胃食管返流病除了经正规抑制胃酸、促动力等药物治疗外，还需重视饮食和生活方式的调整，三者缺一不可。经久不愈者必须寻找原因。

饮食不宜过冷、过硬、过快、过刺激、过饱、过油腻，浓茶、咖啡、巧克力、产气饮料等均不宜。有些患者进食海鲜、蒜、香味过浓的食物等会加重食管下括约肌松弛，增加反流机会；建议清谈易消化温和饮食，症状重时暂时不进水果、冷饮等。在医生指导下避免对食管和胃有刺激、松弛食管下括约肌的药物。未收录医院消化内科陈继红

生活方式方面注意避免所有增加腹部压力的因素：如坐低矮沙发、经常弯腰搬重物体、健身时腹压过大、倒立或头低脚高位、束身、配宽腰带、睡前3小时内进餐等。

有过敏性鼻炎、咽炎、哮喘病的患者有必要排除嗜酸性食管炎的可能。

反流可导致食管外症状如咽炎、鼻炎、咳嗽、声带炎等，夜间尤重，治疗时需综合考虑。避免误诊。

For patients with gastroesophageal reflux disease, the following three managements are indispensable: regular gastric acid inhibition, prokinetic agents, diet and lifestyle modifications. Finding out the individual reason of reflux will be helpful for the treatment.
Food modification:

Food/frink should not be too cold, spicy, fatty, stimulus. Don't be too full, especially 3 hours before sleeping. Tea, coffee, chocolate, gas-producing beverages, seafood, garlic are thought to exaggerate the symtoms of GERD (the lower esophageal sphincter relaxation).

Lifestyle modification:

Avoid all factors that increase abdominal pressure: sitting in lower sofa after eating, wearing tight dress, frequent bending, 3 hours before sleeping ...

Patients with allergic rhinitis, pharyngitis, asthma need to rule out the possibility of eosinophilic esophagitis.

Esophageal reflux can lead to symptoms such as pharyngitis, rhinitis, cough and other extraesophageal symptoms. More consideration should be taken.