Persistent acidity is usually due to reflux of acid from the stomach into the food pipe. Mild cases of acidity reflux can usually be managed with lifestyle and dietary modifications along with antacids H2 blockers and proton pump inhibitors. However patients in whom lifestyle management along with empirical treatment is unsuccessful or who have symptoms suggestive of complicated diseases should undergo endoscopy to rule out cancer of the food pipe a condition linked with persistent acidity. Symptoms that may suggest complicated disease include loss of appetite loss of weight and difficulty in swallowing food bleeding and signs of systemic illness. Lifestyle changes for reflux involve elevation of head and of the body avoidance of food before sleep and avoidance of food which makes the food pipe valve lax. The examples of such foods include fatty food chocolates peppermint and excessive intake of alcohol. Hurry worry and curry are the three main factors for causing acidity apart from alcohol and smoking. People with acidity should consume less of fermented sour salty and pungent foods.