medical management is the most common treatment for ulcer disease in children. Factors considered in ulcer treatment include drug safety, symptom relief, child and parent adherence to the prescribed regimen, and the prevention of complications or ulcer recurrence. A bland diet with milk and small, frequent feedings was long thought to be the mainstay of ulcer therapy. However, the protein and calcium in milk actually stimulate more acid secretions than they buffer. A regular diet low in caffeine is now generally prescribed because caffeine is a potent stimulant of acid secretion and exacerbates GERD. A giet high in fiber and polyunsaturated oils may also play a role in ulcer prevention.