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Gastroesophageal Reflux

Gastroesophageal reflux, or GER, is generally a self-limited condition that gets better with time. The symptoms of GER tend to peak between four and six months of age.

Symptoms for Infants

  • Feeding refusal
  • Recurrent vomiting
  • Arching of the back
  • Poor weight gain
  • Irritability
  • Excessive crying
  • Sleep disturbance

Symptoms for Children & Adolescents

  • Recurrent vomiting
  • Heartburn
  • Difficulty swallowing
  • Asthma
  • Recurrent pneumonia
  • Upper airway symptoms (chronic cough/hoarse voice)
girl working

Treatment for Infants

  • Try to feed your baby more often, but decrease the amount of each feeding.
  • Consider thickening bottle feeds (breast milk or formula) with cereal.
  • Position your baby upright for 20-30 minutes after every feeding.
  • Consider trying a hypoallergenic formula.
  • Consider medication, if conservative measures have not been working.

Treatment for Children & Adolescents

  • Avoid large meals.
  • Avoid lying down immediately after eating.
  • If your child is overweight, encourage him or her to lose weight.
  • Avoid caffeine, chocolate, and spicy foods, all of which can make symptoms worse.
  • Eliminate exposure to tobacco smoke.
  • Consider medication, if conservative measures have not been working

Call The Office If Your Child Exhibits:

  • Forceful vomiting
  • Onset of persistent vomiting in a child 6 months or older
  • Bloody stools
  • Abdominal tenderness or distention
  • Fever, lethargy, or enlarged liver
  • Unusual head size
  • Seizures