Childhood Illnesses: Feeding a Child Who Has Acid Reflux

Acid reflux, also known as gastroesophageal reflux disease, is the backward flow of stomach acid and previously ingested foods into the esophagus, throat and mouth. Acid reflux can occur in all age groups, although it is most frequent in small infants and usually resolves as they get older.

Persistent acid reflux symptoms in older children should always be investigated by a gastrointestinal specialist. Evaluation is very important because some medical conditions (such as food allergies or blockages in the esophagus or stomach) can cause identical symptoms to acid reflux.

Once the problem is confirmed to be acid reflux, management of the condition involves diet and lifestyle changes and sometimes treatment with medicines that reduce the amount of acid produced by the stomach. Talk with your health-care provider to determine the course of treatment that is right for your child.

Dietary recommendations include eating smaller amounts of food more frequently throughout the day and avoiding foods that will exacerbate the symptoms. Here is a partial list of things to avoid with this childhood illness:

• Highly acidic foods, such as tomatoes, which contribute to acid production in the stomach
• Fatty and fried foods, which take longer to digest and thus are more likely to be refluxed
• Substances that may stimulate the production of stomach acid, such as caffeine, peppermint, onions, chocolate and nicotine
• Chiles and other spicy foods, which increase sensitivity to acid, as well as slow down digestion

The following lifestyle changes may help reduce symptoms:

• Avoid lying down within two hours after eating. Eat an evening meal three hours before bedtime and avoid bedtime snacks and drinks.
• Elevate the head of your child's bed 6 to 9 inches; this may prevent symptoms at night.
• Avoid large meals and overeating. If your child is overweight, your health care provider can help you determine an appropriate weight control plan for your son.