The more the stomach is stretched by food, the higher the tendency to reflux. Eating fatty meals as fat delays gastric emptying also increases the tendency to reflux.
► Eat small meals
► Eat regularly, this helps in reducing the pressure on the upper part of the stomach caused by large meals.
► Avoid large rich meals, particularly in the evening this reduces the tendency to reflux.
► Avoid eating late at night so as to keep the stomach relatively empty at bedtime.
► Avoid alcohol, if it is being taken, it should be in moderation with meals.
► Smoking should be avoided. Tobacco prevents the esophageal sphincter from working properly, reduces the rate at which the stomach empties and increases stomach acid production.
► Bending should be kept to a minimum, especially after meals.
► Loose clothing is preferable instead of tight clothes especially around the waist and belt.
► Being overweight can cause upward pressure on the base of the esophagus, so losing weight may relieve symptoms.
► The tendency to reflux increases when you are lying down. This is mainly due to gravity. A simple way to change that is to use a pillow under the mattress or to raise the head of your bed to help to keep stomach contents from rising into the esophagus.
3. Drug treatment
► Usually only needed for a short period, although sometimes it may need to be prescribed again.
► Medication, which can enhance the normal movements of the esophagus, can also be prescribed and can be helpful.
4. Surgical treatment
► This can be done by laparoscopy, by this procedure the tissue around the lower oesophagus can be tightened thereby decreasing or preventing reflux.
► If the oesophagus has become narrow, then it may be widened by an endoscopic procedure or, occasionally, by way of surgery.