Conditions associated with incompetent esophageal sphincters are pregnancy, hiatal hernia, obesity, recurrent or persistent vomiting, and nasogastric tubes.
Indications are heartburn, a burning pain under the sternum, increased by bending, stooping, or eating, relieved by milk or antacids, more frequent or worse at night, belching, regurgitation of food, nausea and vomiting, vomiting blood , hoarseness or change in voice, a sore throat ,difficulty swallowing, a cough or wheezing,weight loss (unintentional)
General measures include : weight reduction, avoiding lying down after meals, sleeping with the head of the bed elevated, taking medication with plenty of water, avoiding dietary fat, chocolate, caffeine, peppermint (they may cause lower esophageal pressure),avoiding alcohol and tobacco.
In homoeopathy medicine like Nux vomica, Lycopodium, Robinea, Carbo veg, Bismuth are used for the treatment. The proper analysis of the case with the qualified homoeopathic physician will give the better results.