Some physicians are recommending surgery as the treatment of choice for many more patients with chronic GERD, particularly since minimally invasive surgical procedures are becoming more widely available, and since only surgery improves regurgitation. Patients with nighttime GERD, a common problem, tend to feel more severe pain than those whose symptoms occur at other times of the day. First, Extreme heartburn cures your wardrobe to include more loose-fitting clothes. They can decrease heartburn symptoms, especially at night, by improving the clearance of acid from the esophagus. The apples do not prevent acid reflux, instead they aide in the heartburn sensations. Lifestyle Changes Alcohol: Alcohol both irritates the stomach lining and relaxes the gastroesophageal sphincter--thus increasing the incidence of reflux. GERD can be controlled with lifestyle changes and prescription medication, however more serious cases may require surgery. for seasickness An over-the-counter PPI also costs more than an antacid or an H2 blocker. Usually, this opening closes as soon as food passes through.