Hello! You may have heard about adults with GERD having damage to the esophagus from untreated GERD. Fortunately, babies and children with GERD rarely have the same type of damage to the esophagus as adults. Babies with GERD may experience a great deal of pain and have other health problems such as poor weight gain and respiratory or breathing problems. The good news is that reflux is common and there are many well established treatments to help reduce symptoms. If your baby has had breathing problems from GERD, you will be on high alert for another episode. A doctor can evaluate the seriousness of the problem and recommend careful observation as well as aggressive treatment for GERD. In some cases, a special monitor is needed at home that will alert you if your baby is having a breathing problem. It is best to have an adult supervise a very young baby, especially if there is a history of breathing problems. I know of many grandmas who are afraid to babysit their grand baby after a breathing problem. Breathing problems are more common in very young babies. In time, your older children will be able to babysit for you. Jan Gambino