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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