Managing GERD: Dietary Tips for Better Digestive Health - Nutrition

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How to eat with gastroesophageal reflux disease (GERD)


Hello, nutritionist.
I have gastroesophageal reflux disease (GERD), and I'm unsure about the severity of my condition (I'm hesitant to undergo an endoscopy).
I would like to ask how I should structure my meals to alleviate my symptoms.
I apologize for my frequent dining out, and I also have high blood pressure, so I try to consume less oil and salt and avoid overly sweet foods.
I understand that this may be an awkward question, but I really need your guidance on what I can eat.
I promise to adhere strictly to your recommendations and avoid other foods.
For dinner, I usually have Quaker oats with low-fat milk.
My weight is over 100 kg.
P.S.
I eat oatmeal for dinner and still plan to exercise afterward.

Cai Xiansheng, 30~39 year old female. Ask Date: 2016/03/26

Dr. Shi Guimei reply Nutrition


Dear Mr.
Tsai,
Hello! Mild gastroesophageal reflux can be improved through dietary and lifestyle adjustments.
However, if symptoms worsen, medical treatment is necessary.
Obesity is one of the risk factors for the occurrence of gastroesophageal reflux, as excess abdominal fat increases intra-abdominal pressure, which lowers the pressure of the lower esophageal sphincter and causes reflux.
Weight loss can improve symptoms, so it is recommended to control diet and increase physical activity for weight reduction.
The key points for dietary control include reducing caloric intake.
It is advised to eat only three meals a day without late-night snacks and to quit smoking.
Choose low-fat cooking methods such as steaming, boiling, braising, tossing, stewing, and baking.
Increase vegetable intake and replace fruit juices with fresh fruits.
Exercise not only helps to increase gastric emptying and reduce reflux but also aids in weight control.
Avoid overeating and refrain from consuming high-fat foods and sweets.
Do not drink sugary beverages, alcohol, coffee, or caffeinated drinks (such as strong tea and cola), carbonated drinks, mint, or smoke, as these can lower the pressure of the lower esophageal sphincter.
Spices can irritate an inflamed esophagus and cause discomfort, so it is also advisable to avoid them.
Elevating the head of the bed by 30 degrees can reduce gastric acid reflux.
Additionally, avoid wearing tight clothing during meals and refrain from lying down for 2 to 3 hours after eating to further decrease the occurrence of reflux.
Wishing you health and happiness!
Sincerely,
Dietitian Shih Kuei-Mei
Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2016/03/26

More Info


Managing gastroesophageal reflux disease (GERD) can be challenging, especially when combined with dietary restrictions due to high blood pressure. Your concerns about managing your symptoms through diet are valid, and making informed choices can significantly improve your digestive health.


Understanding GERD
GERD occurs when stomach acid frequently flows back into the esophagus, leading to symptoms like heartburn, regurgitation, and discomfort. Certain foods and eating habits can exacerbate these symptoms, so it’s crucial to identify what works best for you.


Dietary Tips for Managing GERD
1. Choose Low-Acidity Foods: Foods that are less acidic can help minimize reflux symptoms. Opt for bananas, melons, oatmeal, and whole grains. These foods are gentle on the stomach and can help absorb excess acid.

2. Incorporate Lean Proteins: Lean meats such as chicken, turkey, and fish are excellent choices. They are less likely to trigger reflux compared to fatty cuts of meat. Plant-based proteins like beans and lentils are also beneficial.

3. Limit High-Fat Foods: Fatty foods can relax the lower esophageal sphincter, leading to increased reflux. Avoid fried foods, full-fat dairy products, and fatty cuts of meat. Instead, focus on healthy fats from sources like avocados, nuts, and olive oil, but consume them in moderation.

4. Avoid Trigger Foods: Common triggers include spicy foods, citrus fruits, tomatoes, chocolate, caffeine, and mint. Since you mentioned a preference for low-salt and low-sugar options, be mindful of how these foods can affect your symptoms.

5. Eat Smaller, More Frequent Meals: Instead of three large meals, consider having smaller meals throughout the day. This approach can help reduce pressure on the stomach and lower the likelihood of reflux.

6. Stay Upright After Eating: After meals, try to remain upright for at least two to three hours. This practice can help prevent acid from flowing back into the esophagus.

7. Hydration: Drink plenty of water throughout the day, but avoid drinking large amounts during meals, as this can increase stomach pressure.

8. Limit Alcohol and Caffeine: Both can relax the lower esophageal sphincter and exacerbate GERD symptoms. If you consume these beverages, do so in moderation.

9. Consider Fiber-Rich Foods: Foods high in fiber, such as whole grains, fruits, and vegetables, can aid digestion and help prevent constipation, which can worsen GERD symptoms.


Sample Meal Plan
- Breakfast: Oatmeal made with low-fat milk topped with sliced bananas or berries.

- Lunch: Grilled chicken salad with mixed greens, cucumbers, and a light vinaigrette dressing (avoid creamy dressings).

- Dinner: Quinoa or brown rice with steamed vegetables and baked fish or chicken.

- Snacks: Carrot sticks, apple slices, or a small handful of nuts.


Additional Considerations
Since you mentioned that you often eat out, try to choose restaurants that offer healthier options. Look for grilled or baked items rather than fried, and ask for dressings and sauces on the side to control how much you consume.
If you are concerned about your weight, consider consulting a registered dietitian who can help you create a personalized meal plan that aligns with your health goals and dietary restrictions.
Lastly, while dietary changes can significantly help manage GERD symptoms, it’s essential to monitor your condition. If symptoms persist or worsen, seeking medical advice, including a possible endoscopy, may be necessary to rule out more serious conditions.

In summary, managing GERD through diet involves making thoughtful food choices, being mindful of portion sizes, and adopting healthy eating habits. By following these guidelines, you can work towards better digestive health and overall well-being.

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