what is “Silent GER or GERD”?
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 the refluxate back down, instead of spitting up or vomiting. This can be much more difficult to diagnose, since the typical symptoms cannot be seen. It can also be more damaging to the esophagus, as the acid not only comes up, but also goes back down. Whether or not the condition needs to be treated depends on the complications it may create.
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