It is well known that modifying lifestyle would reduce symptoms of acid reflux disease. The main effect is accomplished by minimizing exposure to factors that interfere with the normal function of the lower esophageal sphincter. Meals should be taken at least two hours before bed time to prevent regurgitation of stomach acids into the esophagus. Avoiding exercise immediately after meals would prevent generating forces that increases stomach pressure, also exercise would be associated with kinking of the full stomach. Obesity is another important factor and the heartburn sufferer should be encouraged to maintain a healthy body weight. Tight clothing, by squeezing the stomach would induce reflux of its contents into the esophagus and should be avoided. Reflux is usually experienced during sleep, and elevating the head of the bed will allow gravity to do its job. Stress has long been linked to aggravating reflux symptoms through many mechanisms. In an effort to cope with disruption in routine, caused by stress, unhealthy lifestyles become evident. Stress also depresses immunity state and predisposes to complications in acid reflux disease. It should therefore be alleviated by all means.
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