However, there are no completed large-scale human clinical trials
It serves as a general, first-line option for coding constipation in its most basic form
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Lifestyle and dietary modifications form the foundation of GORD management: Eat smaller, more frequent meals rather than large portions, which can reduce gastric pressure Avoid eating within 3 hours of bedtime to allow time for gastric emptying before lying down Identify and limit trigger foods , commonly including fatty foods, chocolate, caffeine, alcohol, spicy foods, and acidic items like citrus and tomatoes Maintain a healthy weight , as excess weight increases abdominal pressure and reflux risk Elevate the head of your bed by 1520 cm using blocks or a wedge pillow Avoid tight-fitting clothing around the abdomen Stop smoking , as tobacco weakens the lower oesophageal sphincter Review medications that may worsen reflux (e.g., NSAIDs, some calcium channel blockers) with your GP or pharmacist Pharmacological management may be necessary for symptom control
