If you often have heartburn, these lifestyle changes may help reduce the frequency or severity of symptoms.
June 19, 2014
- Maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus. If your weight is at a healthy level, work to maintain it. If you are overweight or obese, work to slowly lose weight — no more than 1 or 2 pounds (0.5 to 1 kilogram) a week. Ask your doctor for help in devising a weight-loss strategy that will work for you.
- Avoid foods and drinks that trigger heartburn. Common triggers, such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine, may make heartburn worse. Avoid foods you know will trigger your heartburn.
- Elevate the head of your bed. If you regularly experience heartburn at night or while trying to sleep, put gravity to work for you. Place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches. If it's not possible to elevate your bed, insert a wedge between your mattress and box spring to elevate your body from the waist up.
- Bonus PAL, et al. Pathogenesis, clinical manifestations, and diagnosis of eosinophilic esophagitis. http://www.uptodate.com/home. Accessed Jan. 28, 2014.
- Dellon ES, et al. ACG clinical guideline: Evidenced based approach to the diagnosis and management of esophageal eosinophilia and eosinophilic esophagitis (EoE). The American Journal of Gastroenterology. 2013;108:679.
- Feldman M., et al. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.clinicalkey.com.Accessed Jan. 18, 2014.
- Liacouras CA, et al. Eosinophilic esophagitis: Updated consensus recommendations for children and adults. Journal of Allergy and Clinical Immunology. 2011;128:3.
- Fell JME. Recognition, assessment and management of eosinophilic oesophagitis. Archives of Disease in Childhood. 2013;98:702.
- Picco MF (expert opinion). Mayo Clinic, Rochester, Minn. April 6, 2014.
- Gorospe EC, et al. New diagnostic and therapeutic frontiers in eosinophilic esophagitis. Minerva gastroenterologica e dietologica. 2013;59:59.
- Medical Edge from Mayo Clinic. Hard to Swallow — EOE. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014. http://www.mayoclinic.org/medical-edge/. Accessed March 9, 2014.
- Molina-Infante J, et al. Review article: Proton pump inhibitor therapy for suspected eosinophilic oesophagitis. Alimentary Pharmacology & Therapeutics. 2013;37:1157.
- AskMayoExpert. Eosinophilic esophagitis (EE). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
- Eosinophilic esophagitis. American Academy of Asthma, Allergy and Immunology. http://www.aaaai.org/conditions-and-treatments/related-conditions/eosinophilic-esophagitis.aspx. Accessed Jan. 28, 2014.
- Alexander JA (expert opinion). Mayo Clinic, Rochester, Minn. March, 2014.
- Hirano I. Dilation in eosinophilic esophagitis: To do or not to do? Gastrointestinal Endoscopy. 2010;71:713.
- Lucendo AJ, et al. Empiric 6-food elimination diet induced and maintained prolonged remission in patients with adult eosinophilic esophagitis: A prospective study on the food cause of the disease. Journal of Allergy and Clinical Immunology. 2013;131:797.
- Katzka DA. The skinny on eosinophilic esophagitis. Gastroenterology. 2013;145:1186.
- Hurrell JM, et al. Prevalence of esophageal eosinophilia varies by climate zone in the United States. American Journal of Gastroenterology. 2012;107:698.
- Dellon ES. Diagnosis and management of eosinophilic esophagitis. Clinical Gastroenterology and Hepatology. 2012;10:1066.
- Safe use of complementary health products and practices. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/safety. Accessed Jan. 2, 2014.
- Rakel D. Integrative Medicine. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed Jan. 2, 2014.
- Fass R. Alternative therapeutic approaches to chronic proton pump inhibitor. Clinical Gastroenterology and Hepatology. 2012;10:338.
- Golden AK. Decision Support System. Mayo Clinic, Rochester, Minn. March 10, 2012.
- U.S. News best hospitals 2013-2014. U.S. News & World Report. http://health.usnews.com/best-hospitals/rankings/gastroenterology-and-gi-surgery. Accessed March 9, 2014.