Diet for Gastroesophageal Reflux Disease (GERD)
Recently, I've been feeling a sensation of something stuck in my throat, and even when I haven't eaten much, I feel bloated.
Because of the discomfort in my throat while eating, my appetite has decreased.
I have been diagnosed with gastroesophageal reflux disease (GERD), and my doctor advised me to eat lighter foods.
Therefore, I've been consuming mainly steamed buns and porridge, but I still feel uncomfortable bloating after meals, and the sensation in my throat returns.
Taking medication after meals doesn't seem to help much; I only feel slightly better in the morning right after waking up.
What should I eat for breakfast, lunch, and dinner to reduce these symptoms? Sometimes I feel hungry but can only eat a little before the bloating makes me stop.
After a while, I feel hungry again (but the bloating hasn't gone away), and then I eat a little more.
Is this normal?
Shi, 30~39 year old female. Ask Date: 2020/03/06
Dr. Chen Shidian reply Gastroenterology and Hepatology
Please visit the gastroenterology outpatient clinic for a follow-up examination after the gastroscopy and adjust your diet to include less spicy and less acidic/sweet foods.
Reply Date: 2020/03/06
More Info
Managing acid reflux can be quite challenging, especially when it comes to dietary choices. Your symptoms of throat discomfort and bloating after meals suggest that your current diet may not be adequately addressing your condition. Here are some tips for managing your diet, particularly for breakfast, lunch, and dinner, to help alleviate your symptoms.
Breakfast Suggestions
1. Oatmeal: Start your day with a bowl of oatmeal. It's a great source of fiber and can help absorb stomach acid. Avoid adding too much sugar or acidic fruits like oranges or strawberries.
2. Bananas: They are low in acid and can help coat the stomach lining, providing relief from irritation.
3. Whole Grain Toast: Opt for plain whole grain toast without butter. You can add a small amount of almond butter or peanut butter, but be cautious with portion sizes.
4. Non-Citrus Smoothies: Blend a banana with some spinach, a scoop of protein powder, and almond milk for a nutritious, low-acid breakfast option.
5. Eggs: Scrambled or poached eggs can be a good choice. Avoid frying them in oil or butter, as fats can exacerbate reflux symptoms.
Lunch and Dinner Suggestions
1. Lean Proteins: Choose lean meats like chicken or turkey, and avoid fatty cuts of meat. Fish is also a good option, particularly those that are baked or grilled rather than fried.
2. Vegetables: Incorporate non-acidic vegetables such as broccoli, spinach, and carrots. Avoid tomatoes, onions, and garlic, which can trigger reflux in some individuals.
3. Whole Grains: Brown rice, quinoa, and whole grain pasta are excellent choices. They are filling and can help absorb excess stomach acid.
4. Soups: Opt for broth-based soups rather than creamy ones. A vegetable or chicken broth can be soothing and easy to digest.
5. Avoid Trigger Foods: Stay away from spicy foods, citrus fruits, chocolate, caffeine, and carbonated beverages, as these can worsen your symptoms.
General Tips
- Eat Smaller Meals: Instead of three large meals, try eating smaller, more frequent meals throughout the day. This can help prevent your stomach from becoming too full and reduce pressure on the lower esophageal sphincter.
- Stay Upright After Eating: Try to remain upright for at least two to three hours after meals. This can help prevent acid from flowing back into the esophagus.
- Hydration: Drink plenty of water throughout the day, but avoid drinking large amounts during meals, as this can increase stomach pressure.
- Monitor Portion Sizes: If you feel bloated after eating, it may be beneficial to reduce portion sizes further. Eating slowly and chewing your food thoroughly can also help with digestion.
Addressing Your Symptoms
Feeling hungry but unable to eat much due to bloating is not uncommon for those with acid reflux. It’s essential to listen to your body and eat when you feel hungry, but also to be mindful of how much you consume at one time. If you continue to experience discomfort, it may be helpful to keep a food diary to track what you eat and how it affects your symptoms. This can provide valuable insights for you and your healthcare provider.
If your symptoms persist despite dietary changes, it’s crucial to follow up with your healthcare provider. They may recommend further evaluation or adjustments to your treatment plan. Remember, managing acid reflux often requires a combination of dietary changes, lifestyle modifications, and, in some cases, medication.
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