Brief Answer:
Lifestyle plus medicines

Detailed Answer:
Hello and welcome to Ask A Doctor service.

I have reviewed your query and here is my advice.

Gastroesophageal reflux disease is a common problem often related to our diet and overall health. Therefore, the first thing I would recommend is to avoid any foods that may make the gastric reflux worse, such as fatty foods, caffeine, chocolate, spicy food, carbonated beverages, and peppermint. Being overweight can also make gastric reflux worse, so if you are overweight at all I would recommend weight loss. Another modification that you can try is elevating the head of your bed, especially if you have symptoms when you are laying down or at night.

Along with these lifestyle changes, there are many medications that can be used for gastric reflux. These include antacids, histamine 2 receptor antagonists, and proton pump inhibitors. Of these, the proton pump inhibitors are the most effective, and if you would consider your gastric reflux to be moderate to severe, I would suggest starting with these. Omeprazole or pantoprazole would be reasonable choices.

If after two months of using proton pump inhibitors you are still having symptoms, you may need a scope to look for any other causes for the gastric reflux or any complications such as stomach ulcers or inflammation in your esophagus.

I hope that helps, please any other questions and I would be glad to discuss it further with you.

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