Clinical Features: A two-month-old female was experiencing severe acid reflux and constipation since birth. Her pediatrician prescribed Prilosec for her acid reflux which did not resolve the problem. The infant was characterized as unable to eat without spitting up, unable to sleep because of pain and was visibly straining and in pain while trying to defecate. The pediatrician recommended Miralax for the constipation, but the mother was hesitant to start her daughter on it. The patient’s mother indicated compromised quality of life and sleep.
Intervention and Outcome: The patient was cared for with spinal adjustments characterized as “touch and hold” appropriate for the child’s age along with use of the Activator Instrument. The infant attended a total of 12 visits over a period of 6 weeks with the chiropractor addressing subluxations at the atlas and thoracic spine and ilium. The patient’s presenting complaints resolved under chiropractic care.
Conclusion: This case report provides an educational vehicle and evidence on the successful chiropractic care of infants with a history of medical care for GERD. We encourage continued documentation of similar cases in the scientific literature to inform practice and research.
Author keywords: Gastroesophageal reflux, GER, GERD, constipation, vertebral subluxation, adjustment, pediatric
Author affiliations: BB: Private practice, Mansfield, Texas, United States; JA: International Chiropractic Pediatric Association, Media, Pennsylvania, United States; Faculty of Graduate Studies, Southern Cross University, Gold Coast, Queensland, Australia
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