Gerd and yogurt. GERD and Diet: 8 Foods to Avoid for Acid Reflux Relief

04.09.202311.06.2023 by alexxlab

What foods worsen GERD symptoms. How does dairy affect acid reflux. Why are citrus fruits problematic for GERD sufferers. Can spicy foods trigger heartburn. How does caffeine impact acid reflux. Are carbonated beverages bad for GERD.

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Understanding GERD: Causes and Symptoms

Gastroesophageal reflux disease (GERD) is a chronic condition characterized by frequent acid reflux. This occurs when stomach acid flows back into the esophagus, causing irritation and discomfort. The lower esophageal sphincter (LES), a ring of muscle connecting the esophagus and stomach, normally prevents this backflow. However, in GERD patients, the LES may be weakened or damaged, allowing stomach acid to reach the esophagus.

Several factors can contribute to acid reflux, including:

Activities before and after eating
Timing of meals
Body position
Quantity of food consumed
Types of food eaten

If you experience acid reflux more than twice a week, you may have GERD and should consult a doctor for proper diagnosis and treatment.

Dairy Products: A Common GERD Trigger

Many GERD sufferers find that dairy products exacerbate their symptoms. Why do dairy products worsen acid reflux? High-fat dairy items like cheese, whole milk, and ice cream can relax the LES, making it easier for stomach acid to flow back into the esophagus. Additionally, cold dairy products may numb and inhibit the LES’s function, further increasing the risk of acid reflux.

Dairy products to avoid if you have GERD include:

Cream
Whole milk
Cheese
Ice cream
Full-fat yogurt

Citrus Fruits and Juices: The Acid Reflux Connection

Citrus fruits are known for their high citric acid content, which can trigger GERD symptoms in many people. How do citrus fruits affect acid reflux? The citric acid in these fruits stimulates the production of stomach acid, increasing the likelihood of reflux. While you may not experience heartburn every time you consume citrus, regular intake of these fruits or their juices can worsen GERD symptoms over time.

Citrus fruits to limit or avoid include:

Grapefruit
Oranges
Limes
Lemons
Pineapple

Tomatoes: A Hidden Acid Reflux Trigger

Tomatoes are a staple in many cuisines and offer numerous health benefits. However, they can be problematic for GERD sufferers. Why are tomatoes a concern for people with acid reflux? Like citrus fruits, tomatoes are highly acidic and can increase stomach acid production. Moreover, tomato-based sauces often contain other GERD triggers such as onions and garlic, compounding the potential for reflux.

While tomatoes are nutritious, providing antioxidants, vitamin C, and potassium, those with severe GERD symptoms may need to limit their intake or avoid them altogether. If you enjoy tomatoes but experience reflux, consider reducing your portion sizes or opting for less acidic varieties.

Spicy Foods: Friend or Foe for GERD Sufferers?

Spicy foods are a common trigger for acid reflux symptoms. What makes spicy foods problematic for people with GERD? The culprit is capsaicin, a chemical compound that gives chili peppers and other spicy foods their heat. Capsaicin can irritate the mucous membranes in the digestive tract and increase stomach acid production, potentially leading to heartburn and other GERD symptoms.

Spicy foods to be cautious of include:

Chili powder
Chili oil
Cayenne pepper
White pepper
Black pepper

Interestingly, a 2010 study on the Asian diet suggested that people who regularly consume spicy foods may develop a tolerance to their effects. However, this evidence is not conclusive, and individual responses to spicy foods can vary greatly.

Coffee and Caffeinated Beverages: Impact on GERD

For many, coffee is an essential part of their daily routine. However, the caffeine in coffee can have negative effects on GERD symptoms. How does caffeine affect acid reflux? Caffeine can impair the contractions of the LES, making it easier for stomach acid to flow back into the esophagus.

While a single cup of coffee may not cause problems for everyone, those with recurring heartburn should consider reducing their caffeine intake. It’s important to note that the caffeine content can vary significantly between different coffee types and brewing methods.

Other caffeinated beverages to be mindful of include:

Energy drinks
Cola
Some citrus sodas

Carbonated Beverages: A Double Threat for GERD

Carbonated drinks, including sodas and sparkling water, can pose two distinct challenges for people with GERD. How do carbonated beverages affect acid reflux? First, many carbonated drinks contain caffeine, which, as mentioned earlier, can relax the LES. Second, the carbonation itself can cause problems by inflating the stomach and increasing internal pressure.

The combination of increased stomach pressure and the relaxant effect of caffeine on the LES can significantly increase the likelihood of acid reflux. For those with frequent GERD symptoms, it may be beneficial to reduce or eliminate carbonated beverages from their diet.

Developing a GERD-Friendly Diet

Managing GERD symptoms through diet can be challenging, as trigger foods can vary from person to person. How can you identify your personal GERD triggers? Keeping a food diary is an effective way to track which foods, portion sizes, and meal times are associated with your acid reflux symptoms. This information can help you and your healthcare provider develop a personalized diet plan to manage your GERD.

While avoiding trigger foods is important, it’s equally crucial to focus on incorporating GERD-friendly foods into your diet. Some foods that may help alleviate GERD symptoms include:

Lean proteins (e.g., chicken, fish, tofu)
Non-citrus fruits (e.g., apples, bananas, melons)
Vegetables (e.g., broccoli, green beans, carrots)
Whole grains (e.g., oatmeal, brown rice, quinoa)
Low-fat dairy alternatives (e.g., almond milk, soy yogurt)

The Importance of Portion Control and Eating Habits

In addition to food choices, how you eat can significantly impact GERD symptoms. What eating habits can help reduce acid reflux? Consider the following tips:

Eat smaller, more frequent meals throughout the day
Avoid lying down for at least 3 hours after eating
Chew food thoroughly and eat slowly
Wear loose-fitting clothing around your abdomen
Maintain a healthy weight

By combining these strategies with a GERD-friendly diet, many people find significant relief from their acid reflux symptoms.

The Role of Probiotics in GERD Management

Recent research has suggested that probiotics may play a role in managing GERD symptoms. How can probiotics help with acid reflux? Probiotics are beneficial bacteria that can help improve gut health and digestion. Some studies have shown that certain probiotic strains may help reduce the frequency and severity of GERD symptoms by promoting a healthy balance of gut bacteria and supporting optimal digestive function.

While more research is needed to fully understand the relationship between probiotics and GERD, incorporating probiotic-rich foods or supplements into your diet may be worth considering. Probiotic-rich foods include:

Yogurt (low-fat or non-dairy varieties for those sensitive to dairy)
Kefir
Sauerkraut
Kimchi
Kombucha (be cautious with carbonated varieties)

Always consult with your healthcare provider before adding probiotics or any new supplements to your GERD management plan.

The Potential Benefits of Herbal Remedies

Some people with GERD find relief through herbal remedies. Which herbs may help alleviate acid reflux symptoms? While scientific evidence is limited, several herbs have been traditionally used to soothe digestive discomfort:

Ginger: Known for its anti-inflammatory properties
Chamomile: May help reduce stomach acid and ease digestion
Licorice root: Can increase mucus production, potentially protecting the esophagus
Marshmallow root: May form a protective coating in the digestive tract

It’s important to note that herbal remedies can interact with medications and may not be suitable for everyone. Always consult with a healthcare professional before incorporating herbal remedies into your GERD management routine.

The Importance of Lifestyle Modifications

While dietary changes play a crucial role in managing GERD, lifestyle modifications can also significantly impact symptom severity and frequency. What lifestyle changes can help reduce acid reflux? Consider implementing the following strategies:

Quit smoking: Smoking can weaken the LES and increase acid production
Elevate the head of your bed: This can help prevent stomach acid from flowing back into the esophagus during sleep
Manage stress: Stress can exacerbate GERD symptoms, so finding effective stress-reduction techniques is important
Exercise regularly: Moderate exercise can help improve digestion and maintain a healthy weight
Avoid tight-fitting clothing: Tight clothes can put pressure on the abdomen, potentially worsening reflux

By combining dietary changes with these lifestyle modifications, many people experience significant improvement in their GERD symptoms.

When to Seek Medical Attention

While dietary and lifestyle changes can be effective for managing mild to moderate GERD, some cases may require medical intervention. When should you consult a doctor about your GERD symptoms? Consider seeking medical attention if:

You experience persistent heartburn or acid reflux more than twice a week
Over-the-counter medications don’t provide relief
You have difficulty swallowing or experience pain when swallowing
You experience unexplained weight loss
You develop persistent hoarseness or wheezing
You notice blood in your stool or vomit

A healthcare professional can provide a proper diagnosis and recommend appropriate treatment options, which may include prescription medications, lifestyle modifications, or in some cases, surgical interventions.

By understanding your GERD triggers, making informed dietary choices, and implementing lifestyle changes, you can take control of your acid reflux symptoms and improve your overall quality of life. Remember that GERD management is often a process of trial and error, and what works for one person may not work for another. Be patient with yourself and work closely with your healthcare provider to develop a comprehensive GERD management plan tailored to your individual needs.

8 Foods That Are Making Your GERD Worse

by The Surgical Clinic | 0 comments

Everyone needs to eat, but for people who have gastroesophageal reflux disease (GERD), eating the wrong thing can have painful consequences.

Acid reflux occurs when stomach acid reaches the esophagus and causes irritation. Normally, the ring of muscle that connects the esophagus and stomach, called the lower esophageal sphincter (LES), closes to prevent stomach acid from reaching the esophagus. A damaged or weakened LES, however, relaxes and opens when it should be closed and allows stomach acids to reach the esophagus.

Multiple factors can contribute to acid reflux, including:

Activities before and after eating
What time of day you eat
Position of your body
The amount of food you eat
What food you eat

Those who experience acid reflux more than twice a week may have GERD and should visit a doctor for diagnosis and treatment.

If you’re just starting to experience GERD symptoms and you’re not sure what’s causing your symptoms, read this list of foods that may worsen your GERD symptoms, as well as foods that may provide GERD relief.

Foods that Worsen GERD

Pinning down which foods to avoid and which foods to eat for GERD is not always clear. It is best to keep a food diary to track what foods, the amount of food, and what meal times trigger acid reflux. Though, the list of foods below may be a good place to start.

1. DAIRY

Milk and dairy products are high in fat and tend to make heartburn worse. When you have frequent GERD symptoms, like heartburn, eating high-fat dairy products like cheese can aggravate your symptoms.

Furthermore, cold dairy products like ice cream can actually numb and inhibit the lower esophageal sphincter’s function. As a result, stomach acid can backwash up into the esophagus much easier.

Dairy to avoid:

Cream
Whole milk
Cheese
Ice cream
Full fat yogurt

2. CITRUS Fruits and Juices

Lemons, oranges, limes, and grapefruit are all foods that can make your GERD symptoms worse because of their citric acid content. Pineapple is another fruit high in citric acid you might want to avoid in order to manage your symptoms.

Why Does Citrus Give Me Heartburn?

Because citrus fruits contain high amounts of citric acid, they cause your stomach to produce more stomach acid. As a result, your stomach is more full and the chances for reflux increase. You may not experience heartburn every time you eat citrus fruits, but if you enjoy a glass of orange juice every day, you might want to moderate your citrus intake if you notice a connection between your symptoms.

Citrus to avoid:

Grapefruit
Oranges
Limes
Lemons
Pineapple

3. TOMATOES

These red, ripe fruits grow quickly and are a staple in many foods. Their umami or savory flavor makes many favorite foods tasty. Pasta with marinara sauce, pizza, lasagna, stew and more benefit from tomatoes. They’re also nutritious, packing antioxidants, vitamin C, and potassium.

However, tomatoes are also highly acidic. Just like citrus, the acids in tomatoes will increase your stomach’s acid levels. Furthermore, tomato sauces often contain onion and garlic, which can also trigger acid reflux.

4. SPICY FOODS

Chili peppers, hot sauce, paprika, salsa, wasabi, and other spicy additives make food delicious. However, spicy foods contain a substance called capsaicin, which is a chemical compound that gives them their spice. Capsaicin also causes a burning sensation on the mucous membranes in the digestive tract and increases stomach acid production.

However, a 2010 study on the Asian diet has some evidence that people who regularly eat spicy foods may have a tolerance to their effects. Though, there is no concrete evidence that is true.

Spicy foods to avoid:

Chili powder
chili oil
cayenne pepper
white pepper
black pepper

5. COFFEE and Caffeinated Drinks

An almost essential part of everyone’s day, the caffeine in coffee helps many people get their day started and maintain their energy throughout the day. However, the caffeine in coffee also impairs the contractions of the LES. A cup of coffee a day may not be enough to cause problems. However, the answer may be in how much caffeine you’re taking in.

If you drink coffee with high caffeine content and have recurring heartburn, try decreasing the amount of caffeine you drink.

6. SODA

There are two factors from soda and soft drinks that aggravate acid reflux symptoms. One, just like coffee, is caffeine content. The second is carbonation.

Energy drinks, cola, and even some citrus sodas all have caffeine. If you drink multiple caffeinated sugary drinks per day, the greater the chances are that your LES will have a hard time functioning properly.

The carbonation from sodas inflates the stomach while also increasing its internal pressure. Combining the increase of pressure and the relaxant effect of caffeine on the LES, reflux becomes more likely.

7. High Fat and FRIED FOODS

Naturally, fried foods are high in saturated fats, which take much longer to break down in the stomach. Fatty fried foods also slow down the digestion process. In order to break down these complex fats, your stomach will produce more acid. As a result, your stomach will become more full and increase the likelihood of reflux.

Fried and high fat foods to avoid:

French fries
Potato chips
Onion rings
High fat red meats
Peanut butter

8. CHOCOLATE

Like coffee, chocolate contains some amounts of caffeine, which relaxes the LES. Additionally, cocoa powder is another acidic substance that can increase stomach acid. Chocolate also releases serotonin when eaten. Serotonin is a mood-regulating hormone that calms stress. However, serotonin can also cause the LES to relax and increase the likelihood of acid reflux.

WHAT CAN CAUSE GERD SYMPTOMS?

As you might have noticed, the common factor through most of the above foods is how they make symptoms worse. Most cause a combination of either relaxing the LES, increasing stomach acid production or keeping the stomach full for too long. The above foods are not the only foods and drinks that can aggravate GERD symptoms. Additional items include the following:

Alcohol
Mints
Nitrates
Iron or potassium supplements
Processed Foods
Pain relievers such as ibuprofen, acetaminophen and aspirin
Antibiotics
Bisphosphonates (osteoporosis medications)
Alpha-blockers and calcium channel blockers (high blood pressure medications)
Tricyclics (antidepressants)
Theophylline (bronchodilator to treat asthma and chronic obstructive pulmonary disease)

Some medications such as alpha-blockers and calcium channel blockers can make symptoms worse. If you suspect that one of your medications is the reason for your GERD symptoms, talk to your doctor before stopping your medication. Your doctor may recommend alternative medications or treatments.

Additionally, the foods listed above may be hard to cut out completely. Instead of eliminating foods that trigger acid reflux, try eating them in moderation. Also try eating smaller meals more frequently as opposed to larger meals two or three times a day.

FOODS THAT HELP REDUCE ACID REFLUX SYMPTOMS

There are plenty of foods that can nullify or even just help you manage your GERD symptoms. Keep in mind that eating these foods is not a permanent cure. However, these foods will help you reduce your symptoms and prevent them from getting worse.

The first thing to note about foods that make GERD worse is their high-fat content, their relaxant properties, and their difficulty to digest. Once you know this, consider the foods that might be the opposite. Remember to record foods that alleviate heartburn in a food diary.

1. VEGETABLES

Low in calories, low in fat, and low in sugar, vegetables are an excellent source of key nutrients and fiber. Additionally, vegetables have a high satiating factor, meaning they will leave you full and satisfied after a big meal without regrets. Vegetables are also easy to digest, which reduces the risk of a flare-up.

Vegetables to eat:

Green beans
Broccoli
Asparagus
Cauliflower
Leafy greens (though these may trigger some)
Potatoes
Cucumbers
Fennel
Celery
Sweet peppers
Sweet potatoes
Carrots
Beets

2. Whole Grains

A high-fiber food that can be flavored with any mix-ins and accompany any meal, whole grains are a good choice for any diet. Fiber promotes healthy digestion and reduces acid reflux as a result. Whole grain also provides healthy energy levels throughout the day.

Whole grains to eat:

Oatmeal
Whole grain rice
Whole grain bread (not whole wheat)
Couscous
Quinoa

3. GINGER

This spicy root actually helps soothe upset stomachs and reduce inflammation. For most people, ginger is too strong to be eaten raw. Brewing ginger tea, drinking ginger ale, or adding sliced or grated ginger to a salad can help you manage painful reflux symptoms.

4. HEALTHY FATS

Saturated and processed fats take much longer to digest. On the flip side, your body does need healthy fats that can be found in tree nuts, avocados, olive oil and flaxseed. These are healthy unsaturated fats found in plants.

Fats to eat:

Avocadoes
Walnuts
Flaxseed
Olive oil
Chia seeds
Sesame oil
Sunflower oil

5. Lean Meats

Lean meats and seafood are a great source of protein while containing a low amount of fat. Instead of frying lean meats, keep them healthy by baking, broiling, grilling, or air frying them. Use healthy oils like olive oil, sunflower oil, or avocado oil when cooking.

Lean meats to eat:

Chicken breast
Turkey, white meat
Fish
Other seafood

6. Non-Citrus Fruits

In comparison to citrus fruits, non-citrus fruits contain valuable vitamins and minerals as well as fiber to aid in digestion. Plus, alkaline fruits can neutralize stomach acids and relieve acid reflux.

Fruits to eat:

Bananas
Melons
Apples
Pears

7. Legumes

A great source of protein and fiber, legumes are a healthy addition to any diet. Legumes are satiating, meaning they help you feel full for longer, but without the negative effects of acid reflux.

Legumes to eat:

Beans
Peas
Lentils

8. Yogurt

While whole fat dairy can trigger acid reflux, low-fat and sugar-free yogurt can soothe an irritated esophagus. Additionally, the probiotics in yogurt help aid in digestion and promote gut health.

GERD TREATMENT IN NASHVILLE

Remember that no single diet can cure GERD or prevent all acid reflux symptoms. Trigger foods will vary from person to person, so write them down in a diary. However, effective diet changes can help you avoid other needed treatments.

When you need immediate acid reflux relief, antacids work, though they are a short-term solution. The calcium carbonate and other ingredients in antacids neutralize stomach acids and prevent painful symptoms. But remember that antacids do not treat or heal an inflamed esophagus. You will need long-term treatment for chronic acid reflux to prevent esophageal cancer.

If you need long-term treatment for acid reflux and GERD in Middle Tennessee, the surgeons and doctors at The Surgical Clinics can help. We want you to know that surgery is the last resort when treating GERD. Many cases can be adequately treated with medications that reduce stomach acid production and help the esophagus heal.

However, if these approaches do not work, we can perform surgery that strengthens the LES with either implants or surgical modification. With our access to advanced surgical techniques and resources, we also offer groundbreaking GERD treatments that many patients have benefited from.

Contact the Surgical Clinic to schedule your GERD consultation today.

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GERD Diet – Wake Gastroenterology

This diet is used to help reduce discomfort in the esophagus caused by Gastroesophageal Reflux Disease (GERD). Symptoms such as heartburn, and chest discomfort and a bitter taste in the mouth often occur, due to acid washing up from the stomach. Coughing, hoarseness, or shortness of breath can occur if the fluid washes into the breathing passages. You can find more information about GERD in the Gastroesophageal Reflux Disease page.

The esophagus is a tube that connects the throat and the stomach. At the bottom of the esophagus, there is a valve that usually prevents acid from washing up from the stomach. A muscle keeps usually the valve tightly closed.

Some foods cause the muscle at the bottom of the esophagus to relax. Other foods cause the stomach to create more acid. This diet is designed to avoid these foods. Choose your foods according to the Food Guide Pyramid to meet your needs.

Treatment may include medications, but the following guidelines should be followed:

GERD Diet – General Guidelines

Stop smoking and chewing tobacco.
Discuss your weight with your doctor. Lose weight if you are overweight.
Do not overeat. Eat small portions at meals and snacks.
Avoid tight clothing, tight-fitting belts. Do not lie down or bend over within the first 15-30 minutes after eating.
Do not chew gum or suck on hard candy. Swallowing air with chewing gum and sucking on hard candy can cause belching and reflux.
Use bricks or wood blocks to raise the head of your bed 6-8 inches.
Do not eat/drink: Chocolate, tomatoes, tomato sauces, oranges, pineapple and grapefruit, mint, coffee, alcohol, carbonated beverages, and black pepper.
Eat a low-fat diet. Fatty, greasy foods cause your stomach to produce more acid.

GERD-Friendly Diet Recommendations

	Choose these foods / beverages	Do not eat these foods / beverages
Fruits/juices	Most fruits and fruit juices such as apple, grape, cranberry, banana, pears, etc.	Citrus fruits: oranges, grapefruit
Soups	Low-fat and fat-free soups such as clear broth based soups*.	Regular cream soups, other high fat soups*.
Beverages	Decaffeinated tea, herbal tea (not mint), Kool-Aid, water, juices (except orange, grapefruit and pineapple).	Coffee (regular and decaffeinated), alcohol, carbonated beverages.
Sweets and deserts	Fruit ices, gelatin, popsicles, ice milks and frozen low-fat yogurt, low fat cookies and cakes (less than 3 g fat per serving).	Chocolate and high fat deserts.
Vegetables	All steamed, roasted, stir-fried (with little oil) vegetables.	Fried, creamed vegetables.
Milk and dairy products	Skim or 1% milk, lowfat yogurt, or cheeses (<3 g fat per oz).	Whole and 2% milk, whole milk yogurt and cheeses. Chocolate milk and hot chocolate.
Bread, cereals and grain products	Low-fat	Made with whole milk or cream.
Meat, Chicken, Fish, and meat substitutes (nuts, tofu, etc)	Low-fat meats with the fat trimmed before cooking, skinless poultry. Baked, broiled, poached roasted, without added fat.	Sausage, bacon, fried meats and chicken, salami, bologna and other high fat meats (> 3 g per ounce). Chicken skin and meats with visible fat left on.
Oils, butter, margarine	None, or small amounts.	Animal or vegetable fats.

* Fat can be skimmed from the top of soups and stews when they are hot or cold.

Credits for this dietary information go to Maureen Murtaugh, PhD.

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with a princess – Translation into Russian – examples English

These examples may contain rude words based on your search.

These examples may contain colloquial words based on your search.

Till he was caught with a princess .

Until he got caught with princess .

He then goes on a journey with a princess to find a special jade plant.

Jiang then goes on a journey of with Princess in order to find the jade plant.

You can make friends with a strange visitor from Tokyo and with a princess from the distant past.

If you want, you can make friends with a slightly strange visitor from Tokyo, and with princess from the distant past.

Z, what kind of chance do you have with a princess ?

Zee, what chance do you have with princess ?

“Does he live with a princess ?” asked Gerda.

“He lives with Princess ? asked Gerda.

George made a fairy tale story, with a princess , the young prince, and the cynical Harrison Ford playing Han Solo.

George made fairy tale with princess , the prince, and the cynical Harrison Ford as Han Solo.

According to local legend, Matsyendranath, the founder of the Nath tradition, arrived in the area with a princess from Kerala named Premaladevi.

According to local legend, Matsyendranath, the founder of the Nath tradition, arrived in this area along with a princess from Kerala named Parimala or Premaladevi.

It was pink with a princess on it.

We got pink with princess .

Popcorn with a Princess !

I want yogurt with princess !

Three Weeks With A Princess

Three weeks with princess …

And now she’s come up with a princess for you.

And now she has come with Princess for you.

A prince falls in love with a princess .

Crazy guy falls in love with Princess .

Boy falls in love with a princess .

Crazy Guy falls in love with Princess .

At age 17, he fell in love with a princess .

At 16, girl falls in love with prince .

A wandering musician falls in love with a princess who they want to give for an old king from a neighboring kingdom, a petty tyrant and a scoundrel.

Wandering musician falls in love with princess , who they want to give for an old king from a neighboring kingdom, a petty tyrant and a scoundrel.

In the magical kingdom of fruits, the prince fell in love with a princess from another kingdom.

The prince of the fruit kingdom fell in love with princess from another hostile state.

You all end up on a planet where Bryan falls in love with a princess .

You all end up on a planet where Brian falls in love with Princess .

Her hairstyle will be long, dyed in a warm brown color and adorned with a princess tiara made of blue natural pearls!

Her hairstyle will be long, dyed warm brown and embellished with a princess tiara made of blue natural pearls!

Komuro also said: I think that there is a heavy responsibility in entering a relationship with a princess , and I take that responsibility very seriously.

Komuro Kei also said, “I am aware of what to marry princess is a big responsibility and I take it seriously.

Another instance can be found in an eighth-century Japanese fable about a fisherman named Urashima Tarō who travels to an undersea palace and falls in love with a princess .

Another example can be found in the 8th century Japanese fable about a fisherman named Urashima Taro who travels through an underwater palace and falls in love with princess .

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