Dr. Karin S Bierbrauer M.D.

Silent reflux, or laryngopharyngeal reflux, is similar to gastroesophageal reflux disease (GERD), however, it lacks the characteristic symptoms of GERD. Both conditions are caused by contents from the stomach moving backward into the esophagus. As the typical symptoms of gastric reflux are lacking...

Spit out what they have just been fed; this is known as reflux or posseting. This is not vomiting. It is important to learn the difference between vomiting and reflux. In vomiting, the muscles contract to forcefully expel the contents of the stomach, whereas in reflux, it is a spontaneous expulsion...

Milk Protein AllergyOne of the most common food allergies in babies and young children is cow's milk allergy. The good news is that milk allergies are usually outgrown by babies when they turn 2 or 3 years old. Its symptoms are usually managed by consuming a dairy-free diet. Regular milk is...

What is enuresis?Enuresis, also called nocturnal enuresis, is the medical term for bedwetting or urinating during sleep. Bedwetting is usually part of a child’s development. It is fairly common among children and is slightly more common in boys.Most children outgrow bedwetting without any...

Considering the removal of your tonsils, based on the recurrence of strep throat infections, should be discussed with your doctor to determine if you should have the procedure.Can I Still Get Strep After Having My Tonsils Removed?Strep throat is an infection that affects the throat and is caused by...

Just like everyone else, people with autism move through substantial life changes. Their quality of life depends on the foundation that was provided during their childhood. In addition, there is ongoing support revolving around their medical, educational, social and family needs. There is no single...