Endoscopy: A tiny camera is threaded through the esophagus, stomach, and sometimes small intestines to look for inflammation or tissue damage.The X-rays show whether any anatomic problems could be affect swallowing or digestion. Upper GI series: These X-rays of the upper gastrointestinal tract require your child to drink a chalky substance called barium beforehand.Additional diagnostic tests might include: She will probably be able to diagnose GERD based on your child's symptoms, but she may refer you to a pediatric gastroenterologist. The doctor will examine your child and may order some tests, such as blood or urine tests. How is GERD diagnosed in a baby or toddler? Not everyone with GERD has this problem, though. (The diaphragm is a muscle separating the stomach from the chest cavity.) Doctors think that if the hernia allows the top of the stomach to rise, it may be easier for the stomach contents to back up into the esophagus. Hiatal hernia: Sometimes children with GERD also have a hiatal hernia, a condition in which a small portion of the stomach protrudes through the diaphragm into the chest.When the sphincter muscle matures, it will stay closed unless your baby is swallowing. Immature sphincter muscle: Reflux is more common in premature babies.It's also what causes heartburn in adults. This allows food and gastric juices to flow back up out of her stomach and into her mouth. Problems with lower esophageal sphincter: Your baby may have reflux when her lower esophageal sphincter (the valve connecting the esophagus to the stomach) is weak or not working properly.What causes reflux in babies and toddlers? Spits up or vomits what looks like coffee grounds: This could indicate bleeding or ulceration of the esophagus, stomach, or small intestine.Spits up bile (a green or yellow fluid): This could be a sign that the intestines are blocked.Seek emergency care if your baby or toddler: Vomits forcefully after feedings: Projectile vomiting may be a sign of pyloric stenosis, a condition that can lead to malnourishment and dehydration.Has blood in his stool: Possible causes include a food allergy, anal fissure, or intestinal infection.Spits up blood: A little blood is typically nothing to worry about, but persistent or larger amounts of blood can indicate a more serious issue, like a food allergy, an upper GI bleed, or a blood-clotting problem.Has GERD symptoms (see 'What are the symptoms of GERD in children?' above).Has reflux that is affecting his weight gain.Just mention the frequent spitting up at his next checkup. If your child spits up a lot but doesn't seem uncomfortable and is gaining weight, you probably don't need to call his doctor. When should I call the doctor or seek emergency care? Respiratory problems, such as persistent wheezing or coughing at night.

Arched back during or right after eating.

Your baby or toddler may have gastroesophageal reflux disease if she has these common symptoms: What are the symptoms of GERD in children? They may have had it since they were babies and not been bothered by it, or they may have spontaneously developed it later.Д«ut when reflux causes complications, such as poor weight gain, it's called gastroesophageal reflux disease (GERD) and requires medical treatment. Older children occasionally have reflux, too. GER usually starts around 2 to 3 weeks, peaks around 4 to 5 months, and goes away by 12 months.

This is called reflux, or GER (gastroesophageal reflux).

In fact, some babies spit up quite frequently and show no ill effects. It's perfectly normal for infants to spit up after feedings or even to vomit once in a while without apparent cause or warning. Is it normal for my baby to spit up so much?

Relux formula through nose