Tele-triage for Heartburn in Children

Audience: pediatric

Heartburn in children is a common symptom that can cause discomfort and worry for both the child and their caregivers. It often feels like a burning sensation in the chest or throat, usually after eating. Telemedicine can help assess mild to moderate heartburn symptoms in children by gathering information about their symptoms, diet, and lifestyle. However, it is important to recognize when heartburn may signal a more serious condition that needs in-person evaluation. This guide explains how tele-triage can support families in managing pediatric heartburn safely and effectively, including when to seek urgent care.

Red flags — go in person / ER

• Child has difficulty swallowing or persistent vomiting — seek immediate in-person care.
• Child experiences severe chest pain or unexplained weight loss — arrange urgent evaluation.
• Child has black, tarry, or bloody stools — seek prompt medical attention.

What telemedicine can do

• Initial symptom assessment for mild to moderate heartburn.
• Guidance on dietary and lifestyle modifications.
• Advice on over-the-counter remedies and symptom monitoring.

What telemedicine cannot do

• Severe or worsening symptoms needing physical examination.
• Diagnostic tests such as endoscopy or imaging.
• Emergency situations like severe chest pain or bleeding.

What Is Heartburn in Children?

Heartburn happens when stomach acid flows back into the esophagus, the tube that connects the mouth to the stomach. This acid reflux can cause a burning feeling in the chest or throat. In children, heartburn may be caused by eating certain foods, overeating, or lying down soon after meals. It can also be linked to other health issues like allergies or infections.

When to Use Telemedicine for Heartburn

Telemedicine is useful for initial assessment of heartburn symptoms in children who are otherwise well. A healthcare provider can ask about the child's symptoms, eating habits, and any other health concerns. They can offer advice on lifestyle changes, such as adjusting diet or meal timing, and suggest over-the-counter remedies if appropriate. Tele-triage can help decide if symptoms are mild and manageable at home or if further in-person care is needed.

Signs That Need In-Person Care

Certain symptoms require urgent medical attention. If a child has difficulty swallowing, persistent vomiting, weight loss, severe chest pain, or black or bloody stools, they should be evaluated in person promptly. These signs may indicate more serious conditions such as infections, ulcers, or other digestive problems.

How to Prepare for a Telemedicine Visit

Before the tele-visit, caregivers should note the child's symptoms, including when they started, their severity, and any triggers. Having a list of current medications and recent medical history is helpful. Prepare to describe the child's diet and any recent changes. Ensure a quiet space with good internet connection for the visit.

After the Telemedicine Visit

Follow the healthcare provider’s advice on diet, medication, and symptom monitoring. If symptoms improve, continue with recommended care. If symptoms worsen or new concerning signs appear, seek in-person evaluation. Keep a record of any changes to discuss in follow-up visits.

How to prepare for your tele-visit

• Note the child's symptoms including onset, frequency, and severity.
• List any known triggers or recent dietary changes.
• Prepare a list of current medications and medical history.
• Ensure a quiet, private space with reliable internet for the tele-visit.
• Have a device ready with camera and microphone for video consultation if needed.

After your tele-visit

• Follow healthcare provider’s recommendations on diet and medications.
• Monitor the child's symptoms and note any changes.
• Seek in-person care if red-flag symptoms develop or worsen.
• Schedule follow-up telemedicine or in-person visits as advised.
• Maintain a symptom diary to help track progress.

FAQs

Can telemedicine diagnose the cause of my child's heartburn?

Telemedicine can help assess symptoms and suggest possible causes, but it cannot replace physical exams or tests needed for a definitive diagnosis.

What foods should my child avoid to reduce heartburn?

Common triggers include spicy foods, citrus fruits, chocolate, caffeine, and fatty or fried foods. Avoiding these may help reduce symptoms.

When should I take my child to the emergency room for heartburn?

If your child has trouble swallowing, persistent vomiting, severe chest pain, or black or bloody stools, seek emergency care immediately.

Are over-the-counter medicines safe for children with heartburn?

Some over-the-counter antacids may be safe, but always consult a healthcare provider before giving any medicine to your child.

How can I help prevent heartburn in my child?

Encourage smaller, more frequent meals, avoid eating before bedtime, and promote a healthy weight and posture during and after meals.

Sources

1. Heartburn in Children — MedlinePlus | U.S. National Library of Medicine / National Institutes of Health.
2. Gastroesophageal Reflux Disease (GERD) in Children — American Academy of Pediatrics.
3. Heartburn and Acid Reflux — Mayo Clinic.
4. Gastroesophageal Reflux Disease (GERD) — Centers for Disease Control and Prevention (CDC).

This telemedicine guidance is for educational and triage purposes only and is not a substitute for in-person medical care. If your child has severe, worsening, or concerning symptoms, please seek immediate evaluation by a healthcare professional in person.