Gastroesophageal reflux disease (GERD) is caused by the leaking of stomach contents backwards from the stomach into the esophagus. This causes irritation to the esophagus, causing heartburn and other symptoms. GERD is extremely common among Americans, with more than 60 million people suffering from it on a monthly basis and more than 15 million people suffering daily. Approximately 40 percent of all Americans may suffer from heartburn. If symptoms persist and go untreated, gastroesophageal reflux may cause ulcers in the esophagus, narrowing of the esophagus, respiratory problems and esophageal cancer.

The two major symptoms of reflux disease are: heartburn or regurgitation (defined as acid liquid coming up into the mouth). Other symptoms include:

• Difficulty swallowing
• Hoarseness
• Asthma (40% of asthmatics have Reflux Disease)
• Recurrent cough
• Teeth erosion

• Concentrate on weight reduction – refer to weight charts that give the ideal body weight according to height.
  
  
• Avoid eating or drinking carbonated beverages before bed time.
  
  
• Do not belch frequently as it will deteriorate the lower esophageal sphincter (LES) that acts as the barrier against GERD.
  
  
• Avoid drinking coffee, tea, carbonated drinks and alcohol.
  
  
• Avoid eating spicy or fatty food, citrus fruits and chocolate.
  
  
• Eat six small meals rather than three large meals.
  
  
• If heartburn or regurgitation is a problem at night, elevate the head of the bed six inches.
  

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