TABLE 91.6 SIGNS AND SYMPTOMS OF GERD BY AGE Infants 1 yr of age Recurrent vomiting/regurgitation Abdominal pain Recurrent regurgitation without vomiting Recurrent vomiting Poor weight gain Chest pain Irritability Back arching Heartburn Chronic cough Sleep interruption Sleep interruption Cough Burping Choking/gagging Food refusal Food refusal Dystonic posturing (Sandifer syndrome) Apparent life-threatening event Adapted from Lightdale JR, Gremse DA Gastroesophageal reflux: management guidance for the pediatrician Pediatrics 2013;131(5): e1684–e1695