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    GERD in infants
    Nanna0805 posted:
    My 4 month old grand-daughter has been diagnosed with GERD. After having her formula changed several times and being put on Tagamet, it has not gotten better. My daughter took her to another physician and that physician told her that her 'valve' wasn't closing like it was supposed to, but she would grow out of it by 6 months. She will be 5 months in a couple of weeks and it seems to be getting worse. Of note, she had some lab work drawn the other night and her alkaline phosphatase was 413, the normal was around 130. Could this be a sign of some type of biliary problem?
    CalGal37 responded:
    Raised liver function values can signal a liver or biliary problem. You should follow-up on that. Is there any possibility of celiac disease? It's a great 'mimic' of GERD-like symptoms and in some babies it can be mistaken for GERD. Anyone in the family with food intolerance issues that resemble celiac but no diagnosis? You may want to consider blood testing that includes gene (allele) checking for celiac.
    Nanna0805 responded:
    Thank you for the information. I will get my daughter to follow up with this.

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