1 rich Libsyn https://www.libsyn.com 90 600 Is it just reflux — or something more? In this episode of the Gut Whisperer Podcast, Dr. Nelson Spinetti unpacks the hidden world behind persistent pediatric reflux. We follow the story of Ava, a 9-year-old with classic symptoms that didn’t improve with PPIs and normal endoscopy findings. What finally revealed the truth? A 24-hour pH impedance study. You’ll learn: When to suspect eosinophilic esophagitis (EoE) or non-acid reflux How pH impedance testing works — and why it matters The difference between acid and weakly acidic reflux in children When pediatric providers should refer, and what to expect from the testing process This is a must-listen for pediatricians, nurse practitioners, and families facing unexplained GI symptoms that “just won’t go away.” Episode sponsored by: – Pediatric Gastroenterology Clinic of South Texas – now offering in-house pH impedance testing for up to 10 patients per week with full expert interpretation. – Laguna, the novel by Andrés Spinetti – a journey of transformation, now available on Amazon.&amp;nbsp;Learn more at drnelsonspinetti.com and download your free GI Referral Toolkit. Gut Whisperers Podcast https://sites.libsyn.com/584775 <iframe title="Libsyn Player" style="border: none" src="//html5-player.libsyn.com/embed/episode/id/37198330/height/90/theme/custom/thumbnail/yes/direction/forward/render-playlist/no/custom-color/88AA3C/" height="90" width="600" scrolling="no" allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen></iframe> https://assets.libsyn.com/secure/content/190134265