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What to Do If Your Child Complains of Heartburn

Apr 16, 2025
young girl around the age of 5 with a burger in her hands as she smiles at the camera

Did you know that one of the most common causes of chest pain in children is actually heartburn? Many people think heartburn is something only adults experience, but it's becoming increasingly common among kids. In fact, it's one of the top reasons children complain of chest discomfort.

What Is Heartburn?

Heartburn occurs when stomach acid flows back into the esophagus, causing an uncomfortable burning sensation behind the breastbone. This condition is part of a larger issue called Gastroesophageal Reflux Disease (GERD), which can cause a range of symptoms. While heartburn may feel alarming, especially for kids, it’s not related to heart problems.

Recognizing the Symptoms of Heartburn in Children

If your child is complaining of chest pain or discomfort, it might be related to heartburn. In addition to chest pain, other symptoms of GERD can include:

  • Stomachaches or nausea
  • A hoarse or scratchy throat
  • Sour burps
  • Coughing at night
  • Vomiting

These symptoms can be triggered by fatty foods, large meals, stress, or even lying down right after eating. If you notice any of these signs, it's important to address them early to help your child feel better.

Why Do Kids Get Heartburn?

Many children enjoy spicy foods like hot sauce, salsa, and "hot chips" or "hot popcorn," and these foods can contribute to heartburn. But there are other common culprits that might surprise you, including:

  • Fried foods like chicken nuggets or French fries
  • Junk foods such as doughnuts and other sugary snacks
  • Carbonated drinks, coffee, tea and caffeinated energy drinks
  • Acidic foods like orange juice and tomato-based sauces
  • Peppermint and gum
  • Certain medications, including ibuprofen

Prevention and Managing Heartburn

  • Limit trigger foods like spicy, fried or acidic foods and look to incorporate more fruits and vegetables. Huge offenders we see often are spicy rolled tortilla chips and extremely hot cheese-flavored snacks.
  • Encourage your child to eat smaller meals throughout the day rather than large meals. This can help prevent the stomach from becoming too full, which can trigger heartburn.
  • Avoid skipping meals. Skipping meals can lead to overeating later, which can trigger acid reflux.
  • Regular physical activity and drinking plenty of water can help improve digestion and reduce the chances of heartburn.
  • Stress can also contribute to heartburn, so finding ways to help your child relax can be beneficial, whether it’s through hobbies, quiet time or relaxation techniques.

Medications and Treatment

There are over-the-counter medications that can provide temporary relief for heartburn but always check with your pediatrician before giving your child any medications. Your doctor can guide you in choosing the right treatment and may recommend changes in diet or lifestyle to prevent heartburn from recurring.

When to Seek Medical Help

If your child is experiencing frequent or severe heartburn symptoms, it's a good idea to consult with your pediatrician. While there are many medications, such as acid blockers and reducers, that can help manage symptoms, it’s important to rule out other potential causes first. If this is the first time your child has experienced heartburn-like symptoms, keeping a record of what they’ve eaten and when the symptoms occur can be helpful for the doctor.

Providing details about your child’s eating habits (for example, if your family often relies on fast food) can give your doctor valuable insight into lifestyle changes that may help prevent heartburn in the future.

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Nationwide Children's Hospital Medical Professional
Sini James, MD
Primary Care

Sinimol James, MD, is a physician in the Section of Primary Care Pediatrics at Nationwide Children's Hospital. Dr. James works at the main campus urgent care as well as the primary care clinic.

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Pediatric News You Can Use From America’s Largest Pediatric Hospital and Research Center

700 Children’s® features the most current pediatric health care information and research from our pediatric experts – physicians and specialists who have seen it all. Many of them are parents and bring a special understanding to what our patients and families experience. If you have a child – or care for a child – 700 Children’s was created especially for you.