Gastroesophageal reflux disease in an 8-year-old boy: a case study.
OBJECTIVE
To present the diagnosis and management of gastroesophageal reflux disease found in a pediatric patient, to discuss the importance of a detailed case history, and to bring forward some of the most important clues, both verbal and nonverbal, that can lead to the diagnosis.


METHODS
An 8-year-old boy was brought to a chiropractic clinic by his mother complaining of headache and neck pain. Based on the history and physical examination, a diagnosis of cervicogenic headache was made.


RESULTS
Treatment consisted of chiropractic manipulation of the upper cervical spine in combination with cranial treatment was applied in addition to dietary advice. The headache returned and the patient was then referred to a colleague for a second opinion. Based on a detailed history, gastroesophageal reflux disease was diagnosed and the patient was referred to a specialist for suitable treatment.


CONCLUSIONS
Because of the position as first-line health practitioners, it is inevitable that doctors of chiropractic will be faced with complaints of a nonbiomechanical nature. It is important to recognize conditions, such as gastroesophageal reflux, at an early stage and to refer appropriately.
annakjonasson@hotmail.com
Anna K
AK
Jonasson
Simone F C
SF
Knaap
D002648:Child; D003937:Diagnosis, Differential; D005764:Gastroesophageal Reflux / Q000150:complications / Q000175:diagnosis*; D006261:Headache / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D026882:Manipulation, Chiropractic; D008499:Medical Records; D019547:Neck Pain / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D012017:Referral and Consultation; D017211:Treatment Failure