Barrett's esophagus sometimes occurs in people who have chronic heartburn with acid reflux, called gastroesophageal reflux disease, or GERD. Over time, the stomach acid that is burped into the tube that transports food between your mouth and your stomach, the esophagus, causes changes to the lining of the lower part of that tube. People with Barrett's esophagus have a slightly increased chance of getting esophageal cancer, so if you have Barrett's, see your doctor regularly. Because Barrett's esophagus is associated with acid reflux, your diet should follow GERD guidelines.
What to Eat
Any healthy diet can be a good diet for Barrett's esophagus. For example, you should eat at least five servings of fresh fruits and vegetables every day, and drink plenty of water, especially before bedtime. Also, substitute olive oil or other healthy oils for polyunsaturated vegetable oils, partially hydrogenated oils, margarine and vegetable shortening.
What Not to Eat
Several types of foods are on the Do Not Eat list for those with GERD or Barrett's esophagus, including coffee, tea, alcohol -- particularly red wine -- and fatty or fried foods. Pepper seasonings, garlic, onion, chocolate and mints, such as peppermint, have also been implicated in heartburn. You may also get reflux from drinking certain juices, such as tomato or orange juice, as these fruits have a high acid content. Avoid carbonated beverages if they cause heartburn.
When to Eat
Many people with GERD and Barrett's esophagus find that some simple changes in when and how to eat will reduce the symptoms of their disease. For example, reduce meal sizes. Try having several small meals during the day, rather than three large meals or, worse, eating all the time. Don't lie down immediately after eating a meal. Avoid eating just before bedtime. Wait at least three hours. Some people can reduce acid reflux by raising the head of the bed by about 6 inches. Do this by propping up the head of the bed with blocks, not by putting pillows under your own head.
