Managing GERD: Breakfast Ideas and Weight Gain Tips for Recovery - Nutrition

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Gastroesophageal reflux disease (GERD) and the desire to gain weight?


Hello, my mother is a stage one breast cancer survivor and has completed her treatment two years ago.
She is currently taking a medication called Re-lactation.
I would like to ask (1) if you have any recommended breakfast options for her, as she experiences bloating in the morning due to gastroesophageal reflux disease (GERD).
Additionally, because of this condition, she has lost some weight due to her limited food intake.
If possible, could you (2) recommend one or two dishes that could help her gain weight? Thank you! Her GERD symptoms include excessive stomach acid leading to coughing, but there is no inflammation in her stomach.
She does not experience heartburn regularly, and after adjustments, she no longer has coughing issues.
The only remaining problem is bloating when she eats breakfast; I wonder if this is related to her having steamed buns with soy milk for breakfast?

E, 50~59 year old female. Ask Date: 2023/09/06

Dr. Cai Xiuwen reply Nutrition


Hello, experiencing bloating after breakfast may be related to soy milk.
If you avoid soy milk, you can opt for plain congee or rice dishes paired with protein sources such as eggs, tofu, fish, or meat, along with vegetables.
To gain weight, you can increase the number of meals, adding snacks between meals, and increase your activity level to promote intestinal motility and appetite.
Additionally, incorporating calorie-dense foods, such as eating rice instead of congee, can help.
Sprinkling sesame seeds on rice can also increase calorie content, or you can prepare fried rice with eggs or shrimp to boost protein and calories.
For snacks, consider higher-calorie nuts or nut powders, and you can mix sesame oil with rice for added calories.
For higher-calorie meals, you can choose pumpkin soup or corn chowder, and you can add milk during cooking.
Wishing you peace and health.

Reply Date: 2023/09/06

More Info


Managing gastroesophageal reflux disease (GERD) can be challenging, especially when it comes to meal planning and maintaining a healthy weight. Your mother’s situation, having undergone treatment for breast cancer and now dealing with GERD, requires careful consideration of her dietary choices. Here’s a comprehensive approach to help her manage her symptoms while also addressing her weight concerns.


1. Recommended Breakfast Ideas for GERD
When it comes to breakfast, it’s essential to choose foods that are less likely to trigger GERD symptoms. Here are some suggestions:
- Oatmeal: A warm bowl of oatmeal made with water or low-fat milk can be soothing for the stomach. Oats are high in fiber, which can help with digestion and may prevent bloating. You can add a small amount of honey or sliced bananas for sweetness, but avoid citrus fruits which can aggravate GERD.

- Whole Grain Toast with Avocado: Whole grain toast is a great option as it is less likely to cause reflux. Topping it with mashed avocado provides healthy fats and fiber, which can help keep her feeling full without causing discomfort.

- Smoothies: A smoothie made with low-fat yogurt, spinach, and a banana can be nutritious and easy to digest. Avoid adding citrus fruits or high-acid ingredients. Instead, consider using almond milk or coconut water as a base.

- Scrambled Eggs: Eggs are a good source of protein and can be easily digested. Scramble them with some spinach or other non-acidic vegetables for added nutrients.

- Non-Citrus Fruits: Fruits like melons, bananas, and apples can be good choices. They are less acidic and can be paired with oatmeal or yogurt.


2. Weight Gain Tips
For someone who is struggling to maintain or gain weight, especially in the context of GERD, it’s important to focus on nutrient-dense foods that are also easy on the stomach. Here are a couple of recipes that can help:
- Nut Butter and Banana Smoothie: Blend together a banana, a tablespoon of almond or peanut butter, and a cup of low-fat milk or yogurt. This smoothie is calorie-dense and packed with healthy fats and protein, which can help in gaining weight.

- Quinoa Salad: Cooked quinoa is a great source of protein and fiber. Mix it with diced cucumbers, bell peppers, and a drizzle of olive oil. This dish is nutritious and can be made in advance for easy meals throughout the week.


3. Addressing Bloating and Discomfort
Regarding the concern about bloating after breakfast, it’s possible that certain foods may be contributing to this issue. For instance, steamed buns (饅頭) can be high in carbohydrates and may cause bloating in some individuals, especially if consumed in large quantities. It might be beneficial to observe how she feels after different meals and adjust accordingly.

Encouraging her to eat smaller, more frequent meals throughout the day can also help manage her symptoms. This approach can prevent the stomach from becoming too full, which is a common trigger for GERD symptoms.


Conclusion
In summary, managing GERD while trying to maintain or gain weight requires a balanced approach to diet. Focus on low-acid, nutrient-dense foods that are easy to digest. Encourage your mother to keep a food diary to identify any specific triggers and to consult with a healthcare professional or a registered dietitian for personalized advice. This way, she can enjoy her meals without discomfort while also supporting her recovery and overall health.

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