Patient discussions

The majority of patients will not respond to lifestyle changes alone. However, a trial of lifestyle modifications is warranted, especially for mild or intermittent GORD. Weight reduction (for overweight patients) and elevation of the head of the bed (for nocturnal symptoms) may be useful.[1] Specific food eliminations (e.g., chocolate, caffeine, alcohol, acidic and/or spicy foods) are not routinely required unless individuals find these helpful.[1]

Patients should be reassured of the safety of PPIs for treatment of GORD. Clinicians and patients should use a shared decision making model to plan long-term management and possible de-escalation of therapy.[37][103]

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