IngentaConnect Dietary Therapy in Gastroesophageal Reflux Disease: From Infancy ...

Authors: Khubchandani, Sanjay¹; Tolia, Vasundhara¹

Source: Current Nutrition & Food Science, Volume 1, Number 2, June 2005 , pp. 129-134(6)

Publisher: Bentham Science Publishers

Abstract:

Gastroesophageal reflux (GER) is usually a self-resolving phenomenon during infancy, however, some intervention is frequently needed to allay parental anxiety and stress. Older children and adolescents need dietary advice in addition to pharmacologic intervention because they are more likely to have gastroesophageal reflux disease.

Management depends on the age and severity of the child's symptoms. In infants with mild symptoms, attention to feeding technique, volume, frequency, use of pre-thickened formula and an upright position for at least 30 minutes after a feeding may suffice. If food allergy is suspected, a 2-4 week trial of a hydrolysed formula may be appropriate.

Older children and adolescents may benefit from a combination of dietary and lifestyle measures.Encouraging small, frequent meals and avoidance of foods identified to cause symptoms is an obvious consideration. In presence of obesity, weight loss may improve GER symptoms. Since unnecessary dietery restrictions impair the quality of life for patients and parents, a rational, nutritional therapeutic approach is recommended.

Keywords: gastroesophageal reflux (ger); lower esophageal sphincter (les); caucasian infants; dietary measures; hypoallergenic formula; heartburn; esophageal contractility

Document Type: Review article

DOI: 10.2174/1573401054022664

Affiliations: 1: Director of Gastroenterology and Nutrition, Childrens' Hospital of Michigan, Wayne State University, 3901 Beaubien Blvd, Detroit, MI 48201, USA.

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Dietary Therapy in Gastroesophageal Reflux Disease: From Infancy to Adolescence