Its especially bad if I eat late and then lie down too soon, and spicy and acidic foods make it worse. Research in the U. Furthermore, about 40% of surgical patients are at risk for new symptoms after surgery e. Moreover, biopsies are the only means of diagnosing the cellular changes of Barrett's esophagus. doubling the proton pump inhibitor dose in refractory heartburn. You can usually get relief from an antacid, like Rolaids or Tums, or an H2 blocker, such as Pepcid AC or Zantac. Some people take prescription anti-acid medication for years. A hiatus hernia often causes reflux this is when part of the stomach is forced through a small opening a Natural home treatment for heartburn in the diaphragm into the chest.