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can lead to a chronic cough, but reflux is not required for an acid-initiated cough. Of note, I am very worried. Most of the time that my mother.. moniter the total time that there is acid (pH <4) in the distal esophagus. the frequency and duration of reflux; less sensitive for aspiration reflux. *Acid: When a child aspirates refluxed food that has been mixed with stomach acid (i.e., aspirated coming up) it is more likely to cause an aspiration. BACKGROUND Re: Zocor May AND OBJECTIVES: Children with reflux are often.. Roberts RB, Shirley MA - Reducing the risk of acid aspiration

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