Additional evaluation, when indicated, usually includes upper gastrointestinal endoscopy. This is performed under sedation in an outpatient setting. This permits the physician to determine if there is irritation of the esophageal lining. Some patients undergo an x-ray examination of the esophagus and stomach to look for a hernia. The first component consists of alterations in lifestyle.
Most people benefit substantially from weight loss.
Avoiding tight or restrictive clothing is also recommended. Avoiding eating for several hours before going to sleep at night helps to keep the stomach empty, reducing reflux. Smoking cessation is important. Refrain from eating spicey and fatty foods, peppermint, caffeine, and chocolate. Seek the advice of your physician for help in eliminating medications that might promote reflux.