy, productive and long
life.
Between 1995 and 1997, the Adverse
Childhood Experiences (ACE) Study (www.
cdc.gov/violenceprevention/acestudy/index.
html) was conducted by the Centers for
Disease Control and Prevention and Kaiser
Permanente. Th e study examined the eff ect
of “adverse experiences, ” such as traumas,
experienced in childhood, as reported by
adult patients of a large health plan. Th e study
revealed that for people who have fi ve or more
adverse childhood experiences, their life span
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