Avoid foods that may incite more acid production or have a higher acid content such as:
citrus, tomato, vinegar, high fat foods (fried, etc.), olives and olive oil,
nuts, dairy products, coffee, gum or hard candy
Avoid foods/items that relax the Lower Esophageal Sphincter such as:
alcohol, caffeine, peppermint
Effectiveness of reflux medications are related to the timing of when the medicine is ingested, so be sure to take it as directed by your physician (PPIs generally 30-60 minutes before a meal).
Elevate the head of the bed 6-8 inches. It needs to be a gradual angle rather than a bending at the waist, so wedges should begin at least at the hips and extend the length of the body up to the head or lift should be on the bed frame or box springs rather than the mattress. This uses gravity to assist in keeping any refluxed material from remaining on the larynx as we sleep as there is no swallow reflex during sleep.
Avoid eating 3-4 hours prior to laying down or sleeping. There will be a greater chance for a reflux episode when a person lays down if the stomach still has increased acid levels used during digestion.
Eat smaller meals/do not overeat.
Avoid bending over at the waist, especially after eating.
Avoid wearing abdominally restrictive clothing such as tight pants, girdles, etc.
Exercise on an empty stomach.