Treatment of LaryngoPharyngeal Relux (LPR) depends mainly on the symptoms. I usually advise these three: (1) Behavioral modification. Maintain an ideal body weight. But, when you go on a diet, be sure to eat breakfast and have small, frequent feedings. Also, avoid foods high in fat, spices, acid, alcohol and caffeine. Stop smoking! Do not lie down three hours after eating. Elevating the head off the bed 6-8 inches may help prevent reflux. Avoid drugs that promote reflux including calcium channel blockers, sedatives, or nitrates. When busy and unable to grab a bite, chew gum. This increases salivary bicarbonate production and may neutralize the acid. (2) Pharmacotherapy. The proton pump inhibitors (e.g. omeprazole, esomeprazole), commonly taken two times a day, block the terminal stage of gastric acid secretion. They are the most potent inhibitors of acid secretion available today. The H 2 blockers (e.g. ranitidine, cimetidine), typically taken two to three ...