Acid reflux occurs when stomach acid, undigested foods or bile backs up into the esophagus. Gastroesophageal reflux disease, or GERD, is the chronic occurrence of acid reflux that irritates the esophageal lining and causes heartburn and chest discomfort in addition to acid reflux. Nutrition therapy for acid reflux involves a diet designed to reduce or eliminate acid reflux and heartburn from occurring.
Dairy Products
Avoiding high fat foods can help in treatment of acid reflux. Avoid whole milk and products made with whole milk or heavy cream including cream soups. Also avoid hard cheeses, cheese sauces , chocolate milk, ice cream, milkshakes and other high fat dairy products. Instead choose fat-free or low-fat dairy products including low-fat or fat-free milk, yogurt, frozen yogurt, cottage cheese and low-fat cheeses.
Fruits and Vegetables
Avoid deep fried or creamy style vegetables, tomatoes and onions. Raw fruits and vegetables may also contribute to reflux so try boiling, baking or steaming them so they are better tolerated. Eating canned fruits or removing the skins or seeds from fruits and vegetables may also be better tolerated. Certain fruits such as citrus fruits and juices may also contribute to heartburn.
Meats and Fats
Fatty meats can contribute to acid reflux. Choose low-fat or lean meats including chicken, fish, and turkey without the skin. Avoid deep-fried meats and fatty meats including cold cuts, sausage and bacon. Use oils in small amounts and avoid animal and vegetable oils. Limit desserts and sweets made with chocolate, oils and added fats.
Other Problem Foods
Other foods and beverages that can contribute to acid reflux include both caffeinated and decaffeinated beverages, mint flavorings, carbonated beverages, garlic, alcohol, spicy or acidic foods such as spaghetti sauce, salsa, chili and pizza.
Other Considerations
To help avoid acid reflux maintain a healthy weight as excess weight can put pressure on the abdomen which can contribute to acid reflux. Also avoid clothes that fit tightly around the waist as this can also contribute to acid reflux. Avoid chewing gum and hard candy as they contribute to swallowed air which can lead to acid reflux. Try eating smaller, more frequent meals as opposed to three larger ones. Don't lie down after eating a meal or don't eat before bedtime, try to wait at least two to three hours. Elevate the head of the bed by 6 to 9 inches to help avoid acid reflux during the night.
References
- Jackson Siegelbaum Gastroenterology: Gastroesophageal Reflux Disease Diet
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK): Heartburn, Gastroesophageal Reflux (GER), and Gastroesophageal Reflux Disease (GERD)
- American College of Gastroenterology: Heartburn Or Gastroesophageal Reflux Disease (GERD)
- MayoClinic.com: GERD
