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Is it normal gastric reflux (GER) or the rarer, more serious condition GERD (Gastroesophageal Reflux Disease)? What is the difference between GER and GERD?
by J.J. Courtiol, M.A. Ed.
When no outward or typical symptoms occur, it could indicate that the refluxed material is not coming back all the way up the esophagus and into the mouth, but rather part way. Some children may swallow back down the refluxate instead of spitting up or vomiting. This can be much more difficult to diagnose since the typical symptoms do not show. It can also be more damaging to the esophagus as the acid not only comes up but also goes back down again. Whether or not the condition needs to be treated depends on the complications it may create.
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