Signs and symptoms of Pediatric Gastroesophageal Reflux (GER) may include one or several of the following:
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.
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.
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.)
Constant runny nose, stuffy nose, frequent upper respiratory infections, sinus infections, bronchitis, croup, wheezing asthma, night cough, throat clearing, noisy or labored breathing/stidor, hoarse or deep voice. Rare: pneumonia, aspiration, apnea.
Tooth enamel erosion, bad breath, excessive salivation/drooling.
Poor sleep, frequent waking, frequent ear infections, resists lying down, cries when placed on back or flat surface, only sleeps when upright on shoulder, car seat, wedge.
Fussy, clingy, pain based aggression.
Delayed motor milestones due to restricted positioning, excessive crying.
Vocal cord nodules, laryngospasm, Barretts Esophagus, ulcers, esophagitis.
Gastroesophageal Reflux may be aggravated by:
Milk/Soy Protein Intolerance
Gastroparisis-also called Delayed Gastric Emptying or Slow Motility
LOOKS LIKE REFLUX BUT IT IS NOT:
It is important for you and your doctor to consider other diseases that have similar symptoms when diagnosing and treating acid reflux: