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“When Reflux Isn’t Just Reflux: The Power of pH Impedance Testing”

Gut Whisperers Podcast

Release Date: 07/15/2025

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Gut Whisperers Podcast

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More Episodes

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. Learn more at drnelsonspinetti.com and download your free GI Referral Toolkit.