Along with diet control, regular exercise may help in the management of GERD. Obese patients are known to have increased incidence of reflux symptoms and decreased frequency of exercise.It has been suggested that regular exercise is associated with strengthening of the striated muscle in the diaphragmatic crura leading to a stronger anti reflux barrier. Population based studies have demonstrated a lower occurrence of GERD in patients who exercise frequently. In addition, the beneficial effects of exercise on overall medical heath and other commodities cannot be understated. Besides it may help in reducing medications for reflux management which are not without side effects over the long term.