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Gastroesophageal reflux disease GERD is a common esophageal disorder that is characterized by troublesome symptoms associated with increased esophageal acid exposure. Cornerstones of therapy include acid suppressive agents like proton pump inhibitors PPI and lifestyle modifications including dietary therapy, although the latter is not well defined. As concerns regarding long term PPI use continue to be explored, patients and providers are becoming increasingly interested in the role of diet in disease management. The following is a review of dietary therapy for GERD with an emphasis on the effect food components have on pathophysiology and management. Although sequential dietary elimination of food groups is common, literature supports broader manipulation including reduction of overall sugar intake, increase in dietary fiber, and changes in overall eating practices. Most commonly, this is characterized by the presence of burning mid-sternal chest pain, regurgitation of fluid or food, or development of esophageal inflammation that may lead to swallowing dysfunction 2. Additionally, patients may experience extraesophageal manifestations including cough, bronchospasms, and hoarseness 3.
Learn about our expanded patient care options and visitor guidelines. Ekta Gupta, M. Getting a case of acid reflux heartburn once in a while isn’t unusual, but some people suffer from burning discomfort, bloating and belching almost every time they eat. Normally, the esophageal sphincter a muscular tube that lets food pass into the stomach and then cinches shut to block it from coming back up protects the esophagus from stomach acid. However, if the sphincter relaxes, food can push upward through the loosened opening and cause acid reflux. Foods commonly known to be heartburn triggers cause the esophageal sphincter to relax and delay the digestive process, letting food sit in the stomach longer, says Gupta. The worst culprits? Foods that are high in fat, salt or spice such as. It’s also a good idea to eat small frequent meals instead of bigger, heavier meals and avoid late-night dinners and bedtime snacks.