The most effective medications for acid reflux. Reduce acid production by blocking the proton pump in stomach lining cells. Available OTC in many countries.

Raising the head end of the bed by 15–20cm uses gravity to prevent nighttime acid reflux. More effective than extra pillows, which can worsen reflux.

H2 receptor antagonists reduce stomach acid production and provide fast, reliable relief for heartburn. Available OTC and effective for on-demand use.

Alginate-based antacids form a physical raft on top of stomach contents that prevents acid from reaching the oesophagus. Fast-acting and safe for long-term use.

Eliminating common reflux triggers — alcohol, fatty foods, chocolate, citrus, tomatoes, and spicy food — reduces reflux frequency in susceptible individuals.

Even modest weight loss in overweight individuals significantly reduces GERD symptoms. BMI is one of the strongest independent risk factors for reflux.

Eating smaller portions 4–5 times daily rather than 2–3 large meals reduces gastric distension and the mechanical pressure on the lower oesophageal sphincter.

Stopping food intake at least 3 hours before lying down is one of the most consistently recommended lifestyle changes for nocturnal GERD.

Ginger has natural prokinetic properties that may speed gastric emptying and reduce nausea associated with reflux. A widely used home remedy with physiological rationale.