Therapy for reflux and heartburn can be difficult. Often lifestyle, diet and medications can contribute to this condition. Physician supervision is important. the essentials include diet modifications to lower the amount of foods known to open the esophagus allowing reflux. In addition at night allowing your head and chest to be elevated reducing the chance for acid reflux. Finally medications are helpful to reduce stomach acid and tighten the esophagus. Please see the "General Therapy" section.