208 LPR and GER

Question 1

Infantile GER peak months

Answer 1

4-6 months

Question 2

GERD - related disease categories of pathology (3):

Answer 2

Failure to gain weight secondary to GER

Pain related to esophageal inflammation

Extraesophageal manifestation (airway and pulmonary disease)

Question 3

Presenting symptoms of infants:

Take note that approximately 75% of cases of infant stridor are due to:

Older children:

Answer 3

Infants: AASCH

Apnea
Aspiration
Stridor
Croup
Hoarseness

Take note that approximately 75% of cases of infant stridor are due to: laryngomalacia

Older Children: dysphonia, cough, pharyngitis

Question 4

Take note that approximately 75% of cases of infant stridor are due to:

Answer 4

Laryngomalacia.

Incidence of GER is 90% in these infants.

Co existence of GER and laryngomalacia is not surprising, but unclear whether it is coincidental or reflects a predisposition.