One potential scoring system might be the 25-point Infant Gastroesophageal Reflux Questionnaire GERD score based on 11 items, including frequency and amount of vomiting, feeding, weight gain, comfort, crying, hiccups, arching, and apnea.47 This test was shown to have a 100% positive predictive value and 94% to 98% negative predictive value in a clinical study of its validity.47 Despite potential p