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The following are contributing factors that weaken or relax the lower esophageal sphincter, making gastric reflux worse: Lifestyle : Use of alcohol or cigarettes, obesity, poor posture (slouching) Medications : Calcium channel blockers, theophylline (Tedral, Hydrophed, Marax, Bronchial, Quibron), nitrates, antihistamines Diet : Fatty and fried foods, chocolate, garlic and onions, drinks with caffeine, acidic foods such as citrus fruits and tomatoes, spicy foods, mint flavorings Eating habits : Eating large meals, eating quickly or soon before bedtime Other medical conditions : Hiatal hernia, pregnancy, diabetes, rapid weight gain Hiatal hernia is a condition where the upper part of the stomach protrudes through the opening in the diaphragm where the esophagus passes through to its connection with the stomach