Hello Dear I evaluated your query thoroughly . @ As per told if happens only in morning , then it relates to acid reflux over the night giving rise to symptoms . @ Reason need evaluation by Upper GI Endoscopy if not done till now to look out for - gastric ulcer - gastritis - duodenal ulcer - lax gastroesophageal sphincter - H.Pylori infection - stress induced - drugs induced - other reasons @ Recommendations for you strongly suggested : # take small amount of light diet at regular intervals # avoid prolong fasting / overeating # quit smoking to total extent else don`t predict good outcome of this # avoid alcohol if using # avoid any kind of pain killer tablets as NSAIDs # avoid all sorts of junk foods / beverages / paneer items / cheese / oily / spicy / non vegetarian materials # avoid late night dinners # remain ambulatory , regular walking , exercises, YOGA help tremendously # avoid stress / anxiety # keep your weight , blood sugar , cholesterol , BP levels in control # have regular sound sleep of 7-8 hours # keep head end of the bed elevated upto 30-40 degree while resting # in our clinic we recommend to take combination of Pantoprazole (40)mg with Domperidone (30)mg to be taken with sips of water in morning after brushing , then allow to take liquids, snacks after 1 hour of that till the symptoms subside . Hope this will definitely help you . Feel free to ask any further health related query in future anytime . Thanks for using Health care magic . Regards .