What Causes Pediatric GERD?
GERD is caused by the weakening of a muscle called the lower esophageal sphincter (LES). When you swallow, it contracts to prevent stomach contents from flowing back up, or regurgitating, into the esophagus. Certain foods, medications, and conditions can relax the LES, allowing acid to regurgitate. The American College of Gastroenterology recommends that your child avoid the following foods and beverages if he/she has GERD: Spicy, acidic, or tomato-based foods • Fatty foods • Citrus products (e.g., orange juice) • Apple juice (apples are fine) • Chocolate and licorice Caffeinated drinks (e.g., soda, coffee, tea, hot chocolate) All teenagers should also avoid smoking cigarettes and drinking alcohol. However, those with GERD have an added incentive, since these activities can worsen their symptoms. Gastroparesis , also known as delayed gastric emptying, may also contribute to GERD in children. When the stomach empties too slowly, it may cause bloating, increased acid secretion, and esoph
