Discharge Instructions for Pediatric Gastroesophageal Reflux Disease (GERD)

Discharge Instructions for Pediatric Gastroesophageal Reflux Disease (GERD)

Your child has been diagnosed with gastroesophageal reflux disease (GERD). GERD is a backflow of acid from the stomach into the swallowing tube (esophagus).

Home Care


When to Call Your Doctor

Call your doctor immediately if your child has any of the following:

  • Fever:

    • In an infant under 3 months old, a rectal temperature of 100.4°F (38.0°C) or higher

    • In a child 3 to 36 months, a rectal temperature of 102°F (39.0°) or higher

    • In a child of any age who has a temperature of 103°F (39.4°C) or higher

    • A fever that lasts more than 24-hours in a child under 2 years old, or for 3 days in a child 2 years or older

    • A seizure caused by the fever

  • Trouble breathing

  • Wheezing or coughing

  • Bloody spittle or drool

  • Choking

  • Trouble gaining weight

  • Trouble drinking or swallowing

  • Not breathing


If your child has trouble breathing, call 911 (emergency) immediately.

  • Burp your child frequently during feeding.

  • Keep your child upright as much as possible during feedings and for about 30 minutes after the feeding is over.

  • Feed your baby more often and in smaller amounts.

  • Give your child medications exactly as directed by your doctor.

  • Ask your doctor or nurse about products to thicken your child’s formula. Thicker formula stays in the stomach longer.

  • Talk to your doctor about surgical options. If medications and changes in feeding don’t relieve symptoms, surgery may be necessary.

  • Keep a log that details how much formula or breast milk your child takes in each day. Review the log at your next appointment with your doctor.


  • Make a follow-up appointment as directed by our staff.