Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have a 6 year old with special needs who suffers from reflux and has been medicated successfully for this for about 3 years. However recently her symptoms have returned severly especially at night with her waking unable to swallow the reflux and turning blue with trouble breathing. Any ideas on what to do please?
[|AI|]  Hi, It is common for child Chat Doctor.  Usually this will respond to acid reducing agents like lansoprazole. Also, few non-pharmacological will help-give dinner few hours before bedtime, make him sit upright for 30 minutes after a meal, increase consistency of diet to a more solid / semi-solid type, keep the head end of the bed elevated to about 30 degree from horizontal, and avoid caffeinated things like tea / coffee / similar items. If these measures does not help, we rarely need a fundo-plication procedure after ruling out other causes like LPR (larynx pharyngeal reflex) and pertussis. Your doctor will guide through this. Hope I have answered your question. Let me know if I can assist you further.