Hello, Thanks for your query on HCM As per your clinical history is concerned please follow few lifestyle modifications like this - 1)Try to maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus. If your weight is healthy, work to maintain it. If you are overweight or obese, work to slowly lose weight no more than 1 or 2 pounds a week. 2)Try to avoid tight-fitting clothing. Clothes that fit tightly around your waist put pressure on your abdomen and the lower esophageal sphincter. 3)Try to avoid foods and drinks that trigger heartburn. Everyone has specific triggers. Common triggers such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine may make heartburn worse. Avoid foods you know will trigger your heartburn. Try to avoid such foods at bed time. 4)Try to eat smaller meals at night. Avoid overeating by eating smaller meals. 5)Don t lie down after a meal. Wait at least three hours after eating before lying down or going to bed. 6)Elevate the head of your bed. If you regularly experience hunger in the morning then place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches. 7)Don t smoke. Smoking decreases the lower esophageal sphincter s ability to function properly. Hope that helps