According to the Mayo Treatment for reflux during pregnancy Trouble swallowing dysphagia . You can buy Prilosec generic omeprazole without a prescription. So Is H. Therefore, just like your own specific GERD diet, you need to find out the foods or even situations that trigger your heartburn. Over time, persistent heartburn may cause damage to the esophagus, including bleeding, inflammation, or difficulty swallowing, so it can potentially be more than just an uncomfortable annoyance. If instead you have a sharp pain located in the top of your belly below your ribs, it could possibly be a sign of pre-eclampsia. Plus, studies have shown that symptoms often return when PPIs are withdrawn, requiring lifelong treatment in many. If you're overweight, losing weight may reduce your symptoms, as it will reduce pressure on your stomach.