Curbside Consultation in GERD: 49 Clinical Questions

Philip O. Katz, MD

Question 10: Are Any Specific Lifestyle Changes Better Than Others? (continued)

Multiple dietary and lifestyle modifications continue to be advocated in therapy of GERD. Lifestyle and dietary modifications are based on physiologic data that certain foods, body positions, tobacco, alcohol, and body mass index contribute to an increase in transient lower esophageal sphincter relaxations, reflux, or both. In addition, certain drugs have been documented to decrease lower esophageal sphincter pressure and have the potential to exacerbate reflux. Other medications such as aspirin, nonaspirin, nonsteroidal anti-inflammatory drugs, some antibiotics, potassium chloride tablets…