Gastroesophageal reflux disease (GERD), is a general term for gastroesophageal reflux and esophageal mucosal damage disease caused by excessive contact (or exposure) of the gastroesophageal lumen to gastric juices. Its common symptoms are: acid reflux, heartburn, retrosternal burning pain, abdominal distension, belching and so on. Whenever the patient sleeps after meals, when the trunk is bent forward, or at night (especially in the right lateral position), acidic liquid or food often refluxes from the stomach and esophagus into the pharynx or the mouth. This is followed by a burning sensation under the sternum or heartburn. Heartburn symptoms often occur about an hour after eating a meal or are triggered by forward bending of the body, lying on the back or side, or vigorous exercise, and may radiate to the scapular region, neck, ears, or upper arms, sometimes resembling cardiac pain, and may disappear in the upright position or after taking acid-forming medications. Symptoms may be exacerbated by overheated, acidic foods. Long-term severe reflux can also cause intermittent or even permanent dysphagia, and can cause blockage or pain at the xiphoid process when eating solid foods. GERD can also cause a wide range of extra-esophageal symptoms, including dental caries, asthma, chronic cough, chronic vocal cord inflammation, laryngitis, aspiration pneumonia, and even pulmonary fibrosis. The diagnosis of GERD is usually made on the basis of symptoms of reflux, combined with the results of gastroscopy, 24-hour PH monitoring, and esophageal manometry, but the diagnosis of GERD in young people under the age of 40 without alarming symptoms such as unexplained lethargy, black stools, or anemia can be confirmed by empiric treatment for 2 weeks of symptomatic remission (the main medications are standard-dose proton-pump-inhibitor suppression and gastric motility-boosting medications). However, patients suffering from GERD often tell their doctors: “Doctor, I get better when I take medication, but I get sick within a few days of stopping the medication, why is that? Generally speaking, except for some patients who do need long-term low-dose proton pump inhibitor maintenance therapy or surgical intervention for hiatal hernia, the recurrence of the disease in most patients is closely related to the lack of self-management of life details. The treatment of GERD needs to be accompanied by the establishment of a good lifestyle. If the poor lifestyle is not adjusted, even if the development of scientific drug treatment program is generally not too good, so in order to avoid the recurrence of reflux symptoms, what should we do? I summarize is clothing, food, housing, walking, thinking, five aspects. 1, clothing: male belt should be loose, do not tie the belt too tight, too high, women do not wear plastic corset lingerie, abdominal obesity attention to weight loss, the purpose of doing so is to reduce abdominal pressure, thereby reducing reflux. 2, food: meals on time, control the amount of meals, chew slowly, avoid overeating. Eat easy to digest food, light diet, eat more vegetables, less high protein, high fat and fried foods, avoid leeks, onions, chili peppers, raw garlic, sweet potatoes and other easily lead to excessive gastric acid secretion of stimulating foods, milk less, not easy to drink on an empty stomach, soy products eat less. Eat less sweets, do not eat fruit on an empty stomach, and eat less acidic and cool fruits (such as tangerine, orange, grapes, watermelon, cherries, etc.). Abstain from smoking and alcohol, avoid eating chocolate, coffee, strong tea and foods that appear uncomfortable after eating according to your own reality. No more eating 3 hours before bedtime. 3, live: many patients complain of reflux symptoms at night when lying down, this is because in addition to the weakening of the role of gastric emptying during sleep at night, relative to the upright, lying down reduces the mechanism of gravity to resist reflux, therefore, these patients can be tilted back to elevate the back of the 10-15cm at night when you sleep, note that, not a high pillow to sleep, but from the head to the buttocks (head high buttocks low) and the surface of the bed as a slope. In addition, the right lateral position (that is, the right shoulder under the side of the side) is more likely to reflux, it is recommended that the left lateral position, can reduce reflux. 4, line: avoid lying or sitting immediately after eating, avoid sitting on a low stool, can sit on a recliner to rest. Half an hour after eating, moderate activities, but avoid bending over and heavy lifting, strenuous exercise. Ensure smooth bowel movement, avoid constipation, pay attention to abdominal warmth, and insist on abdominal massage every day, clockwise direction, 5 minutes/time, 2-3 times a day, to promote the orderly advancement of food in the digestive tract. 5, Si: gastroesophageal reflux disease patients are mostly accompanied by mental and emotional problems, the patient’s self-management also need to pay great attention to the physical and mental health. Although the problems of psychosomatic diseases can be alleviated by taking relevant medications, the key is still the patient’s own mood of pleasure and relaxation, and not to bring the tension to work, study and life. For patients with recurrent GERD, strict scientific self-management and the above points are likely to result in long-term relief without the need for maintenance therapy.