My son started with a dry cough and then projectile vomit when he was first born. That was my first indication of reflux.
As he got older, winter set in and for awhile it sounded like he had a cold for a long time 3 months or more. This was also a time when reflux was out of control and once he was back to “normal” there wasn’t as much wheezing.
Now at 1 yr old, it is my main symptom when I know that a bad reflux time is upon us, he sounds like he has a cold, snotty nose (clear), congestion in the chest and wheezing, but no one else ever gets sick including my 3 yr old, so that’s how I’ve decided it’s probably reflux flaring.
I’m not sure if it means it’s severe or not. I will say that my doc said that my son was the worst case of MSPI/reflux he has had in 5 yrs, but I think that was his fault for letting it go on for so long before properly medicating despite the fact that I was in there weekly trying to get answers…….
Hope that helps…..