HI..there r several things u can do to help him and if it works his problem may not be one that needs a dr...but if left go, reflux can do damage....
http://www.medhelp.org/health_pages/list?cid=236
This link is to the Health Pages, please see them for tips on diet and lifestyle modifications....like elevating the head of the bed...not eating 3 to 4 hrs prior to lying down.....avoid dairy products b4 bed....
An OTC Med like pepcid can help if taken b4 eating the occasional spicy foods....u r right that if left untreated reflux can cause a lot of damage, PPI's can repair the damage...and the meds should be stepped down bcuz of the rebound effect...PPI's stop the proton pumps from producing acids...when u stop taking them they begin to overproduce and u r right back where u were....PPI's like Prilosec is available OTC too....but, until he has it under control and willing to modify the diet, that may not help.PPI's like prilosec do take time b4 u see results, so u deff have to be patient.
Do u know if his family has a history with Hiatal hernia's?How long is this going on?
"selma"
Cutting down on large meals is a plus...in fact 4 to 5 small meals would be better.....