Common options for treatment include changes to diet, altering the position of children during and after feeding, and available over-the-counter and prescription medicines.
It is important to note that in some cases, a more serious underlying condition may be causing GERD, requiring additional medical attention. A physician can suggest the appropriate treatment options for each individual child.
Some common options include:
Changes in diet.
Infants may benefit from a diet that includes formula thickened with rice cereal, other thickening agents or the use of a hypo-allergenic formula. It is important to consult with your physician if you thicken formula as other considerations may come into play (changes in bottle nipples to increase flow for thicker formula, being aware of and adjusting for increases in coughing during feeding, etc.) Older children may benefit from eliminating foods that are highly acidic or irritating (chocolate, caffeine, tomatoes, orange juice, etc.).
Changes in positioning.
Keeping the child in a different position during feeding, and placing the child in a different position after meals as well as during sleep, as prescribed by your physician, may help reduce symptoms. Infants may experience less reflux when placed in the prone position (on their stomachs), vs. the supine (on their backs). However, use of the prone positioning must be evaluated in light of current recognition that infants in the prone positioning are at higher risk for Sudden Infant Death Syndrome (SIDS) than those in the supine position. Parents should discuss sleeping position for their infant with a health care professional.
Treatment options.
There are a number of over-the-counter and prescription medicines available that can be used in children. Ask your physician about other treatment choices.
Click here for more information on treatment options for pediatric GERD.
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