Esophageal sphincter causing acid reflux • fatty, spicy or fried foods relax the lower esophageal sphincter as well as delay stomach emptying and therefore cause acid reflux contact your health care provider if symptoms do not improve with diet and lifestyle changes initial treatment may start with over-the-counter (otc) medications that. Gerd lifestyle handout. Gerd surgery laparoscopic anti-reflux surgery for gerd may involve a procedure to reinforce the lower esophageal sphincter, called nissen fundoplication in this procedure, the surgeon wraps the top of the stomach around the lower esophagus after reducing the hiatal hernia, if present.
gerd lifestyle handout