Symptoms |
'Happy sitter' |
Regurgitation/persistent vomiting/feeding refusal/ hypersalivation |
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Arching/irritability/persistent crying |
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Regurgitation |
Abdominal pain/heart burn/ hematemesis/chest pain |
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Vomiting but thriving |
Sleep disturbance |
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Silent reflux- stridor, wheezing, cough |
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Sandifer’s syndrome - head turning episodes to lengthen the oesophagus and LES pressure; repetitive stretching and arching, which gives the appearance of seizure/dystonia |
Complications |
GORD |
Esophagitis/failure to thrive |
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Esophagitis |
Reactive airway disease/ recurrent pneumonia |
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Apnoea/bradycardia/acute life threatening events |
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Barrett’s esophagus/esophageal ulceration and perforation/ stricture formation |
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Anaemia/seizure |