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- National Institutes of Health Public Access: Effects of Dietary Fiber, Fats, and Meat Intakes on the Risk of Barrett’s Esophagus
- National Institutes of Health Public Access: Effects of Dietary Fiber, Fats, and Meat Intakes on the Risk of Barrett’s Esophagus
- Journal of Dental Research: The Effect of Chewing Sugar-Free Gum on Gastro-esophageal Reflux
- Journal of Dental Research: The Effect of Chewing Sugar-Free Gum on Gastro-esophageal Reflux
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The Best Foods to Eat for GERD Patients
Forty percent of Americans experience heartburn once a month, and 15 percent to 20 percent experience it at least once per week. When heartburn becomes a part of your everyday life, you may be experiencing gastroesophageal reflux disease. Also called GERD, this condition is the result of stomach acid escaping up into the esophagus. The lower esophageal sphincter (LES) keeps food in the stomach, but when the pressure of the LES is altered, it can open up and allow food back into the esophagus. By eating foods that maintain LES pressure, avoiding those that lower it and making simple lifestyle changes, you can keep your GERD under control.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Up the Protein
A diet that is high in protein will stimulate gastric secretion and increase LES pressure. This will keep gastric juices from making their way back up your esophagus. Be sure that your protein choices are low in fat, as high-fat meats will worsen GERD symptoms. Low-fat protein choices include baked or grilled chicken without the skin, fish, turkey, beans and legumes.
- A diet that is high in protein will stimulate gastric secretion and increase LES pressure.
- Be sure that your protein choices are low in fat, as high-fat meats will worsen GERD symptoms.
Increase Fiber
Worst Foods to Avoid for Acid Reflux
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A diet high in fiber is associated with a decreased risk for Barrett’s esophagus, a result of chronic GERD 1. Total fiber, as well as fiber from fruits and vegetables, is associated with a lower risk and may be protective against the GERD symptoms. Aim to get between 20 and 35 grams of fiber per day from fruits, vegetables, whole grains, beans and legumes.
Chewing Gum
When acid from the stomach enters the mouth, it can cause dental erosion and bad breath. Chewing sugarless gum after meals may reduce reflux because of the increased saliva production, creating an increase in swallowing frequency. As you swallow, you are improving the removing the reflux from the mouth, preventing the disintegration of your teeth and gums.
Foods to Avoid
Is Peanut Butter Bad for Gastric Reflux?
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When it comes to managing GERD, what you don’t eat is sometimes more important than what you do eat. Fatty foods, caffeine, chocolate, peppermint, garlic, onion and alcohol all lower the pressure of the LES, resulting in an increase in GERD symptoms. Foods that are high in acid, such as citrus juices, tomato juices and other spices may be irritating to the esophagus and should be avoided if they cause unwanted symptoms.
Lifestyle Changes
A change in lifestyle can provide drastic relief for GERD patients. Avoid smoking and being around those who smoke. Smoking lowers the pressure of the LES and slows the emptying rate of the stomach. Raising the head of the bed by 6 inches allows gravity to keep food from escaping the stomach. Bloating causes the LES to become weakened; avoid stomach bloating by eating smaller meals, and stop eating no later than two to three hours before bed. Losing excess weight will also help alleviate GERD symptoms. If your GERD worsens, visit your doctor to find the best treatment for you.
- A change in lifestyle can provide drastic relief for GERD patients.
- Bloating causes the LES to become weakened; avoid stomach bloating by eating smaller meals, and stop eating no later than two to three hours before bed.
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References
- National Institutes of Health Public Access: Effects of Dietary Fiber, Fats, and Meat Intakes on the Risk of Barrett’s Esophagus
- Wolters Kluwer Health, UpToDate: Patient Information: High-Fiber Diet (Beyond the Basics)
- Journal of Dental Research: The Effect of Chewing Sugar-Free Gum on Gastro-esophageal Reflux
- Ruszniewski P, Soufflet C, Barthélémy P. Nonsteroidal anti-inflammatory drug use as a risk factor for gastro-oesophageal reflux disease: an observational study. Aliment Pharmacol Ther. 2008;28(9):1134-9. doi:10.1111/j.1365-2036.2008.03821.x
- Monajemzadeh M, Haghi-ashtiani MT, Soleymani R, et al. Is There any Association Between Passive Smoking and Esophagitis in Pediatrics?. Iran J Pediatr. 2013;23(2):194-8.
- Ramu B, Mohan P, Rajasekaran MS, Jayanthi V. Prevalence and risk factors for gastroesophageal reflux in pregnancy. Indian J Gastroenterol. 2011;30(3):144-7. doi:10.1007/s12664-010-0067-3
- Cleveland Clinic. Lifestyle Changes to Treat GERD. Aug 21, 2018.
- Jarosz M, Taraszewska A. Risk factors for gastroesophageal reflux disease: the role of diet. Prz Gastroenterol. 2014;9(5):297-301. doi:10.5114/pg.2014.46166
- Mastronarde JG. Is There a Relationship Between GERD and Asthma?. Gastroenterol Hepatol (N Y). 2012;8(6):401-3.
- Festi D, Scaioli E, Baldi F, et al. Body weight, lifestyle, dietary habits and gastroesophageal reflux disease. World J Gastroenterol. 2009;15(14):1690-701. doi:10.3748/wjg.15.1690
- Kahrilas PJ. Pathophysiology of Reflux Esophagitis. UpToDate. Updated March 6, 2018.
- Mayo Clinic Staff. Gastroesophageal Reflux Disease (GERD). Mayo Clinic. Updated March 9, 2018.
- National Institute of Diabetes and Digestive and Kidney Diseases. Eating, Diet, & Nutrition for GER & GERD. Published November 2014.
- National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms & Causes of GER & GERD. Published November 2014.
- Ping W, Xiao-Hu Z, Zi-Sheng A, et al. Dietary Intake and Risk for Reflux Esophagitis: A Case-Control Study Gastroenterology Research and Practice. 2013;2013:691026. doi:10.1155/2013/691026.
Writer Bio
Chelsea Flahive is a registered dietitian nutritionist and licensed dietitian with a passion for health and wellness, weight management and disease prevention. She received a Bachelor of Science in human nutrition, foods and exercise from Virginia Tech and completed her dietetic internship through the University of Delaware. Flahive is completing a certificate of training in weight management through the Academy of Nutrition and Dietetics.