Refraining from ingesting food (except liquids) within 3 hours of bedtime
Avoiding bending or stooping positions
Elevating the head of the bed 8 inches
Waiting 3 hours after a meal to lie down
H2 receptor antagonists (eg, ranitidine, cimetidine, famotidine, nizatidine)
Avoiding alcohol, chocolate, citrus juice, and tomato-based products
Young patients
Patients with symptoms that are not completely controlled by proton pump inhibitors
Prokinetic agents (eg, aluminum hydroxide)
Proton pump inhibitors (eg, omeprazole, lansoprazole, rabeprazole, esomeprazole, pantoprazole)
Losing weight (if overweight)
Antacids (eg, aluminum hydroxide, magnesium hydroxide)
Poor patient compliance with medications
Eating small, frequent meals rather than large meals
The presence of extraesophageal manifestations
Patients with well-controlled reflux disease who desire definitive, one-time treatment
The presence of Barrett esophagus
