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| This is the least expensive but probably the most difficult to do consistently. Patients should lose weight, stop smoking and avoid foods which increase their symptoms --easier said than done. They should also avoid tight clothing, bending down and eating late before sleeping or just before lying down. All the above tend to force food and acid into the esophagus. Patients are also advised to sleep with the head of the bed elevated 4 to 6 inches. It is recommended that the posts at the head of the bed be elevated that much on wood blocks or newspapers. Using extra pillows can actually be harmful as the body is bent at the waist, thereby increasing the pressure on the stomach and increasing esophageal reflux. When
we mention losing weight and
stopping smoking, you can see why
we say that lifestyle changes are
very difficult to achieve |
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