Predisposing Factors

Chronic pediatric rhinosinusitis is recognized as a multifactorial disease with various predisposing factors that change over time. Once the diagnosis of rhinosinusitis is suspected in a child, underlying modifiable contributors to sinonasal inflammation must be identified and managed appropriately. Once this is accomplished, the infectious disease aspect which actually may be secondary, can then be more effectively treated.7 Although their roles are still being defined, conditions that are currently recognized as potential predisposing factors for rhinosinusitis pri-

include allergy,27 immunodeficiency,35-38 cystic fibrosis,39'40 ' mary ciliary dyskinesia,41'42 environment,43'44 and gastroesophageal reflux.45-47

Herbal Remedies For Acid Reflux

Herbal Remedies For Acid Reflux

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.

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