Gastroesophageal Reflux Disease Diet (GERD)
Symptoms associated with acid reflux or GERD can be caused by a number of factors, including certain foods that may cause the lower esophageal muscle to relax, causing GERD. A diet designed to prevent or reduce acid reflux is usually easy to follow. The basic food groups of cereals, vegetables, fruits, dairy products, and meats can be eaten with only a few limitations.
The following recommendations may be helpful in reducing symptoms:
- Stop using tobacco in all forms. Nicotine weakens still lower esophageal muscle.
- Avoid chewing gum and hard candy. They increase the amount of swallowed air which, in turn, leads to belching and reflux.
- Do not lie down immediately after eating. Avoid late evening snacks or large meals.
- Avoid tight-fitting clothing and bending over after eating.
- Eat small, frequent portions of food and snacks if needed.
- Lose weight if overweight. Obesity leads to increased reflux.
- Elevate the head of the bed 6 to 8 inches to prevent reflux while sleeping. Extra pillows, by themselves, are not very helpful.
The following foods aggravate acid reflux and should be avoided:
- fatty or fried foods
- whole milk
- peppermint and spearmint creamed foods or soups
- most fast foods
The following foods irritate an inflamed lower esophagus and may need to be limited or avoided:
- citrus fruit and juices
- caffeinated beverages such as coffee, tea, and soft drinks.
Spicy or acidic foods may not be tolerated by some individuals and may need to be avoided.
Foods that contribute to gas production
Most beans, especially dried beans and peas, baked beans, soybeans, lima beans
Milk, milk products
Milk, ice cream, and cheese
Cabbage, broccoli, Brussel sprouts, cauliflower, cucumbers, sauerkraut, kohlrabi, asparagus
Potatoes, rutabaga, turnips, radishes, onions
Prunes, apricots, apples, raisins, bananas
Pan-fried or deep-fried foods, fatty meats, rich cream sauces and gravies, pastries (white fatty foods are not carbohydrates, they too can contribute to intestinal gas)
Carbonated beverages, certain medications
Gastroesophageal Reflux Disease (GERD) - dalili zinazohusiana na reflux ya asidi au GERD zinaweza kusababishwa na sababu kadhaa, ikiwa ni pamoja na vyakula fulani ambavyo vinaweza kusababisha misuli ya chini ya esophageal kupumzika, na kusababisha GERD. Kwa kawaida ni rahisi kufuata mlo uliokusudiwa kuzuia au kupunguza mtiririko wa asidi. Vikundi vya msingi vya vyakula vya nafaka, mboga, matunda, bidhaa za maziwa, na nyama vinaweza kuliwa kwa vizuizi vichache tu. Mapendekezo yafuatayo yaweza kusaidia kupunguza dalili: - Acha kutumia tumbaku katika namna zote. Nikotini hu dhaifu misuli ya chini ya utumbo. - Epuka kutafuna chingamu na peremende ngumu. Zinaongeza kiasi cha hewa inayomezwa ambayo, kwa upande wake, husababisha kuvuja na kurudi nyuma. - Usilale chini mara tu baada ya kula. Epuka kula chakula kidogo au kula chakula kikubwa usiku wa manane. - Epuka kuvaa mavazi yenye kunyooka na kuinama baada ya kula. - Kula chakula kidogo, mara kwa mara na kula vitafunio ikiwa inahitajika. - Kupoteza uzito ikiwa una uzito kupita kiasi. Kunenepa kupita kiasi husababisha kuongezeka kwa mtiririko wa damu. - Kuinua kichwa cha kitanda kwa inchi 6 hadi 8 ili kuzuia reflux wakati wa kulala. Vipuli vya ziada, vyenyewe, havifanyi kazi sana. Vyakula vifuatavyo vinaweza kuharibu reflux ya asidi na vinapaswa kuepukwa: vyakula vyenye mafuta au vyakula vilivyokaangwa, maziwa kamili, vyakula vyenye cream au supu, vyakula vya haraka, vyakula vifuatavyo vinaweza kuharibu esophagus ya chini yenye uvimbe na vinaweza kuhitaji kupunguzwa au kuepukwa: matunda ya machungwa na maji, vinywaji vyenye kafeini kama kahawa, chai, na vinywaji baridi. Huenda baadhi ya watu wasiweze kuvumilia vyakula vyenye vikolezo au vyenye asidi na huenda wakahitaji kuepuka vyakula hivyo. Vyakula vinavyosababisha uzalishaji wa gesi: maharagwe mengi, hasa maharagwe na maharagwe yaliyokaushwa, maharagwe yaliyooka, maharagwe ya soya, maharagwe ya lima, maziwa, bidhaa za maziwa, maziwa, ice cream, na jibini, kabichi, broccoli, Brussels sprouts, cauliflower, matango, kohlrabi, asparagus, viazi, rutabaga, turnips, radishes, vitunguu, plums, prunes, pastries, apples, raisins, ndizi, vyakula vilivyokaushwa au vilivyochomwa, nyama zenye mafuta, mchuzi wa cream na gravies, apricols (vyakula vyenye mafuta si vya wanga pia)