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Doctor-recommended lifestyle changes to tackle acid reflux and GERD
ETimes | June 22, 2025 8:39 PM CST

Acid reflux happens when acid in the stomach washes backward into the esophagus, bringing heartburn, regurgitation, and inflammation. When these symptoms occur more than two times a week, it might be gastroesophageal reflux disease (GERD), a disorder that plagues as many as 28% of North American adults. If left unaddressed, it can develop into inflammation of the esophagus, Barrett's esophagus, or cancer. Medication alleviates the problem, but Dr. Saurabh Sethi, MD MPH, indicates lifestyle changes are usually the strongest solution. (source: healthline, mayo clinic, NIH.gov)

Steer clear of the common triggers Take more small, frequent meals
Large meals put pressure on the abdomen and thus increase the likelihood of reflux. Dr. Sethi advises taking small, more frequent meals and having the evening meal as the lightest. Such a strategy puts less stress on the lower esophageal sphincter (LES) and lowers the production of acids.

Some foods can relax the LES or stimulate the esophagusCitrus fruits, tomatoes, spicy foods, chocolate, peppermint, caffeine, alcohol, and fried foods or high-fat foods. Dr. Sethi also advises against citrus and spices, consistent with wider expert opinion. A Mediterranean-type diet high in non-citrus fruits, whole grains, lean proteins, and vegetables is often easier to tolerate.

Hydrate yourself
Water is the best beverage to drink. Steer clear of sodas, citrus juices, and caffeine these can relax and irritate the LES. Dr. Sethi is in agreement: "Stay hydrated with water, not soda or caffeine." Ginger or chamomile tea is a good alternative and has soothing effects.

Avoid mint gumMint-flavored gum, though often used for fresh breath, can relax the LES, counterproductive for a reflux sufferer. Dr. Sethi’s tip to avoid it aligns with the Mayo Clinic's advice to steer clear of mint products to avoid unnecessary problems.

Use natural remedies: Ginger & chamomile
Healthline reports that small amounts of ginger can reduce inflammation, boost digestion, and help empty the stomach faster, potentially decreasing reflux. Chamomile tea offers calming effects on digestive muscles, too. Both natural approaches are supported by Dr. Sethi’s recommendations.

Sleep & positioning matterLying flat soon after eating allows acid to travel upward. Experts suggest

  • Raising the head of the bed 6–8 inches or sleeping with a wedge pillow
  • Not eating for 2–3 hours before bedtime
  • Sleeping on the left to minimize nocturnal reflux
Core lifestyle changes: Weight, smoking & clothing
Maintaining a healthy weight lowers pressure on the stomach and decreases reflux. Cigarette smoking and tobacco break down the LES and raise acid levels. Steer clear of tight belts and waistbands as well to avoid abdominal pressure.

Move after taking your mealsLow-level exercise after eating, such as a short walk, not only helps digest food but also prevents reflux. Deep breathing exercises have been symptom-relieving in certain studies.

For infrequent reflux, these measures are generally adequate. But recurring symptoms, particularly dysphagia, loss of weight, chest pain, hoarseness, chronic cough, or bleeding, should be investigated by a physician. OTC antacids, H₂-receptor blockers, and PPIs can be prescribed. Individuals not showing responsiveness to these could need additional testing, such as endoscopy or pH monitoring.

Dr. Sethi’s straightforward advice to avoid reflux triggers, eat smaller meals, hydrate carefully, skip mint, and rely on gentle natural aids like ginger and chamomile aligns with major medical guidance. When combined with smart sleep habits, weight control, and light activity, these steps form a powerful toolkit for digestive well-being.

Simple, consistent choices can be transformative. When symptoms persist, don’t hesitate to seek professional care.


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