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Dietary modifications are particularly important and include: Eating smaller, more frequent meals rather than large portions, which reduces gastric distension and pressure on the lower oesophageal sphincter Avoiding trigger foods commonly associated with reflux, such as fatty or fried foods, chocolate, caffeine, alcohol, spicy foods, and acidic items like citrus fruits and tomatoes Remaining upright for at least 23 hours after eating and avoiding lying down immediately after meals Elevating the head of the bed by 1520 cm to reduce nocturnal reflux symptoms Eating slowly and chewing thoroughly to aid digestion and reduce the likelihood of nausea Avoiding late evening meals and large portions close to bedtime Pharmacological management of reflux symptoms should be optimised in consultation with a GP or gastroenterologist