The first-line treatment for GERD is lifestyle changes. Babies who spit up often may benefit from being in an upright position or stroller for the first hour or so after feeding. Feeding smaller, more frequent amounts can also be helpful so long as your baby continues to gain weight. Children with GERD may benefit from avoiding fatty or fried foods. Other foods that have been associated with worsened GERD include peppermint, caffeine such as in soda, or tomato-based foods. If a food seems to worsen your child’s reflux or heartburn, keep it out of the diet for a week or 2 and then try it again. If symptoms come back with that food, it is best to avoid that food for a while. Medications are sometimes prescribed to treat GERD in infants and children, such as histamine 2 receptor agonists such as ranitidine. A recent review in this month’s JAMA Pediatrics suggests that evidence supporting the use of these medications is not strong and that further research on safety and effectiveness is needed.