Comprehensive Management of Infants with Gastroesophageal Reflux and Failure to Thrive
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An alternative hypothesis regarding vomiting and failure to thrive is that they may be coincidental; they may have different of common causes, but they may not be connected simply as primary and secondary phenomena. This hypothesis implies that optimal management requires evaluations of both the causes of the infant's vomiting and the causes of this or her failure to thrive without presuming that GER is the primary disease and failure to grow its complication. I would hypothesize further that in many infants, stress is a major pathogenic factor common to both vomiting and failure to thrive.