What should I do about recurrent reflux (heartburn)?

The main recommendations for gastro-oesophageal reflux disease include lifestyle modifications and pharmacological treatment, as advised by the American Gastroenterological Association. [1]

Weight loss is strongly recommended for patients who are overweight or obese, as it is associated with a reduction in reflux symptoms and oesophageal acid exposure. Additional measures include avoiding meals 2–3 hours before bedtime, elevating the head of the bed and adopting a left lateral sleeping position, as these strategies reduce nocturnal acid exposure and symptoms.

Dietary restriction of so-called “refluxogenic” foods (such as chocolate, coffee and alcohol) should be individualised, with avoidance recommended only for foods that consistently trigger symptoms in each patient. Medical assessment is essential, as upper endoscopy or other diagnostic tests may be required.

1. AGA Clinical Practice Update on the Diagnosis and Management of Extraesophageal Gastroesophageal Reflux Disease: Expert Review. Chen JW, Vela MF, Peterson KA, Carlson DA. Clinical Gastroenterology and Hepatology : The Official Clinical Practice Journal of the American Gastroenterological Association. 2023;21(6):1414-1421.e3. doi:10.1016/j.cgh.2023.01.040.