Connor has been complaining of stomachache on and off for some time.  On 7/2 evening after they had gone to bed, Connor started reporting more tummy pain and something in his throat.  He even mentioned about having some trouble breathing with the throat issue.  The symptoms lingered around for over an hour.  It seemed to change in intensity back and forth; finally Connor fell asleep.  I had decided that his symptoms was GERD, and started him on Pepcid as of 7/3 and had him change some of the bad habit he had,i.e.laying down after eating breakfast or lunch.  That evening by bedtime, Connor was bothered quite a bit with the symptoms again, tummy ache, something in his throat and also complained of “can’t breathe”.  Because of that, I called the Advice nurse that night at 9pm.  After talking with the Advice Nurse for quite awhile, Connor also answered some of her questions.  She consulted an ED doc and suggested for us to take Connor in to ED due to the complaints of trouble breathing.  The reasons we called the Advice Nurse was to assure what we were doing for Connor, and I truly believed that it was very bad GERD symptoms Connor was experiencing and that he did get through it the night before.  So we declined taking Connor in; the ED doctor came on the line later to make sure we understood the danger if Connor truly could not breathe.  Fortunately after some of struggle, Connor felt asleep and woke up better the next morning. 

     For the next few days Connor continued to have tummy ache and the lump in his throat, but not as severe as the first 2 nights.  I put him on omeprazole as I could not find more Pepcid at the store.  We had a video visit with a doctor in mid week; she felt that we were on the right track taking care of Connor.  She suggested to continue the medication for another week and stop to see what happens next.  Today is the first day without the medicine; hope Connor will not have more issue.