Manifestations and Diagnostic Evaluation
Vomiting or spitting up after a meal, hiccupping. And recurrent otitis media related to pooled secretions in the nasopharynx during sleep are the hallmarks of GERD. In addition, the infant with pathologic G can experience weight loss, failure to thrive, irritability, discomfort, and abdominal pain. Severe GERD can result in hematemesis or melena and anemia. Frequently, respiratory illness or asthma is associated with GERD, and the child may experience coughing, choking, asthma, wheezing, pneumonia, apnea, or bradycardia.