Avoid trigger foods (spicy foods, fatty foods, chocolate, peppermint, caffeine, citrus, tomatoes, onions, garlic)
Eat smaller meals
Do not lie down for 2–3 hours after eating
Elevate the head of the bed 6–8 inches (use risers or a wedge pillow)
Maintain a healthy weight
Wear loose-fitting clothing around the abdomen
Stop smoking if applicable
Limit alcohol
Chew sugar-free gum to increase saliva
Consider antacids for quick, short-term relief (follow label directions)
Consider alginate-based antacids (e.g., those forming a foaming barrier) for post-meal symptoms
Use H2 blockers for faster-than-PPI longer relief (follow label directions)
Use a proton pump inhibitor (PPI) for frequent symptoms (follow label directions; consider a clinician-guided course)
If symptoms persist or recur frequently, discuss with a clinician for evaluation and tailored treatment
Seek urgent care if chest pain is severe, crushing, or accompanied by shortness of breath, sweating, dizziness, or pain spreading to arm/jaw/back
Seek urgent care if vomiting blood, black/tarry stools, trouble swallowing, or unintentional weight loss occurs
Seek prompt medical advice if symptoms start after age 55, you have anemia, or you have persistent vomiting