Lose weight if you are overweight. Obesity increases abdominal pressure, which can push stomach contents up into the esophagus. In some cases, GERD symptoms disappear completely after an overweight person loses 10-15 pounds. Stop smoking. Chemicals in cigarette smoke weaken the LES. Sleep with your head raised about 6 inches. Sleeping with the head higher than the stomach reduces the likelihood that partially digested food will reflux into the esophagus. Place books, bricks, or blocks securely under the legs at the head of your bed. Or use a wedge-shaped pillow under your mattress. Sleeping on extra pillows does NOT work well for relieving heartburn. Avoid tight-fitting belts or garments around the waist. They squeeze the stomach, and may force food to reflux. Reduce stress. Try yoga, tai chi, or meditation. If you still do not have full relief, try over-the-counter medications: Antacids, like Maalox or Mylanta, work by neutralizing stomach acid. H2 blockers, like Pepcid AC, Tagamet, and Zantac, reduce stomach acid production. Proton pump inhibitors, like Prilosec OTC, stop nearly all stomach acid production.
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Mar 14