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Patient population Participants were recruited through specialist consultations at two tertiary neurodevelopmental care centres in Ahmedabad, Gujarat, India: Rajvee Ortho Spine & Child Neuro Hospital and Kalrav National Society for Equal Opportunities for the Handicapped (NSEOH)

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Foods to avoid with acid reflux: These are common foods that tend to increase acid production or relax the lower esophageal sphincter (LES), leading to acid reflux: Spicy Foods : Chili peppers, hot sauces, and other spicy ingredients can irritate the esophagus and trigger heartburn