Table 1: Common symptoms of infant and adolescent patients presenting with GERD [8].

InfantsOlder children and adolescents

Regurgitation and vomitingHoarseness
Feeding difficulties and feeding refusalChronic cough
Failure to thriveEpigastric pain and irritability
Apnea or apparent life-threatening event (ALTE)Dysphagia
Sandifer syndrome or spasmodic torsional dystonia [8] (arching of the back and neck (Sandifer posturing) and abdominal wall contractions)Bronchospasm and asthma