good evening, for reflux symptoms , supportive care will be including more of solid food , reducing the liquid diet
. not offering any thing liquid 2 hrs before sleep. she should sleep ay an inclination of 45 degrees, the inclination starting from the lower back. give her tab pantodac
20 mg daily twice before food , and once a day of tab domstal 10 mg 2 hrs before sleep. get a complete blood counts done to check her haemoglobin
status. autistic kids or any other special children may have the habbit of swallowing foreign body may be small bits of plastic ir even there own hair , which swalloed on a long term may cause obstruction, so kindly consult a gatroenetrologist and get and endoscopy
, by this we can know the grade of reflux and a specific treatment can be started. thank you.