Wellness Coaching Advice for a healthy life

Nutrition and GERD

Egg with tomato on toast

 

 

GERD is heartburn that occurs more than twice a week. GERD occurs when the stomach acid goes past the LES and up into the esophagus. Stomach acid will damage the lining of the esophagus if this is reoccurring or stays in the esophagus for long periods of time. Symptoms such as weight loss, anorexia, anemia and vomiting will suggest that an elderly patient be checked for GERD. An elderly patient may complain of chest pain that can be GERD but mistaken for a heart attack. Asthma and colds with coughing can aggravate GERD.

Preventative measures suggested are to avoid triggers like: alcohol, caffeine, citrus, carbonated drinks, chocolate, tomatoes, tomato sauce, and full fat dairy products. After a meal, do not exercise or bend over, do not over eat, do not wear tight-fitting clothes and stop smoking; this can trigger GERD. Simple lifestyle and nutrition changes can make a difference.

Treatments for GERD range from over the counter medications such as Antacids like Maalox, H2 blockers like Pepcid AC, a PPI like Prilosec OTC to more severe measures like surgery.

Dietary recommendation rely entirely on the energy load of the patient, the main goal here is to avoid the triggers and provide sufficient nutrition.

Suggested meals for someone with GERD would be:

Breakfast:

2 hard-boiled eggs

2 slices of bacon

1 cup of green tea with honey

1 slice of whole wheat toast

1 apple

Lunch:

4 oz Salmon filet

.5 cup of broccoli

1 cup of juice

Dinner: 6 oz steak

Medium baked potato

4 oz of asparagus

1 liter of water

A crucial step in maintaining homeostasis is hydration, my recommendation is 3 liters of water daily.

 

Resources

http://www.medscape.com/viewarticle/513363

http://patients.gi.org/topics/acid-reflux/

https://medlineplus.gov/ency/article/003114.htm

 

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