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Ways to Prevent Gastro-Esophageal Reflux Disease (GERD)

Lose weight: Obesity causes GERD in many ways; pressure on the stomach by excess belly fat; increase in estrogen and development of hiatus hernia
Dietary Modifications: Avoid fatty food, spicy foods, chocolate,coffee, acidic foods like citrus
Eat frequent small meal as large meals fill the stomach and put pressure on the LES, making reflux and GERD more likely.
Don’t lie down immediately after eating: Gravity normally helps keep acid reflux from developing. With full stomach on lying down acid more easily presses against the LES and flows into the esophagus.
Elevate your bed at Head End Side: This works on the principle of gravity, raising the head end of the bed allow gastric acid down in the stomach because of gravity; just extra pillows does not help much
Medications: A number of medications increase risk of GERD, either by relaxing the LES or further irritating an already inflamed esophagus like, Non-steroidal anti-inflammatory drugs, or NSAIDs, Calcium channel blockers (often used to treat high blood pressure), Certain asthma medications, including beta-agonists like albuterol, Potassium, Iron tablets
Quit smoking and Alcohol: Nicotine and Alcoholrelax the muscles of the LES