GERD

Gastroesophageal Reflux Disease
In patients with mild and/or intermittent GERD, lifestyle changes may be all that is needed to reduce symptoms.  In more severe and/or chronic cases, management with medications may be necessary.

LIFESTYLE CHANGES
Elevate the head of your bed.  Use bed risers of 3-8 inches under the feet of the bed frame to lift the head of the bed. Do not use extra pillows to mimic this elevation, as this can worsen symptoms. 

Finish all meals and snacks at least 2 hours before bedtime.  Lying down with a full stomach can induce reflux.
Avoid acidic foods, especially carbonated sodas and fruit juices.
Other foods including chocolate, caffeine, onions, garlic, tomatoes, citrus, deep-fried foods, high-fat dairy, spicy foods, alcohol and peppermint may exacerbate the symptoms.

Chewing sugar-free gum after meals can promote saliva flow which neutralizes acid. However, chewing vigorously and swallowing lots of air can make more belching and make symptoms worse, so chew gently.  

Note that some medications may make symptoms worse, including non-steroidal anti-inflammatory drugs, high blood pressure medications, albuterol (beta agonists), theophylline, seasonal allergy medications (anticholinergics), bisphosphonates, antibiotics, potassium, aspirin, and iron.