Patricia Griffin Kellicker, BSN
Gastroesophageal reflux (GER) is the back up of acid or food from the stomach to the esophagus. The esophagus is the tube that connects the mouth and stomach. GER is common in infants. It may cause them to spit up. Most infants outgrow GER within 12 months.
GER that progresses to esophageal injury and other symptoms is called gastroesophageal reflux disease (GERD). The backed-up acid irritates the lining of the esophagus. It causes heartburn, a pain in the stomach and chest. GERD requires treatment to avoid complications.
GERD can occur at any age.
The lower esophageal sphincter (LES) is a muscular ring between the esophagus and the stomach. It relaxes to let food pass into the stomach, then closes shut to prevent it from backing up. With GERD, the ring doesn't close as tightly as it normally should. This causes acid reflux, a burning sensation that can be felt below the breastbone.
Factors that may increase your child's chance of GERD include:
GERD may cause:
The doctor will ask about your child’s symptoms and medical history. A physical exam will be done. Your child may need to see a pediatric gastroenterologist. This type of doctor focuses on diseases of the stomach and intestines.
Tests may include:
Talk with the doctor about the best treatment plan for your child. Treatment options include the following:
Medication may be needed to relieve symptoms and heal any damage to the esophagus. Many medications for GERD are available over-the-counter and by prescription.
Your child's doctor may recommend the following:
Surgery or endoscopy may be recommended for
more severe cases. It may be considered if lifestyle changes and medications do not work.
The most common surgery is called
fundoplication. During this procedure, a part of the stomach will be wrapped around the stomach valve. This makes the valve stronger. It should prevent stomach acid from backing up into the esophagus. This surgery is often done through small incisions in the skin.
There are no current guidelines to prevent GERD.
GI Kids—North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition
National Institute of Diabetes and Digestive and Kidney Diseases
Canadian Digestive Health Foundation
About Kids Health—The Hospital for Sick Children
Gastroesophageal reflux (GER) and gastroesophageal reflux disease (GERD) in children and adolescents. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at:
http://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/ger-and-gerd-in-children-and-adolescents/Pages/facts.aspx. Updated August 2006. Accessed May 10, 2013.
Gastroesophageal reflux disease (GERD). EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated May 9, 2013. Accessed May 10, 2013.
Pediatric GE reflux clinical practice guidelines.
J Pediatr Gastroenterol Nutr.
Treating GERD. Ohio State University Medical Center website. Available at:
Accessed May 10, 2013.
5/12/2015 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: National Collaborating Centre for Women's and Children's Health. Gastro-oesophageal reflux disease: recognition, diagnosis and management in children and young people. London (UK): National Institute for Health and Care Excellence (NICE); 2015 Jan 14. 34 p. (NICE guideline; no. 1). Available at: http://www.guideline.gov/content.aspx?id=48992#Section420. Accessed May 12, 2015.
Last reviewed January 2015 by Kari Kassir, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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