GER-Management Guidelines


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Judy J. Davis, M.D., F.A.A.P.

1095 E Warner Ave #102

Fresno, CA 93710

(559) 412-8184 Fax (559) 438-1174


1.Eating smaller meals more frequently. Instead of eating 2-3 large meals a day, eat 5 small meals a day. Over eating at a meal will increase reflux.

2.Do not lay flat within 2 hours of eating a meal. Laying down with your stomach full of food will often lead to reflux.

3.Elevate the head of the bed 46 inches at night. You can use books, bricks, or wood under the head of your bed. Using extra pillows usually doesn’t help.

4.Avoid caffeine (coffee, tea, chocolate) and mints. These weaken the lower esophageal sphincter and increase reflux.

5.If spicy foods, acidic foods (citrus fruit, tomatoes), fatty foods and carbonated beverages worsen reflux symptoms, try to avoid these "trigger" foods.

6.Avoid tight clothing as the pressure on the abdomen increases reflux.

7.Avoid cigarette smoke. Smoke weakens the lower esophageal sphincter and increases reflux.

8.Maintain normal weight. Being over weight can increase reflux.

9.Don't exercise vigorously within 2 hours of a meal.

Judy Davis, MD, FAAP

Fellow American Academy of Pediatrics

Fellow Sub-Board American Academy of Pediatric Gastroenterology

American Board of Nutrition

Clinical Professor, Department of Pediatrics, University of California, San Francisco

Revised 10/16

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