Jan Gambino, Patient Expert

Jan wrote for HealthCentral as a patient expert for Acid Reflux.

Careful Eating for Babies with Reflux

I believe children with reflux are careful eaters-eating a little here, a nibble there in an effort to control the reflux. Some call a child with reflux a picky eater but I believe a child with reflux is careful about eating so she can avoid discomfo...
Jan Gambino

Feeding Your Baby Enough But Not Too Much

There is a fine line between feeding your baby with Gastroesophageal Reflux enough but not too much. Most likely, you and the doctor track your baby’s growth on a growth chart. After weighing and measuring your baby at each check up, the doctor place...
Jan Gambino

Reflux Medication Associated with Magnesium Deficiency

The United States Food and Drug Administration (FSA) issued a safety announcement regarding the use of Proton Pump Inhibitor (PPI) medications. Long term use (one year or more) of PPI medications may cause low magnesium levels. The warning is only fo...
Jan Gambino

Ask the Reflux Mom: Autism and GERD Treatment Challenges

Dear Reflux Mom, I’m desperately seeking help for my 12 year old son with autism. My son was normally calm and quiet until the past few months when he became very restless, screaming and having severe tantrums, self injury behaviors and endless sleep...
Jan Gambino

Measuring Acid: pH Probe Options for Infants and Children

A doctor may need to measure the acid in the esophagus and stomach as part of his or her assessment of Gastroesophageal Reflux Disease (GERD). While the pH probe is the most common test used, there are other options available for some infants and chi...
Jan Gambino

Ask the Expert: Feeding Therapy Explained

Infants and children with reflux often face feeding challenges. For the most part, careful feeding and home care combined with a special diet or medication reduce or eliminate common feeding problems. A small number of infants and children have feedi...
Jan Gambino

Dizziness, Nausea and Reflux

Sometimes gastroesophageal reflux occurs by itself but it is also common for reflux symptoms to be packaged with other symptoms and conditions. You probably have the typical reflux symptoms such as heartburn, a bad taste in the mouth, the sensation o...
Jan Gambino

Teething and Infant Reflux

Teething always increased my daughter’s reflux symptoms. The new tooth caused the usual symptoms of drooling, fussiness and poor sleep. In addition, each new tooth triggered her reflux and caused more spit up, gagging and congestion than usual. Often ...
Jan Gambino

Cleft Lip/Palate and Infant Reflux

Cleft lip and palate are common birth defects in infants, often occurring together. The upper lip and roof (palate) of the mouth doesn’t close forming a gap that may be very small or very large, affecting the entire lip and palate. Cleft lip and pala...
Jan Gambino

Constipation and Infant Reflux

Constipation and infant gastroesophageal reflux sometimes occur together, effectively doubling the misery since both constipation and reflux may cause fussiness and digestive discomfort. Constipation is defined as hard, dry bowel movements. A constip...
Jan Gambino