Which treatment strategies are used for pediatric patients with GERD?

In the management of pediatric patients with gastroesophageal reflux disease (GERD), limiting food volume and avoiding play after eating are essential strategies. Reducing the quantity of food consumed during meals can help decrease the pressure on the lower esophageal sphincter, thereby minimizing the likelihood of reflux episodes. When children engage in physical activity immediately after eating, it can contribute to increased abdominal pressure, which may exacerbate reflux symptoms.

By allowing a period of rest after meals, the digestive process can occur more effectively and reduce instances of regurgitation. This approach promotes better digestion and can provide relief from GERD symptoms, making it a commonly recommended strategy in pediatric care.

The other strategies, such as frequent large meals, are less favorable due to the potential for increased reflux risk. Increased physical activity, while generally beneficial, should be timed carefully relative to meals to avoid exacerbating reflux symptoms. Similarly, while maintaining an upright position can help after meals, prolonging it excessively without consideration can lead to discomfort. Overall, limiting food volume and avoiding play after eating directly align with the goal of reducing reflux symptoms in children.