Seek urgent care or call the pediatrician.

Nearest Clinic Continue

Is your child vomiting something that look like blood?

Yes No

Yes?

See doctor

What about something that look like coffee grounds?

Yes No

Seek urgent care or emergency room.

Nearest Clinic Continue

Think about your child's stools one more time

Were they black like tar?

Yes No

Seek urgent care or emergency room.

Nearest Clinic Continue

Were the child's stool maroon colored?

Yes No

Seek urgent care or call the pediatrician.

Nearest Clinic Continue

Does the child have difficulty swallowing with this heartburn?

Yes No

Yes?

See doctor. It might be worse than you think.

Ask your child:
Does it feel like food is stuck in the throat...

...as it goes down?

Yes No

Seek urgent care or call the pediatrician.

Nearest Clinic Continue

We had to rule out stomach or peptic ulcers.

Stomach or peptic ulcers require your child seek urgent care as soon as possible. No self care advised in this case. If this is not the case, let's continue

Now, how do you know your child has heartburn anyway? Let's find out.

Continue

Does the child belch frequently?

Yes No

Yes?

Is he or she always trying to throw up?

Yes No

Yes?

See doctor.

Any frequent hiccups lately?

Yes No

Yes?
There may be acid going back into the throat (aesophagus).

Continue

Ask the child:
Any sour taste in the mouth?

Yes No

Yes?
May be looking at GERD

Continue

Does the child get fussy when it is time to eat?

Not wanting to eat?

Yes No

Yes?
Suspect GERD. Let the doctor know about this.

Continue

Is he or she coughing more frequently than usual?

Yes No

Yes?

Any coughing fits at night or even wheezing?

Yes No

Seek urgent care or call the pediatrician.

Nearest Clinic Continue

Does the child complain of a sore throat in the morning?

Yes No

Seek urgent care or call the pediatrician.

Nearest Clinic Continue

What about rattling in the chest?

Yes No

Yes?

This can relate to GERD. Have your child see a doctor.

Is he or she currently experiencing burning pain in the chest?

Yes No

Yes?

What about pain that began behind the breastbone...

And moved upward to the neck and throat?

Yes No

Yes?
More than likely looking at heartburn.

Continue

Does the child experience pain that is worse after eating?

Yes No

Yes?
May be looking at heartburn.

Continue

Those describe the classic symptoms of GERD in children.

If you answered "No" to the questions so far your child may not have GERD.

If you feel your child has GERD, you will want to give the pediatrican a call as soon as possible for a more detailed evaluation.

Let's Continue.

Continue

Is he or she asthmatic?

Yes No

Seek urgent care or call the pediatrician.

Nearest Clinic Continue

Does the child feel like food is stuck in the throat as it goes down?

Or difficulty swallowing?

Yes No

Seek urgent care or call the pediatrician.

Nearest Clinic Continue

Has he or she lost some weight lately?

Yes No

Yes?

See doctor.

Is your child currently taking any of these class of medications?

Yes No

These medications can cause heartburn.

Discuss this with the doctor.

Continue

Alright. Let's get an over-the-counter recommendation for this heartburn.

Know that:
The most common symptoms of GERD in children is dry cough, wheezing or asthma symptoms and trouble swallowing. Compared to heartburn in adults.

Or would you like to visit the nearest urgent care?

Urgent Care Pharmacist