These are frequently promoted online, but they should not be treated as proven GERD treatments.
Apple cider vinegar may actually worsen symptoms in some people because it is acidic.
Baking soda can temporarily neutralize acid, but frequent use can provide large amounts of sodium and may interact with certain medications.
Herbal products can also cause side effects or drug interactions.
Lifestyle changes with established evidence are a safer starting point.
## When Lifestyle Changes Are Not Enough
Some people continue to experience frequent reflux despite making sensible lifestyle changes.
Treatment options can include:
* Antacids
* H2 blockers
* Proton pump inhibitors, or PPIs
PPIs reduce stomach acid and are generally more effective than H2 blockers for healing inflammation of the esophagus.
Over-the-counter treatment can be useful for occasional symptoms, but frequent or persistent symptoms should be discussed with a healthcare professional.
## When Should You See a Doctor
