When to suspect your child has reflux:
• Poor weight gain
• Baby spits up frequently
• Frequent hiccups
• Baby shows discomfort eating (i.e. refusal to eat, stiffens up, arches back and back during or after feeding)
• Baby may appear very hungry for bottle or breast, but after their first swallows may become very irritable and refuse to take it again.
• Unexplained crying
• Unexplained irritability
• Persistant Cough
• Horseness
• Chronic nasal and sinus congestion (due to aspiration)
• Frequent Choking episodes
• Bad "sour" breath
• Child complains of burning pain in the chest area
• Complains that eating hurts
• Sleep disturbance--frequent night waking
• Nocturnal asthma symptoms (i.e. wheezing)

