Make sure you have your evening meal three or four hours before bedtime. Repeated irritation can also result in changes in the types of cells that line the esophagus. If your baby is otherwise healthy and is growing, the doctor may recommend a lifestyle changes in order to ease the reflux. Treatment plans for GERD are individualized depending on the underlying cause, the presence of coexisting diseases, the age and medical history of the patient, and other factors. Don't use extra pillows, because it may increase pressure on your abdomen. Alcohol, coffee, chocolate, tomatoes, or fatty or spicy food can trigger the symptoms of GORD. If episodes occur more frequently than twice a week, and the esophagus is repeatedly subjected to acid and digestive enzymes from the stomach, ulcerations, scarring, and thickening of the esophagus walls can result. The first step in treating GERD is the prevention of acid reflux. Get help immediately.