| Crying Patterns | Excessive crying any time of the day, generally increasing in the evening | Irritable and excessive crying within a few minutes of feeding possibly due to heartburn and acid reflux/abdominal pain. | The patient exhibited excessive crying and irritability; particularly following feeding. The patient had abdominal pain as demonstrated by abdominal muscle contractions |
| Postures, movements, positional preferences | Prolonged antalgic posture for the sake of comfort; asymmetric movements/activities; unilateral spinal hypertonicity; tactile defensiveness; spinal sensitivity in specific areas | Prefers to sit upright; dislikes the prone position and demonstrates mild arching related to feeding. | Demonstrated the arching posture in addition to exhibiting spinal sensitivity in certain areas. Tactile sensitivity to stimulation on the abdomen |
| Eating Behaviors | Feeding disturbance which may be related to suck dysfunction | Frequent, recurrent vomiting, regurgitation; re-swallowing; may bite lip, show acid burns on lip; retching, choking, frequent cough; tongue thrusting nipple or pacifier; occasional diaphoresis while feeding | Frequent recurrent vomiting and regurgitation in addition to feeding disturbances. The patient demonstrated suck dysfunction. |
| Digestive Disturbance | None or Unrelated | Occasional heme-positive stools or emesis; occasional failure to thrive | Patient has failure to to thrive |
| Other signs, Symptoms and Timing of Disorder | Restless sleep or may refuse to sleep supine; affective disorder common; condition does not tend to improve over time, but may change as infant gains more strength and control, distress may change to “control” behaviors, such as head banging. | Persistence after 12 weeks, resolves by 1 year; diagnosed most often with history. Tests are barium swallow, pH probe, upper GI endoscopy or gastric emptying studies (usually unnecessary). Rarely responds to medication under 2 years of age | Restless sleep along with non-responsiveness to medication. |
