As a parent, it is your job to teach your child to care for her personal needs. You probably see it as your job to encourage your child to brush her teeth to prevent cavities. When your child needs to take daily reflux medication or adhere to a special diet, you also need to teach her to care for her special medical needs. A parent will need to mix and measure medication but a preschooler can certainly put a sticker on a chart to indicate that she had her dose. An older child may need guidance and oversight to become increasingly independent with self care. My daughter pairs taking medication with brushing her teeth so she seldom needs a reminder (i.e. nagging) from mom. My children have learned through trial and error that carrying their own snacks and water bottle ensures that they always have something to eat that doesn't trigger symptoms when they are out. This didn't just happen overnight. At first, I carried the snacks in my purse and kept a stash in the van. Gradually, they started carrying their own supply of food. Now they are in control of the entire process.

Communication

Your family will need to communicate have an ongoing discussion about needs and concerns about home care and medical treatment. As your child gets older or the medical needs change, family members may need to take on new roles. A young child may have a fairly stable routine at home. As she gets older, you and your child may need to plan for special occasions such as camp or an overnight visit away from home. It may be helpful to include the doctor in the process. For instance, if your teen declares that he isn't going to follow the reflux diet anymore, it may be helpful to have the doctor weigh in on the discussion.

A Better Outcome for all

Clearly, following the treatment plan will ensure a better medical outcome. Over time, you and your family will find ways to integrate parenting and reflux management. You will both learn new skills and overcome obstacles. Your child will learn to care for his/her needs and increase independence. It will still seem unfair to you and your child that you have to deal with a chronic medical condition. But reflux and care giving will be woven into your parenting, teaching you and your child how to cope and stay healthy.