“…Moreover, GERD symptoms are often nonspecific in those subjects, such as weight loss, cough, anorexia, and food refusal . In contrast, the predominant symptoms in older children (6–17 years) are regurgitation, vomiting, epigastric pain, and heartburn, with heartburn and regurgitation predominant, which are typically shown in adult patients with GERD . In addition, neurologically intact older children and adolescents are generally able to describe their symptoms, and it is often possible to determine whether their reflux symptoms are troublesome.…”