Risk Factors for Heartburn • Obesity • Hiatal hernia • Pregnancy • Connective tissue disorder • Cigarette smoking • Large meals • Meals close to bedtime • Medicines especially NSAIDs • Specific foods such as; • High fat foods e.g. nuts, cheese, avocados • Spicy foods • Chocolate • Citrus fruits and juices • Salt and salty foods • Alcohol especially red wine • Carbonated beverages • Milk • Coffee and caffeinated drinks • Tomatoes • Mint and peppermint