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Dietary adjustments form the cornerstone of reflux management: Eat smaller, more frequent meals rather than large portions, which can exacerbate gastric pressure Avoid trigger foods such as spicy dishes, citrus fruits, tomatoes, chocolate, caffeine, and fatty or fried foods Reduce alcohol consumption , particularly spirits and wine, which can relax the lower oesophageal sphincter Stay upright after eating for at least two to three hours before lying down Elevate the head of your bed by 1520 cm using blocks or a wedge pillow to prevent nocturnal reflux Stop smoking if applicable, as smoking can worsen reflux symptoms Avoid tight clothing around the waist that increases abdominal pressure From a pharmacological perspective , over-the-counter antacids containing magnesium or calcium carbonate (such as Gaviscon or Rennie) can provide rapid, short-term relief by neutralising stomach acid

has also received CME-related honoraria or consulting fees from CASEN Recordati, Organon, Lundbeck, and the Academy for Continuing Medical Education (Akademijazakme), with no financial or other conflicts of interest relevant to the subject of this article

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