hi. thanks for posting query at hcm. You may follow your current treating physician advise. Barrett s esophagus occurs when the normal cells that line the lower part of the esophagus (called squamous cells) are replaced by a different cell type (called intestinal cells). This process usually occurs as a result of repetitive damage to the inside of the esophagus caused by longstanding acid reflux disease, called gastroesophageal reflux disease (GERD). longstanding is the keyword and it may take years for barretts to develop. however, NOT all patients with gerd develop barretts. some patients wont develop with a history of 20years. so do not worry. 1. avoid chocolates; carbonated drinks, orange and tomato juice, alcohol and smoking 2. eat your dinner at least 2 to 3 hours before going to bed 3. raise your head by placing two pillows under your head before sleeping 4. use OTC proton pump inhibitor for couple of weeks to a month hope to answer your concern further questions are welcomed regards dr Tayyab Malik