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. The second component of treatment is drug therapy. If these fail to provide sufficient relief, prescription medications may be necessary to further suppress stomach acid production. Some patients also benefit from drugs that improve emptying of the esophagus and stomach.