• Elevate the legs of the head of the bed on 6 inch blocks. If this is not possible, a long wedge cushion is more effective than using 2 or 3 pillows.

• No smoking or alcoholic beverages.

• Eat Small meals, especially the evening meal.

• No snacks or drinks after the evening meal or within 3 hours of bedtime.

• Do not lie down within 3 hours after eating or drinking anything.

• Avoid the following foods: Chocolate, fried foods, greasy foods, carbonated beverages, citrus juices, peppermint, coffee, caffeine-containing drinks, hot spices.

• Take prescribed medications according to directions.

• Avoid frequent stooping or bending over, or frequent heavy lifting or straining.

• Use antacids (Mylanta, Maalox, Tums, etc.) as needed. Gaviscon after meals and/or at bedtime may be helpful.

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