** 1. Since endoscopy has revealed ulceration, thus possibility of GERD [gastro esophageal reflux disorder] can be established, since history of acidity and reflux is there. 2. following preventive aspect can be tried: . bland and soft diet, more of milk . avoid hot drinks and spicy food . give small, non-bulky meals more frequently [since GERD causes hiccups/ irritability] . head high position at night. [since GERD causes regurgitation/choking] 3. Regular moderate meals,take easily digestible foods, vegetables and fruits contain fibre in plenty and should be taken in plenty 4. Do not sleep immediately after food, have a small walk after each meal. 5. Prescription medicine with effective results are: Kayam Churna, Tablet Gasex, Kaumarya Assav, Syrup Livomyn, Draksha Arishta PS.Management of GERD in adults is based on disease severity, the degree of symptoms, and presence or absence of complications of GERD determined by the diagnostic evaluation [so be under regular supervision].