-Head of bed elevation
-Dietary modification , group of reflux-inducing foods (fatty foods, chocolate, peppermint, and excessive alcohol, which may reduce lower esophageal sphincter pressure)
-Refraining from assuming a supine position after meals and avoidance of meals two to three hours before bedtime..
-Avoidance of tight fitting garments
-weight loss if Obese .
-Restriction of alcohol use and elimination of smoking.