Effect of Myrtle Syrup on Refractory Pediatric Gastroesophageal Reflux in an Eight-Year-Old Boy: A Case Report

Document Type : Case reports or series


1 Department of Traditional Medicine,Traditional and Complementary Medicine Research Center (TCMRC), School of Medicine, Arak University of Medical Sciences, Arak, Iran

2 Pediatric Gastroenterology and Hepatology Research Center, Tehran University of Medical Sciences, Tehran, Iran

3 Traditional and Complementary Medicine Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran.

4 Department of Traditional Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran


Background: Gastroesophageal reflux (GER) is the most common disorder of childhood. GER can continue to older ages, reducing quality of life. Unfortunately, therapeutic interventions treatments are not always successful. It is the first report of pediatric GERD treatment in Iranian Traditional Medicine (ITM).
Case Presentation: An 8-year-old boy with recurrent GER and chronic abdominal pain was referred to a Traditional Medicine clinic. The child had suffered from severe irritability and recurrent regurgitation since infancy. Endoscopy was performed in the second year of life and severe esophagitis found. He was treated with oral omeprazole (1 mg/kg/day divided in 2 doses). After a month, abdominal pain and irritability continued. His problems remained until the age of five despite use of medication. Gastrointestinal bleeding (GIB) occurred in December 2013. In that month he was hospitalized twice times. In February 2014, he was admitted to the clinic of traditional medicine, due to poor feeding and abdominal pain. He was diagnosed with GER and stomach weakness. Myrtus communis (Myrtle) syrup 2.5 cc three times daily and quince jam for breakfast were prescribed. Abdominal pain improved after two months of treatment and within 2 years of follow-up his general condition was excellent. During this time there were no signs or symptoms of reflux recurrence.
Conclusion: Myrtle is useful in reducing edema, and strengthening the stomach and gastrointestinal tract. The effect of “quince” in the treatment of GERD is similar to omeprazole, while it also has other properties such as strengthening the LES. These fruits overcome the most common mechanisms of GER and have a direct role in the patient’s improvement.


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