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Gastroesophageal reflux causing stridor
Chest
|September 1, 1983
Insights
Gastroesophageal reflux (GER) can cause stridor in infants. pH probe monitoring confirmed a direct link between reflux episodes and stridor, suggesting GER as a potential cause.
Area of Science:
- Pediatric Pulmonology
- Gastroenterology
Background:
- Stridor is a high-pitched respiratory sound often associated with upper airway obstruction.
- Gastroesophageal reflux (GER) is common in infants and can lead to various respiratory symptoms.
Observation:
- This case report details an infant presenting with stridor.
- The infant's stridor was temporally associated with episodes of gastroesophageal reflux.
Findings:
- pH probe monitoring provided objective evidence linking individual gastroesophageal reflux events to the onset of stridor.
- This is the first documented case with such clear temporal correlation.
Implications:
- Gastroesophageal reflux should be considered in the differential diagnosis of unexplained stridor in infants.
- Further investigation into the pathophysiology connecting GER and stridor is warranted.
Abstract:
We describe an infant with stridor associated with gastroesophageal reflux (GER). This is the first report in which there is clear documentation by pH probe of a temporal association between individual episodes of GER and stridor. We review the literature and speculate on the relationship between these two phenomena. GER should be considered in patients with stridor.