What are the symptoms of reflux in older children and adolescents?
Reflux symptoms in children are variable. Children may be unable to communicate typical heartburn symptoms. They may complain of generalized stomachaches, frequently around the area of the belly button and on occasion may complain of chest pain. Often children will report a feeling that they need to throw up and on occasion will describe that they get a taste in their mouth as if they have thrown up. Other children will report that they feel that the food is coming back up and that they then re-swallow it. Occasionally they will report a feeling that food is not going down correctly or feels like it is getting stuck. Some patients may complain of asthma symptoms such as cough or wheezing that are worsened by reflux. Even though children may not relate reflux symptoms to eating, obtaining a dietary history for foods and medicines that trigger reflux is important. How is the diagnosis of reflux made? Reflux is usually diagnosed based on symptoms and physical examination. X-rays are gener
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