Gastroesophageal Reflux Disease (GERD) - Patient Instructions
Patient Education Handout associated with UMHS Clinical Care Guideline

This information is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition.

Gastroesophageal Reflux Disease (GERD)

Limit Caffeine.

Limit coffee to 2-3 cups per day.  Limiting consumption of other caffeine-containing beverages (tea, soft drinks) may also be helpful.

 

Avoid Tight Clothing

Tight belts, tight pants or girdles can increase the pressure on the stomach.

Avoid Foods That Cause Your Symptoms

Foods to avoid are:

spicy and fatty foods

tomato and citrus juices (such as grapefruit and orange juices)

chocolate, mints, coffee, tea, cola, and alcoholic drinks.

 

Do Not Lie Down for 2 Hours After Eating

Allow gravity to work.  Also, avoid bending over at the waist to pick up things;  instead bend at the knees.

Stop Smoking

If you cannot stop, decreasing the number of cigarettes you smoke may help.

 

Bed Blocks

Elevate the head of your bed 2-6 inches with wood blocks or bricks.  Using extra pillows is NOT a good substitute.  Use of a foam wedge beneath the upper half of the body is an alternative.

 

Maintain Your Ideal Weight

Excess weight increases the amount of pressure constantly placed on your stomach.  Even small amounts of weight loss may help.

 

Antacids

Antacids can be taken at bedtime and 30-60 minutes after each meal or as directed by your physician.

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Acid Suppression Medications

These medications should be taken 30-60 minutes before meals.

Eat Smaller Meals

Don’t overfill your stomach.

 

 

These measures may be helpful in reducing or preventing reflux.  Consult with your doctor to determine which of these measures may be appropriate for you.

December 2006

Information maintained by the UMHS Clinical Care Guidelines Committee

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