What dietary measures can benefit older children with pediatric gastroesophageal reflux disease (GERD)?

Updated: Mar 14, 2019
  • Author: Steven M Schwarz, MD, FAAP, FACN, AGAF; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Older children with gastroesophageal reflux may benefit from the following:

  • Diet that avoids tomato and citrus products, fruit juices, peppermint, chocolate, and caffeine-containing beverages

  • Smaller, more frequent feeds

  • Relatively lower fat diet (lipids retards gastric emptying)

  • Proper eating habits

  • Weight loss

  • Avoidance of alcohol and tobacco, when applicable

For patients who fail medical therapy, continuous intragastric administration of feeds alone (via nasogastric tube) may be used as an alternative to surgery. [2]


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