Hi, follow some basic life style changes:Stop tea, coffee, spicy food. Take your timely. Avoid cabbage, capsicum, citrus fruits ( for a while). Don't drink water with food, take after 40 min. as much as you want thereafter. Don't lie down immediately after food. Finish your night meal by 8.30 pm maximum. Always keep your stomach 1/4 th empty. You can divide your meal into 5-6 times a day. Avoid wearing tight pants ( it compress your belly/ stomach). Avoid the particular food, which you observed that after taking you feel bloating, fullness, upper abdominal pain/ discomfort, reflux symptoms etc. Take tab. PANTODAC DSR (1-0-1) half an hour before meal for 7 days.syrup Gaviscon 10 ml three Times a day after meal for 10 days. Report the progress. Feel free to ask any further quary related to your problem. Regards.

When to consider surgery for acid reflux........ 1.Long standing problem not relieved by medication...or problems recur as soon as you stop antacid medication. 2. Young patients do better with surgery as compared to a lifetime of medicines. 3. Significant changes in your endoscopy findings.. . Severe esophagitis, shortening of esophagus, associated hiatus hernia