Acid Reflux Symptoms Checklist: Infants and Young Children
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Pediatric Gastroesophageal Reflux (GER) can range from mild to life threatening. Signs and symptoms 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, doesn't tolerate pressure on the stomach. 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 infections, sinus infections, bronchitis, croup, wheezing asthma, night cough, throat clearing, noisy breathing/stridor, labored breathing, hoarse or deep voice. Rare: pneumonia, aspiration, apnea.

DENTAL:
Tooth enamel erosion, bad breath, excessive salivation/drooling.

SLEEP:
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.

BEHAVIOR:
Fussy, clingy, pain based aggression.

DEVELOPMENT:
Delayed motor milestones due to restricted positioning and frequent pain.

RARE:
Vocal cord nodules, laryngospasm, Barrett's Esophagus, ulcers, esophagitis, Sandifer Syndrome, fainting.

Gastroesophageal Reflux may be aggravated by:

Milk/Soy Protein Intolerance
Constipation
Food Allergies
Food Intolerance
Sleep Apnea
Hiatal Hernia
Gastroparisis-also called Delayed Gastric Emptying or Slow Motility
Asthma
Prematurity

Looks like Reflux but it's not:

It is important for you and your doctor to consider other diseases that have similar symptoms when diagnosing and treating acid reflux:

Pyloric Stenosis
Celiac Disease
Cyclic Vomiting Syndrome

Reflux is very common and can be easy to miss. Untreated acid reflux can have serious long-term consequences. If you believe your child may have GER, talk to your doctor or a gastroenterologist. If you know your child has GER, contact PAGER Association for the support you need. PAGER Association is a parent-led, non profit organization providing information and support to parents of children with GER.


Copyright 2006 PAGER Association


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