Avoid large meals; eat smaller portions
Stop eating 2–3 hours before lying down
Sleep with the head of the bed elevated 6–8 inches (or use a wedge pillow)
Avoid lying down or bending over after meals
Identify and limit trigger foods (common: spicy foods, fatty foods, chocolate, peppermint, caffeine, alcohol, citrus, tomatoes, carbonated drinks)
Quit smoking
Maintain a healthy weight
Wear looser clothing around the abdomen
Chew sugar-free gum to increase saliva
Stay hydrated
Consider antacids for quick, short-term relief (e.g., calcium carbonate)
Consider H2 blockers for short-term control (e.g., famotidine)
Consider proton pump inhibitors for frequent symptoms (e.g., omeprazole, esomeprazole) as directed
Review medications with a clinician if symptoms started after new meds (e.g., some pain relievers, some blood pressure meds)
Seek medical care urgently for trouble swallowing, vomiting blood, black/tarry stools, chest pain, or unexplained weight loss
Schedule a clinician visit if symptoms occur more than 2 days per week, persist despite over-the-counter treatment, or require ongoing medication