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Gastroesophageal Reflux Disease (GERD) - Topic Overview

For mild symptoms of GERD, you can try over-the-counter medicines. These include antacids (for example, Tums), H2 blockers (for example, Pepcid), and proton pump inhibitors (for example, Prilosec). Changing your diet, losing weight if needed, and making other lifestyle changes can also help. If you still have symptoms after trying lifestyle changes and over-the-counter medicines, talk to your doctor.

Your doctor may recommend surgery if medicine doesn't work or if you can't take medicine because of the side effects. Fundoplication surgery strengthens the valve between the esophagus and the stomach. But many people continue to need some medicine even after surgery.

GERD is common in pregnant women. Lifestyle changes and antacids are usually tried first to treat pregnant women who have GERD. Antacids are safe to use for heartburn symptoms during pregnancy. If lifestyle changes and antacids don't help control your symptoms, talk to your doctor about using other medicines. Most of the time, symptoms get better after the baby is born.

You may need to take medicine for many years to help control the symptoms. But you can also make changes to your lifestyle to help relieve your symptoms of GERD. Here are some things to try:

  • Change your eating habits.
    • It's best to eat several small meals instead of two or three large meals.
    • After you eat, wait 2 to 3 hours before you lie down. Late-night snacks aren't a good idea.
    • Chocolate, mint, and alcohol can make GERD worse. They relax the valve between the esophagus and the stomach.
    • Spicy foods, foods that have a lot of acid (like tomatoes and oranges), and coffee can make GERD symptoms worse in some people. If your symptoms are worse after you eat a certain food, you may want to stop eating that food to see if your symptoms get better.
  • Don't smoke or chew tobacco.
  • If you get heartburn at night, raise the head of your bed 6 in. (15 cm) to 8 in. (20 cm) by putting the frame on blocks or placing a foam wedge under the head of your mattress. (Adding extra pillows doesn't work.)
  • Don't wear tight clothing around your middle.
  • Lose weight if you need to. Losing just 5 to 10 pounds can help.
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