Managing GERD: Dietary Tips for Healthy Weight Gain

Gastroesophageal reflux and weight gain?

Recently, my appetite has been affected by gastroesophageal reflux disease and other conditions, resulting in a weight loss of three kilograms.
I am currently 161 cm tall and weigh around 38 kg.
My appetite has still not improved much, and I would like to know what kind of diet I can follow to ensure I consume enough calories without causing discomfort in my stomach.
Would drinking high-protein beverages or nutritional supplements like Abbott's Ensure affect my stomach?

Mǎquè, 20~29 year old female. Ask Date: 2023/06/05

Dr. Xie Peiru reply Nutrition

Hello,
1.
There are many causes of gastroesophageal reflux disease (GERD), and it is advisable to manage and improve the underlying issues.
Without a clear diagnosis of the problem, I cannot provide specific advice.

2.
Your BMI is 14.7 kg/m², which is classified as underweight.

3.
If you have lost 3 kg in one month, it is recommended to consult a hospital nutritionist to design a personalized weight gain plan.

4.
Will consuming high-protein drinks or nutritional supplements like Ensure affect the stomach? I believe that if they are consumed only between meals, it should not be a problem.
However, it is advisable to have a well-rounded diet and not rely solely on such drinks as a meal replacement.

5.
Dietary recommendations include a balanced, fresh, minimally processed diet, with smaller, more frequent meals, low oil, and limited spicy foods or those containing caffeine or tea, to reduce excessive irritation.

Wishing you peace and health.

Nutrition Department, Qishan Hospital

Reply Date: 2023/06/05

More Info

Managing gastroesophageal reflux disease (GERD) while trying to gain weight can be a challenging endeavor, especially when appetite is affected. Your current weight of 38 kg at a height of 161 cm indicates that you may be underweight, and it’s essential to approach weight gain carefully to avoid exacerbating GERD symptoms. Here are some dietary tips to help you gain weight healthily while managing GERD:

1. Choose Nutrient-Dense Foods:
Focus on foods that are high in calories but also provide essential nutrients. This includes:
- Healthy Fats: Avocados, nuts, seeds, and olive oil can add calories without increasing the volume of food significantly. For example, adding a tablespoon of olive oil to your meals can provide around 120 calories.

- Whole Grains: Foods like oatmeal, whole grain bread, and brown rice are good sources of calories and fiber. They can help you feel fuller and provide sustained energy.

- Lean Proteins: Incorporate sources like chicken, turkey, fish, eggs, and legumes. These can help you build muscle mass, which is important for healthy weight gain.

2. Frequent, Smaller Meals:
Instead of three large meals, aim for five to six smaller meals throughout the day. This can help manage GERD symptoms by reducing the pressure on your stomach and minimizing reflux episodes. Each meal should be balanced with carbohydrates, proteins, and fats.

3. Incorporate High-Protein Supplements:
High-protein drinks, like the ones you mentioned (e.g., Abbott’s Ensure), can be beneficial. They are designed to provide essential nutrients and calories in a liquid form, which may be easier to consume if your appetite is low. However, be cautious with the flavors and ingredients, as some may trigger GERD symptoms. Opt for low-acid, non-citrus flavors and monitor how your body reacts.

4. Avoid Trigger Foods:
Certain foods can exacerbate GERD symptoms. Common triggers include:
- Spicy foods
- Fatty or fried foods
- Chocolate
- Caffeine
- Alcohol
- Citrus fruits and juices
Keep a food diary to track what you eat and how it affects your symptoms, allowing you to identify and avoid personal triggers.

5. Stay Hydrated:
Drink plenty of fluids, but avoid drinking large amounts during meals, as this can increase stomach pressure and lead to reflux. Instead, sip fluids throughout the day.

6. Monitor Portion Sizes:
While you want to increase caloric intake, be mindful of portion sizes to avoid overloading your stomach. Eating too much at once can trigger GERD symptoms.

7. Consider Timing:
Avoid eating close to bedtime. Aim to finish your last meal at least 2-3 hours before lying down to sleep, as this can help reduce nighttime reflux.

8. Consult a Healthcare Professional:
Given your medical history and current weight, it’s crucial to work with a healthcare provider or a registered dietitian. They can help you create a personalized meal plan that meets your caloric needs while considering your GERD symptoms.

Conclusion:
Gaining weight while managing GERD requires a strategic approach to diet. Focus on nutrient-dense foods, eat smaller and more frequent meals, and consider high-protein supplements while avoiding known triggers. Always consult with a healthcare professional to ensure that your dietary choices support both your weight gain goals and your overall health.

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