20 Tips Home Remedies for Acid Reflux Disease or GERD

The Best Home Remedy to keep Acid Reflux at bay is eating a healthy diet that minimizes the production of stomach acid.

However, if you treat GERD with natural remedies, you get a more permanent solution because they heal the damage caused by refluxed stomach acid and also help restore the esophageal tissues to health. By treating these underlying causes, natural remedies will not only relieve the pain, they will also assure that the condition does not return.

1. Drink a glass of Fat Free Milk.

Drinking small amounts of chilled skim milk every one to two hours will ease the burning sensation associated with acid reflux.

2. Drink water.

Drink plenty of water throughout the day, especially after eating a meal or snack. Water will help the lower esophageal sphincter form a tight seal over the stomach by washing any food particles away.

3. Chew almonds.

A few almonds, taken in the morning and/or after meals, chewed very well, have been hailed as the new miracle treatment for acid reflux by some people.

4. Chamomille or fennel tea.

The soothing effects of chamomile or fennel tea are also known to provide acid reflux relief. The tea should best be sipped, not gulped, and should be of a moderate temperature, not too hot or cold.

5. Eat an apple.

Eating an apple after a meal has also been found to alleviate acid reflux. Choose organic apples and chew well.

6. Candied ginger.

Chew a piece when you're feeling the acid reflux kick in. You can also put a piece of candied ginger in your tea and let it sit for a bit before drinking it if you don't like eating candied ginger.

7. Apple cider vinegar.

Swallow two to three table spoons undiluted for an acute attack, or dissolve the same amount in warm water to drink to prevent acid reflux from recurring.

Look for organic apple cider vinegar with the "mother" in it. It looks like stringy globs of stuff floating around. This sounds disgusting, but the mother contains enzymes that can help with healing. Bragg's Apple Cider Vinegar, available at natural food stores, is usually recommended.

Shake up the apple cider vinegar to distribute the mother throughout the vinegar, and take one tablespoon before every meal. It can work in as little as three days, but usually it takes three to nine months to completely get rid of heartburn symptoms.

8. Papaya enzyme.

Available in the form of papaya enzyme pills, this enzyme has helped end acid reflux symptoms for some people.

9. Aloe.

Despite its consistency which takes some getting used to, aloe juice also is some acid reflux patients favorite remedy.

Aloe vera juice has been used in Europe for many years as a natural remedy for acid reflux. A quarter cup taken about 20 minutes before eating will help to soothe an irritated, inflamed esophagus.

Don't try to squeeze the gel out of the leaves if you have an aloe vera plant, as it contains aloe latex, which is a powerful laxative. Buy only aloe vera juice or gel that specifically says it's for internal use. It can be found at natural food stores.

10. Chew gum.

After your meals, chew sugarless gum for 30 minutes. This stimulates saliva production which in turn like water that you drink dilutes the contents of your stomach and helps wash down anything from your esophagus into your stomach.

11. Licorice

Deglycyrrhizinated licorice, or DGL, helps to stop heartburn by stimulating the production of the protective mucus that lines the digestive tract. This helps to protect the esophagus from stomach acid. It also boosts the immune system and is a very strong anti-inflammatory.

Take two 250-milligram capsules before each meal. Instead of taking DGL with water, it's best to suck on the capsules and let them slowly dissolve in the mouth. This helps the DGL to cover the inflamed tissues in your throat and esophagus.

It can take about four weeks to work, so don't give up too soon.

12. Ginger

Ginger is a very effective herb for digestive problems. It works by relaxing the smooth muscles on the esophagus walls, which helps to prevent acid reflux. You can use powdered ginger or fresh ginger root. Both are readily available at the supermarket.

If you're using ginger capsules, take two capsules twenty minutes before eating. Or you can make tea from the ginger root or the powder. Candied or pickled ginger is very effective, too.

Ginger can be too strong for people with sensitive stomachs. In this case, try ginger tincture. Dissolve 15 drops in a half-cup of water and drink it. If it's not strong enough, you can increase the dose up to 60 drops, but it's always better to start with a smaller dose first.

13. Glutamine

The last on the list of natural remedies for acid reflux is glutamine. This amino acid is an anti-inflammatory that reduces the irritation that goes along with heartburn. It works by encouraging the production of new cells in the gastrointestinal tract, while helping to dispose of damaged cells. Faster healing of irritated tissue in the digestive tract is the result.

14. Drink herbal tea made.

Drink herbal tea made with fennel seeds, lavender, and aniseed. To prepare the herbal tea, boil these ingredients in water, strain it into a glass, and add some honey to it.

Herbal tea is taken at night before going to sleep or at any time of the day to reduce acid reflux heartburn.

15. Honey

Swallow a few teaspoons of honey, especially before going to bed. Honey has been used as a healing agent for centuries. It coats the esophageal lining, protecting the damaged tissues from infection and soothing the pain.

16. Pineapples

Pineapple is an effective natural remedy for acid reflux (Sklar and Cohen, 2003). Pineapples contain an enzyme called bromelain among other proteases that are able to breakdown proteins, thus improving digestion and speeding up the natural healing process for acid reflux. Bromelain is only present in raw pineapple or in freshly made pineapple juice. Canned or bottled pineapple juice has bromelain that has been inactivated by heat, so it does not work. Actually, canned or bottle pineapple juice can make acid reflux worse.

17. Chicory Root Tea

Users of chicory root tea recognize it as an herbal remedy for acid reflux. Johnson (2001) mentions chicory as one of the effective herbal remedies against digestive problems such as dyspepsia. Half cup of chicory root should be boiled for 5 to 10 minutes. After cooling the tea is ingested to relieve acid reflux symptoms.

18. Grapefruit

Another natural remedy for acid reflux is grapefruit skin. Evidence of grapefruit skin as an herbal remedy is completely anecdotal so please use your judgment or ask your doctor. Grapefruit skin is dried and then chewed to alleviate acid reflux symptoms. Maybe the effect of this herbal remedy is due to the stimulation of the digestive system because of the chewing action. Organically grown grapefruits is preferable.

19. Lemon Balm

This herb has the homeopathic power to relax and sedate a nervous stomach when used as an infusion or tincture.

20. Peppermint

A nervous stomach and nausea can be treated when you add 15 grams of dried peppermint to 2 cups of water to create an effective infusion recipe. New mothers should refrain from this approach when breastfeeding because this remedy has been known to reduce milk flow.


When looking for ways to treat GERD permanently, the most important thing you can do is learn. You need to learn what is happening to your body and how your digestive tract works. By learning these things, you will have a much better chance of successfully treating this disease.

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Acid Reflux During Pregnancy

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Gastroesophageal reflux disease occurs in up to 50% of pregnant women. Many women experience heartburn for the first time during pregnancy — and though it's common and generally harmless, it can be quite uncomfortable.

Heartburn (also called acid indigestion or acid reflux) is a burning sensation that often extends from the bottom of the breastbone to the lower throat. It's caused by some of the hormonal and physical changes in your body.

During pregnancy, the placenta produces the hormone progesterone, which relaxes the smooth muscles of the uterus. This hormone also relaxes the valve that separates the esophagus from the stomach, allowing gastric acids to seep back up, which causes that unpleasant burning sensation. Additionally, the growing fetus causes an increase in intra-abdominal pressure, resulting in an increase in the development of reflux.

Progesterone also slows down the wavelike contractions of your esophagus and intestines, making digestion sluggish. Later in pregnancy, your growing baby crowds your abdominal cavity, pushing the stomach acids back up into the esophagus.

Many women start experiencing heartburn and other gastrointestinal discomforts in the second half of pregnancy. Unfortunately, it usually comes and goes until your baby is born.

It can be tough when you get pregnant. Acid reflux during pregnancy can be one problem that you will have to take care of. The discomforts are common when you are pregnant and some time you may even get pain. You can not use medicine since you are now pregnant. Most of medicines are not tested to the pregnant ladies to prove their safety. They can not do that. You have to bear in mind that using medicines is not safe.

What Causes Acid Reflux During Pregnancy?

Acid reflux during pregnancy can make it difficult for you to get the nutrition you need for yourself and your growing baby. The causes of acid reflux during pregnancy include changes in your hormone levels, the position of your internal organs and your dietary habits. What causes acid reflux during pregnancy.

1. Prenatal Vitamins. Taking prenatal vitamins may irritate your throat and stomach and cause you to have acid reflux.
2. Hormones. Heartburn during pregnancy occurs for a number of reasons. Increased levels of hormones in your body while pregnant can soften the ligaments that normally keep the lower esophageal sphincter (LES) tightly closed. If the LES relaxes at inappropriate times, food and stomach acids can reflux back up into your esophagus and throat. Also more pressure is put on your stomach as your body changes and your baby grows. This, in turn, can force stomach contents through the LES and into your esophagus.
3. Foods. Your food cravings during pregnancy may cause acid reflux, especially if you eat greasy, fatty or spicy foods.
4. Caffeine. Although you may not be drinking coffee while pregnant, the caffeine in chocolate, hot cocoa and black tea may cause you to have acid reflux.
5. Eating Too Much. During pregnancy, the capacity of your stomach is smaller and acid reflux may result from eating too much at once.
6. Fetal Position. The position of your baby may trigger your acid reflux, especially once your baby turns head down and the feet push into your ribs.
7. Uterine Growth. As your uterus gets larger in the last few months of pregnancy, it pushes your other internal organs into a smaller amount of space, resulting in acid reflux.
   

source : Mayo Clinic

How to prevent or Treat Acid Reflux during Pregnancy?

What can be done to prevent or treat gastroesophageal reflux disease in pregnancy? Lifestyle modifications can prevent increases in intra-abdominal pressure and decreases in lower esophageal sphincter pressure that promote reflux. Here's a list of both ways to prevent and treat gastroesophageal reflux in pregnancy. Though you may not be able to eliminate heartburn completely, you can take some steps to minimize your discomfort.

1. Don't eat foods that are known heartburn triggers. These include chocolate, citrus fruits and juices, tomatoes and tomato-based products, mustard, vinegar, mint products, and spicy, highly seasoned, fried, and fatty foods. For a complete list of foods to avoid, check out this chart. For foods that have a low risk of causing heartburn, check out this chart.
2. Avoiding caffeine (coffee, tea, cola), chocolate and peppermints. These food groups all lead to a decrease in lower esophageal sphincter pressure.
3. Avoid alcohol. Alcohol relaxes the LES. Read the article on alcohol and heartburn for more information.
4. Chewing gum. This increases saliva production and swallowing frequency, which can help clear away acid that has refluxed from the stomach into the esophagus. A clear reduction in acidic esophageal reflux has been documented in patients who chewed sugar-free gum for 30 minutes after a meal.
5. Avoid drinking large quantities of fluids during meals — you don't want to distend your stomach. (It's important to drink eight to ten glasses of water daily during pregnancy, but sip it between meals.)
6. Eating frequent, small meals. Eating smaller meals empties the stomach more rapidly. Eating more frequently increases stomach contractions. If the stomach is contracting and empty this will decrease the incidence of reflux. After meals, pregnant women are not supposed to lie down.
7. Don't eat close to bedtime. Give yourself two to three hours to digest before you lie down.
8. Don't rush through your meals. Take your time eating, and chew thoroughly.
9. Wait at least three hours after your last meal before going to bed.
10. It's important to drink plenty of water during pregnancy (8-10 glasses daily) along with other fluids, but don't drink these only at mealtimes. Large quantities of fluids can distend your stomach, putting more pressure on the LES and forcing it to open inappropriately. Drink some of your fluids in between meals.
11. You need to make your head higher than your body. Use the wedge pillow or elevate the head of your bed 6-8 inches higher. This means the two feet of your upper part must be elevated while sleeping. This will allow gravity to work for you and it will help keep your stomach acids where they should be--in your stomach and not in your esophagus. Acid reflux during pregnacy can be greatly reduced by the right sleeping position in the pregnant women. Studies have documented that, as compared with patients who sleep flat on their backs, patients who elevate the head of the bed have significantly fewer reflux episodes, and when they do, the episodes that do occur are shorter and produce generally milder symptoms.
12. Occasionally, reclining chair may be needed if you want a day nap.
13. Wear loose, comfortable clothing. You need to avoid any tightness around your waist and stomach.
14. Bend at the knees instead of at the waist. Bending at the waist puts more pressure on your stomach.
15. Lying on one's left side at night. Sleeping on the left side as opposed to the right side may reduce the frequency and duration of reflux episodes in patients prone to symptoms during the night. It is felt that there are more frequent episodes of decreases in lower esophageal sphincter pressure when patients lie on the left side as opposed to the right side.
16. Gain a sensible amount of weight and stay within the guidelines your doctor suggests. Too much of a weight, and obesity, puts more pressure on your stomach, and can force stomach contents through the LES and into your esophagus.
17. Don't smoke. While your doctor may urge you break the habit because you're pregnant, smoking can also increase your odds of experiencing heartburn. Read about smoking and heartburn to find out the reasons smoking increases heartburn.
18. You should always check with your doctor before taking any over-the-counter remedies while pregnant, but there are a few choices you have that can help eliminate heartburn.
19. You can try Rolaids, Maalox or Tums. However, anything that contains sodium bicarbonate can cause fluid retention and should only be used under the supervision of a physician. During the third trimester, any antacid that contains magnesium should be avoided because they have been known to interfere with contractions.
20. Antacids such as Mylanta and Maalox are effective and very safe as they are not absorbed into the bloodstream.
21. H2 blockers Zantac, Pepcid and Tagamet are effective. These medicines include Pepcid AC and Zantac. While they are absorbed into the bloodstream, studies have not revealed any adverse effects on the developing fetus. H2 receptors work by shutting off the production of acid in the stomach and are effective in cases of mild reflux. H2 receptors: They are relatively inexpensive and provide longer-lasting relief than antacids. Women take them a half-hour before meals or at bedtime.
22. Proton pump inhibitors Nexium, Aciphex and Prevacid should be used only in severe cases that are not responsive to H2 blockers. While they are felt to be safe, there are no long-term studies available confirming this.
    

In most cases, acid reflux is easily treated, even in pregnancy. If there are however, more refractory symptoms that result in complications such as gastrointestinal bleeding, difficulty swallowing or weight loss, your obstetrician may refer you to a gastroenterologist. Other conditions such as gallbladder disease, pancreatitis or even cancers of the esophagus and stomach can mimic gastroesophageal reflux disease.

Beware of:

* Tomatoes and Related Sauces (Pizza, Spaghetti, etc.)

* Ketchup

* Mustard

* Horseradish

* Salad Dressings

* Vinegar

* Fried Foods

* Caffeine

* Coffee and Tea (Even decaffeinated products can instigate acid production).

* Chocolate

* Citrus Juices/Foods

* Caffeine

* Products flavored with peppermint (candy, cocoa, etc.)

* Processed Meats

* Cream Sauces (Alfredo)

* Alcohol and Tobacco (Of Course)

Pregnancy is something to be celebrated but it can also be an overwhelming state. If you arm yourself with these remedies for acid reflux during pregnancy you’ll be prepared regardless of what Mother Nature throws your way.

Remember that an increased incidence of GERD episodes during pregnancy is quite common and there are many preventative measures that you can take to avoid those annoying and painful occurrences. The changes may seem small but, collectively, they will make a big difference.

Reflux Medications Taken During Pregnancy Linked to Asthma in Children
By : Jan Gambino

A new study indicates that moms who took reflux medications during pregnancy may increase the risk of having a child with asthma symptoms. The study, presented at the American Academy of Allergy, Asthma and Immunology this week examined the health records of 30,000 children. It was found that mothers who took prescription reflux medications such as H2 blockers (Zantac, Axid, Pepcid, and Tagament) and Proton Pump Inhibitors (PPI's) such as Nexium, Prevacid, Prilosec, and Aciphex were significantly more likely (51%) to have a child with asthma symptoms such as wheezing. The study did not look at the effect of taking over the counter antacid medications.

It is estimated that approximately half of all pregnant mothers experience reflux symptoms during pregnancy. However, my own survey of moms indicates that the statistic is closer to 100%! My small frame combined with over sized babies gave me my first real experience with what heartburn and reflux felt like. I remember eating like a bird and propping up my pillows at night so I could sleep. Along with stretch marks and hormone swings, I accepted heartburn as part of the package deal.


Sources:

- "Healthy Pregnancy - Pregnancy - Pregnancy Basics." U.S. Department of Health & Human Services. 21 Jan 2007

- "Heartburn, Hiatal Hernia, and Gastroesophageal Reflux Disease (GERD)." NIH Publication No. 03­0882 June 2003. NIH Publication No. 03­0882 June 2003. National Digestive Diseases Information Clearinghouse (NDDIC). 21 Jan 2007

- remedyforheartburn.
- healthcentral
- foxnews
- babycenter
- acid-reflux-tips

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Infant Acid Reflux Alternative Treatments

GInfants are being diagnosed and treated for reflux at an alarming rate these days. Prior to, or in addition to medicating your baby you may want to try some alternative treatments for infant reflux.



Positioning as an alternative treatment for infant reflux

Positioning is one alternative treatment that even Western Medicine recognizes. When feeding, the baby should be as upright as possible with a straight spine. Ideally the baby should be in this position for 30-60 minutes after feeding and while sleeping. Find out about reflux wedges that make this an easy task. We especially love the feeding and sleeping wedge combination. During the middle of the night feed the baby upright on a feeding wedge and then put him on a sleeping wedge. You go right back to sleep rather than holding him upright for 60 minutes!

Infant massage as an alternative treatment for infant reflux

In addition to general relaxation, it is believed that massage stimulates the vagus nerve. The vagus nerve increases peristalsis which assists in digestion. Seek a certified Infant Massage Instructor. When practicing massage, be sure to start slowly and listen to your baby. Never attempt to massage a baby without first referring to a book on infant massage. This is also a great way to calm a baby with infant reflux.

Craniosacral or Chiropractor visits as an alternative treatment for infant reflux

It is believed that the process of being carried in the womb or the process of birth (namely C-section or very quick vaginal delivery) can cause imbalances in the central nervous system. Craniosacral treatments are very light fingertip adjustments that correct restrictions in the membranes surrounding the brain and spinal cords. Chiropractor adjustments on infants are also very gentle adjustments on certain parts of the spine typically using a single fingertip or small tool to correct the vertebras positioning and allow the nerve pathways to function efficiently. I have heard of these treatments working with great success for some and with limited to no success for others. We saw moderate improvement in my son's infant reflux.

Slippery Elm as an alternative treatment for infant reflux

Slippery Elm has been used in traditional Chinese medicine as a treatment for gastrointestinal symptoms. It works by coating and soothing the gastrointestinal tract and throat. The theory is that this helps prevent burning that stomach acid can cause. The powder can be brewed into a tea and the capsules can be mixed in with applesauce once your baby begins to eat solids. See www.ajc.com for dosing guidelines and more background information. Because it is so mucilaginous it should not be offered at the same time as other medications. I used this with my son and believe it to be helpful. Please note this will not affect the frequency or amount your baby spits up but it helps to make him more comfortable when it does happen, much like an antacid or an H2RA.

Other alternative treatment mentions

I have heard of the following alternative treatments for infant reflux, although I have no experience with them:

• Mastica
• Aloe Vera juice
• Licorice
• Kinesiology
• Accupuncture
  

Resource:
- Pollywog

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Infant Acid Reflux Disease

Infant acid reflux occurs when acids and other materials in the stomach flow back into the esophagus. The esophagus is a muscular tube that connects the throat with the stomach. Normally, the esophagus contracts to move food from the throat into the stomach. A tough rim of muscle, called the esophageal sphincter, opens to allow food out of the esophagus, and then contracts tightly to prevent it from re-entering the esophagus. In infant acid reflux, the esophageal sphincter does not work properly, and the acid flows backwards into the esophagus, causing the infant discomfort. Acid reflux is not at all uncommon in infants--up to have of all babies may experience it occasionally.

Most of these babies are healthy and require no special medical intervention. Symptoms of occasional infant acid reflux may include spitting or vomiting, coughing, occasional fussiness or crying after eating (acid reflux can cause an unpleasant burning sensation in the chest and throat), and reluctance to feed due to discomfort.

What Are the Symptoms of Acid Reflux in Infants and Children?

The most common symptoms are:

• Frequent or recurrent vomiting
• Heartburn, gas, abdominal pain, or colicky behavior (frequent crying and fussiness)
• Regurgitation and re-swallowing
• Spitting up or gulping with a painful look on the face, as if heartburn
• Irritability during or after feedings
• Projectile vomit, sometimes out the nose
• Sour breath
• Persistent hiccups or cough
• Excessive fussiness, crying or colic
• Sudden bursts of painful crying
• Poor day and/or nighttime sleep habits
• Constantly wants to nurse or refuses to nurse
• Poor feeding habits - arches back, pulls up legs, stiffens or screams while feeding or refuses to eat while still hungry
• Prefers upright or inclined positions
• Always wants to be held

In young infants and children, some problems may be associated with GERD and include:

• Colic (frequent crying and fussiness)
• Feeding problems
• Recurrent choking or gagging
• Poor growth
• Breathing problems
• Recurrent wheezing
• Recurrent pneumonia
  

When to see a doctor?

Normal infant acid reflux doesn't interfere with a baby's growth or well-being. Contact your baby's doctor if your baby:

• Isn't gaining weight
• Spits up forcefully, causing stomach contents to shoot out of his or her mouth
• Spits up more than a tablespoon or two at a time
• Spits up green or brown fluid
• Resists feedings
• Is irritable after feedings but improves when held upright
• Has fewer wet diapers than normal or appears lethargic
• Has other signs of illness, such as fever, diarrhea or difficulty breathing
  

Some of these signs may indicate more serious conditions, such as gastroesophageal reflux disease (GERD) or pyloric stenosis. GERD is a severe version of reflux that can cause pain, vomiting and poor weight gain. Pyloric stenosis is a rare condition in which a narrowed valve between the stomach and the small intestine prevents stomach contents from emptying into the small intestine.

What causes Acid Reflux in infants ?

Reflux in infants is due to a poorly coordinated gastrointestinal tract. Many infants with the condition are otherwise healthy; however, some infants can have problems affecting their nerves, brain or muscles.

Normally, the ring of muscle between the esophagus and the stomach (lower esophageal sphincter) relaxes and opens only when you swallow. Otherwise, it's tightly closed — keeping stomach contents where they belong. Until this muscle matures, stomach contents may occasionally flow up the esophagus and out of your baby's mouth. Sometimes air bubbles in the esophagus may push liquid out of your baby's mouth. In other cases, your baby may simply drink too much, too fast.

Tests and Diagnosis

Diagnosis of infant acid reflux is typically based on your baby's symptoms and a physical exam. If your baby is healthy, content and growing well, tests and treatment aren't usually needed.

If your baby's doctor suspects a more serious condition, such as GERD, diagnostic tests may include:

1. Lab tests. Your baby's doctor may do various blood and urine tests to identify or rule out possible causes of recurring vomiting and poor weight gain.
2. Esophageal pH monitoring. To determine if irritability, sleep disturbances or other symptoms are associated with reflux, it may be helpful to measure the acidity in your baby's esophagus. The doctor will insert a thin tube through your baby's nose or mouth into the esophagus. The tube is attached to a device that monitors acidity. Your baby may need to remain in the hospital for the monitoring, which often lasts 24 hours.
3. Barium swallow or Upper GI series. If the doctor suspects a gastrointestinal obstruction, he or she may recommend a series of X-rays known as an upper gastrointestinal (GI) series. Before the X-rays, your baby may drink a white, chalky liquid (barium). The barium coats the stomach, which helps any abnormalities show up more clearly on the X-rays.
4. Upper GI Endoscopy. Your baby's doctor may use this procedure to identify or rule out problems in the esophagus, such as narrowing (stricture) or inflammation (esophagitis). The doctor will insert a special tube equipped with a camera lens and light through your baby's mouth into the esophagus, stomach and first part of the small intestine. Samples of any suspicious areas may be taken for analysis. For infants and children, endoscopy is usually done under general anesthesia.
   
5. Gastric emptying study. During this test, the child drinks milk or eats food mixed with a safe radioactive chemical. This chemical is followed through the gastrointestinal tract using a special camera.
   

Treatments and drugs for Infant Acid Reflux

Most cases of infant acid reflux clear up on their own. Treatment is typically limited to simple changes in feeding technique — such as smaller, more frequent feedings, interrupting feedings to burp or holding your baby upright during feedings. If you're breast-feeding, your baby's doctor may suggest that you avoid cow's milk or certain other foods. If you feed your baby formula, sometimes switching brands helps.

For babies who have severe infant acid reflux or GERD, more aggressive treatment may be recommended.

1. Medication. If your baby is uncomfortable, the doctor may prescribe infant doses of medications commonly used to treat heartburn in adults. The two major pharmacotherapies are H2-blockers and proton pump inhibitors (PPIs), both of which are effective in decreasing acid secretion and have been used safely in children. H2-blockers include cimetidine (Tagamet), ranitidine (Zantac), famotidine (Pepcid) and nizatidine (Axid). PPIs include omeprazole (Prilosec), lansoprazole (Prevacid), pantoprazole (Protonix) or rabeprazole (Aciphex). Another group of drugs, prokinetics, can be prescribed to increase motility. These are usually given with medications that inhibit the acid. Examples are metaclopramide (Reglan) and cisapride (Propulsid). Antacids may be tried first in children with mild symptoms.
2. Alternative feeding methods. If your baby isn't growing well, higher calorie feedings or a feeding tube may be recommended.
3. Surgery. Rarely, the muscle that relaxes to let food into the stomach (the lower esophageal sphincter) must be surgically tightened so that less acid is likely to flow back into the esophagus. The procedure, known as fundoplication, is usually reserved for the few babies who have reflux severe enough to interfere with breathing or prevent growth. Although surgery can reduce GERD symptoms, the complications are potentially serious — including persistent gagging during feedings.
   

Resource:
- By Mayo Clinic staff
- Medicinenet.

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