If lifestyle changes such as dietary adjustments do not relieve heartburn, people may need to speak with a doctor about other treatment options. According to a 2023 review, dietary changes and ...
Alcohol (particularly white wine) can cause the valve muscle to relax more and increase acid reflux. In some people caffeine and chocolate can also be triggers. “Some people find spicy foods ...
Patients who are unresponsive to 4–8 weeks' treatment with PPIs twice daily might have so-called refractory GERD. The first investigation these patients should undergo is upper endoscopy to ...