Patient was educated on risk factors for gastroesophageal reflux disease as follows:

Obesity

  • Overweight and obese individuals have more abdominal fat, which can exert pressure on the abdomen, especially in a position of lying down on the back.
  • Increased pressure on the abdomen can drive the acid contents up into the esophagus, precipitating attacks of GERD.

Eating big meals

  • Big meals can exert more pressure in the abdomen and help force the acid contents up into the esophagus, precipitating attacks of GERD.

Eating close to bedtime

  • Gravity acting on an upright individual helps to keep the acid in the stomach.
  • Going to bed too shortly after eating can be a significant risk factor, as the gravity is neutralized, making attacks of GERD more likely.

Alcohol

  • Alcohol causes relaxation of the lower esophageal sphincter, which allows the acid contents from stomach to move up into the esophagus.

Fatty foods

  • High fatty foods also cause relaxation of the lower esophageal sphincter, which allows the acid contents from stomach to move up into the esophagus.

Tight clothing

  • Individuals wearing tight dresses and corsets are more prone for episodes of GERD, as the tight fittings can exert more pressure on the abdomen and help force the acid contents up into the esophagus, precipitating attacks of GERD.