Hard to swallow

Check medication
Some drugs (see above) are closely linked to the development of ulcers, and anyone who develops indigestion whilst taking NSAIDs should stop and consult the pharmacist or their GP.

Lose weight
Being overweight puts extra pressure on the stomach, and encourages reflux. Losing weight can help.

Perfect your posture
An upright posture will help prevent acid reflux. If you have symptoms at night try raising the head of the bed by about 10cm with large books or a brick. You could also try propping yourself up on extra pillows.

Cut down on alcohol
This can cause gastritis and if you stop drinking for a while the symptoms may settle down. Try to stick to less than two units a day, since binge drinking has a far worse effect than regular, moderate amounts.

Try to relax
Stress does not cause reflux or ulcers but it can certainly make things seem worse.

Take the tablets
You can treat indigestion yourself by taking simple antacid preparations. If you have symptoms frequently you should see your GP, who can prescribe stronger drugs that stop acid production in the stomach or help control the muscle involved in acid reflux.

When do I need to consult my GP?
Visit your GP if symptoms persist despite trying self-help, or if they recur frequently. Some symptoms may be caused by a more serious problem, so be sure to see your doctor if you experience indigestion for the first time over the age of 40. Other more serious symptoms include weight loss, difficulty swallowing or a feeling that food is getting stuck. Vomiting and losing blood can also be more serious symptoms. Occasionally it will be difficult to distinguish between stomach pain and heart pain, so you may need to see a cardiologist.