Usually obese, poor diet
and lifestyle, but many are thin, eat properly and it is there. Avoiding fatty meals, alcohol
, spices to some extent, avoiding eating or drinking after 6 P.M., elevating the head of bed 6-8 inches, taking antacids, alginates, h-2 blockers like pepcid
) etc, prilosec
, etc may help. May need surgery
to cure. See pcp/gi doc.