• Esarco J
• Alcantara Joel

• Affiliation / Private Practice of Chiropractic
• Affiliation / Research Director. International Chiropractic Pediatric Association
• Affiliation(G) / United States / Ohio / Youngstown
• Affiliation(G) / United States / Pennsylvania / Media
• Infant
• Kale Technique
• Laryngopharyngeal Reflux
• Male
• Manipulation, Cervical
• Pediatric Chiropractic

Objective: To describe the care of an infant medically diagnosed with laryngopharyngeal reflux aka silent acid reflux.

Clinical Presentation: A 9-week-old male medically diagnosed with laryngopharyngeal reflux was cared for with chiropractic. The infant’s physical complaints were acid reflux and congestion since birth. As a result, the infant had difficulties with sleep and assuming certain positions such as sleeping on his back or being placed in his car seat without regurgitation. The infant’s pediatrician prescribed Zantac but this did not help the infant.

Intervention and Outcome: The patient was cared for with Kale Upper Cervical Chiropractic Technique. The third night following his first adjustment the infant slept 9 hours without acid reflux issues. The infant by this time was able to sit in his car seat without agitation. His skin color returned to normal and the dark circles under his eyes resolved. He was more alert and less agitated. A two-week follow-up revealed the infant had continued resolution of symptoms with his mother choosing to eliminate the use of Zantac.

Conclusions: This case report provides supporting evidence on the effectiveness of chiropractic care in infants with bothersome gastroesophageal reflux (GER), silent or otherwise. We encourage further documentation of similar cases to inform clinical practice.

Author Keywords:  Chiropractic, specific, upper cervical, adjustment, manipulation, pediatric, silent reflux, vertebral subluxation

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