Elevating the head of the bed 8 inches
Antacids (eg, aluminum hydroxide, magnesium hydroxide)
Poor patient compliance with medications
Avoiding alcohol, chocolate, citrus juice, and tomato-based products
H2 receptor antagonists (eg, ranitidine, cimetidine, famotidine, nizatidine)
Patients with well-controlled reflux disease who desire definitive, one-time treatment
The presence of extraesophageal manifestations
Patients with symptoms that are not completely controlled by proton pump inhibitors
Young patients
Avoiding bending or stooping positions
Losing weight (if overweight)
The presence of Barrett esophagus
Proton pump inhibitors (eg, omeprazole, lansoprazole, rabeprazole, esomeprazole, pantoprazole)
Refraining from ingesting food (except liquids) within 3 hours of bedtime
Waiting 3 hours after a meal to lie down
Prokinetic agents (eg, aluminum hydroxide)
Eating small, frequent meals rather than large meals
