Gastroesophageal reflux (GER) occurs when stomach contents come back up into the esophagus (the tube that connects the mouth to the stomach) during or after a meal. A ring of muscle at the bottom of the esophagus opens and closes to allow food to enter the stomach. This ring of muscle is called the lower esophageal sphincter (LES). This sphincter opens to release gas (burping) after meals in normal infants, children, and adults. When the sphincter opens in infants, the stomach contents often go up the esophagus and out the mouth (spitting up or vomiting). GER can also occur when babies cough, cry, or strain. Most infants with GER are happy and healthy even though they spit up or vomit. Symptoms GER occurs often in normal infants. More than half of all babies experience reflux in the first 3 months of life. An infant with GER may experience these symptoms: Spitting Vomiting Coughing Irritability Poor feeding Blood in the stools Only a small number of infants have severe symptoms due to GER. Mo...
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Signs and symptoms of Pediatric Gastroesophageal Reflux (GER) may include one or several of the following: PAIN: Irritability, constant or sudden crying, “colic”, back arching, abdominal pain, chest pain, heartburn, burning sensation in the esophagus. Rare: pain migrating to the shoulder/shoulder blade. VOMITING: Frequent spitting up or vomiting, frequent wet/sour burps, wet hiccups, Silent reflux: food coming part way up more than an hour after eating, spitting up-after six months of age. Rare: projectile vomiting, forceful vomiting through the nose and mouth. EATING: Extreme pickiness about foods or textures, food intolerances, refusing food, eating only a few bites despite hunger, Dream Feeding: eating only when sleepy or asleep, gagging, choking, poor weight gain, weight loss. Rare: excessive weight gain from constant feeding and comfort feeding.) RESPIRATORY: Constant runny nose, stuffy nose, frequent upper respiratory infectio...
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