Exercise‐Induced Gastroesophageal Reflux in an Athletic Child

Abstract

SummaryExercise‐induced gastroesophageal reflux (GER) is described in an athletic child with chronic abdominal pain and vomiting in conjunction with strenuous exercise. Although continuous 24‐h pH probe monitoring was negative for GER, simultaneous pH probe and exercise stress testing treadmill) showed a prolonged, continuous episode of acid reflux throughout exercise and the 30‐min recovers phase. The authors are unaware of other cases of 'exercise‐induced GER in children and suggest that simultaneous pH probe and exercise stress testing may be a useful technique to evaluate exercise‐induced symptoms in children. Moreover, the presence of acid reflux during stress may warrant exercise restriction during the early management of reflux esophagitis.