Gastroesophageal Reflux occurs when stomach contents re-enter the esophagus, causing pain, cough, and even triggering asthma by a poorly understood reflex mechanism.  This problem is felt to be the result of a diminished effect of a muscular "valve" that usually prevents this process.  Once it develops, there are other modifying factors that may play a role in the severity of the symptoms.  As well as prescribed medications, the following list offers suggestions that may improve your symptoms.

Diet - The following foods inappropriately relax the muscular "valve," increase acidity, or directly irritate the esophagus:

Reduces "valve" pressure:     chocolate, fats, peppermint, coffee, onions

Increases acidity:    coffee, cola, beer, milk, onions

Esophageal irritation:    coffee, tomato and orange juice

Smoking:    Smoking causes the same problem as the above listed foods.  Avoid smoking entirely

Obesity:    A large abdominal girth may increase pressure on the stomach and thereby increase reflux

Exercise:    Exercise may worsen reflux and should be undertaken with caution.  Slow walking over level terrain is preferable.   Avoid exercise for at least 1 - 2 hours after eating

Antacids:    Antacids won't control reflux themselves, but will reduce its potential damage.  These should be used prior to bedtime and at other times when symptoms warrant

Elevate the head of bed:    This utilizes gravity to reduce the severity of reflux

Meals:    Avoid eating 3 hours prior to bedtime.  This reduces stomach contents at bedtime

Clothing:    Loose fitting clothing is preferable to reduce pressure on the abdomen which contributes to reflux

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