Exertional chest pain in child due to gastroesophageal reflux with a family history of rumination

Panminerva Med. 1997 Dec;39(4):312-4.


A child affected by exertional chest pain secondary to gastroesophageal reflux (GER) disease is reported. Family history revealed the presence of rumination in two members. In our patient, heart diseases as well as other causes of chest pain were excluded. An ultrasound examination of the gastro-esophageal junction, performed in the first 15 minute of the post-prandial period, showed a pathological number of GER episodes. The patient was treated with cisapride (0.2 mg/kg t.i.d. per os). At follow-up, after three months, he was symptom-free. We repeated an ultrasound examination, which resulted normal. Ours is the first paediatric case characterized by exertional chest pain secondary to GER disease.

Publication types

  • Case Reports

MeSH terms

  • Chest Pain / etiology*
  • Child
  • Family Health
  • Feeding and Eating Disorders of Childhood / genetics*
  • Gastroesophageal Reflux / complications*
  • Gastroesophageal Reflux / drug therapy
  • Gastroesophageal Reflux / genetics*
  • Humans
  • Male
  • Physical Exertion*