Advise patients with Barrett's oesophagus to lose weight if they are overweight or obese, as weight reduction may help reduce disease progression NICE NG231.
Encourage smoking cessation, since smoking increases gastric acid production and delays gastric emptying, which may contribute to disease progression NICE NG231.
Recommend avoiding trigger foods such as coffee, chocolate, tomatoes, and fatty or spicy foods, although evidence for their impact is limited NICE NG231.
Advise patients to eat smaller meals and to have their evening meal 3–4 hours before bedtime to reduce reflux episodes NICE NG231.
Suggest raising the head of the bed by placing wood or bricks under the bed head by 10–20 cm to decrease nocturnal acid exposure, as this may help reduce disease progression NICE NG231.
Advise managing stress and anxiety, as psychological factors may influence disease progression, and encourage relaxation strategies NICE NG231.