Two days later, Sarah and Daniel sat with a pediatric gastroenterologist while Lula played on Daniel’s lap. The specialist watched the camera clip, then asked about bottles, spit-up, coughing, sleep, and the strange twisting movements. Sarah expected another uncertain answer. Instead, the doctor said the pattern strongly suggested Sandifer syndrome, a condition linked to gastroesophageal reflux.
The movements could look frightening because babies with the condition sometimes arch their backs, twist their necks, or stiffen when reflux causes pain. Lula was not recoiling from Rebecca. She was reacting to discomfort that often followed feeding. Rebecca happened to see the worst episodes because she handled daytime bottles. Even Lula’s apparent anxiety around her could have grown from associating Rebecca’s feeding routine with the discomfort that came afterward.
The doctor arranged further care and explained changes they could make around feeding, along with treatment for the reflux. Sarah felt relief, followed by guilt. She had spent days believing Rebecca might be hurting Lula. Yet one question remained. If the diagnosis was right, the treatment should change Lula’s behavior too. Sarah called Rebecca that evening and asked her to return the following week. They would know soon whether the doctor had found the real cause.