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GERD Diet: Foods to Avoid and Foods to Consider
Since you’ll probably need to eliminate certain items from your diet to reduce symptoms of GERD, it may be helpful to know about alternative foods that are less likely to cause problems.
The following replacements may help you avoid symptoms.
Milk products Instead of whole milk and full-fat dairy products, try reduced-fat, low-fat, or fat-free milk, yogurt, cheese, or ice cream.
Alternatively, you can try nondairy options like soy or almond milk, or nondairy ice cream alternatives.
Baked goods Instead of high-fat items like biscuits, croissants, doughnuts, or sweet rolls, try plain bread or rolls, pancakes, waffles, bagels, or low-fat muffins.
Meats and other proteins Instead of fatty meat, fried meat, lunch meat, or sausages, try lean meat, poultry without its skin, fish, tofu, or eggs.
Fruits Instead of citrus fruits like oranges, lemons, limes, and grapefruit, try any other fresh, frozen, or canned fruit or fruit juice that you can tolerate well.
Vegetables Instead of fried or creamed vegetables, onions, tomatoes and tomato products, or vegetable juices, try a variety of other fresh, frozen, or canned vegetables that are prepared without added fat.
Soups Instead of creamy or tomato-based soups, try lean broth-based soups or homemade soups made with lean ingredients, including low-fat or fat-free milk instead of cream.
Potatoes and other starches Instead of french fries, potato chips, risotto, or pasta with creamy or tomato-based sauces, try baked, boiled, or mashed potatoes, plain pasta or rice, or pasta with a low-fat milk-based sauce.
Snacks Instead of fried chips, nuts, guacamole, cheese dip, or sour cream-based dips, try crackers, pretzels, corn tortillas, low-fat hummus, or sliced fruits (other than citrus) or vegetables.
Sweets and desserts Instead of chocolate, cookies, cakes, pastries, or peppermints, try marshmallows, hard candies other than mints, angel food cake, gelatin desserts, fruit-based desserts, sherbet, or low-fat pudding. (6)
Diet Changes for GERD – About GERD
Proper treatment of gastroesophageal reflux disease (GERD) always begins with a visit to a healthcare professional to obtain an accurate diagnosis. It is important to recognize that chronic reflux does not get better on its own. Over-the-counter remedies may provide short-term symptom relief, but can mask an underlying disease if used long-term.
Symptoms of GERD
Just about everyone has had heartburn – that uncomfortable burning feeling in the chest after eating a heavy meal – at some point in their life. But, while occasional heartburn is nothing to worry about, heartburn that occurs more than once a week, becomes more severe, or occurs at night and wakes you from sleep may indicate gastroesophageal reflux disease (GERD). And, a visit to the doctor is advised.
Learn more about symptoms of GERD
Treatment for GERD may include medications advised by your doctor and certain diet and lifestyle changes. A combination of approaches, and some trial and error, may be necessary.
Diet and lifestyle changes often begin with what to avoid. These include things that can trigger or worsen symptoms.
Examples of things to reduce or steer clear of in your diet include:
- High fat foods
- Carbonated beverages
- Citrus and tomato products
Coming up with the appropriate diet and lifestyle changes involves discovering what works best for you. Not all triggers and treatments will affect all people in the same way. Bear in mind that when you eat may be just as important as what you eat. A particular food that causes reflux when eaten 3–4 hours before bedtime may be harmless earlier in the day.
Eating right for GERD does not have to mean cutting out all of your favorite foods. Making just a few, simple modifications to your current diet is often enough…
While no proven “GERD diet” exists, the following foods may help you ease or avoid symptoms.
Fruits and Vegetables
Fruits. While most likely avoiding citrus fruits and juices, like oranges and lemons, choose from a variety of non-citrus fruits such as bananas, melons, apples, and pears among others.
Vegetables. Select from the wide variety of vegetables. Avoid or reduce sauces or toppings that are high in fat or other irritants like tomatoes or onions.
Eggs. These are high in protein. However, if eggs are a problem for you, stick to the whites and stay clear of the higher fat yolks, which are more likely to cause symptoms.
Lean meat. High fat meals and fried foods tend to decrease lower esophageal sphincter (LES) pressure and delay stomach emptying, increasing the risk of reflux. Choose lean meats that are grilled, poached, broiled, or baked.
Oatmeal, whole grain bread, rice, and couscous. All of these are good sources of healthy complex carbs. Whole grains and brown rice add fiber to your diet.
Potatoes and other root vegetables. These are great sources of healthy carbs and digestible fiber, but make sure to avoid adding onion and garlic during preparation, as these are common irritants.
Fat is a type of nutrient – high in calories but a necessary part of your diet. Not all fats are created equal. Generally avoid or reduce saturated fats (usually from meat and dairy) and trans fat (in processed foods, margarines, and shortenings). Try replacing them, in moderation, with unsaturated fats from plants or fish. Here are some examples:
Monounsaturated fats. Examples include oils such as olive, sesame, canola, and sunflower; avocados; peanuts and peanut butter; and many nuts and seeds.
Polyunsaturated fats. Examples include oils such as safflower, soybean, corn, flaxseed, and walnut; soybeans and tofu; and fatty fish such as salmon and trout.
Other Helpful Tips
Chew gum. Chewing gum (not spearmint or peppermint, which can relax the LES) increases saliva production and reduces the amount of acid in the esophagus.
Avoid alcohol. Alcohol is a known irritant that can weaken the LES and trigger reflux symptoms. However, while some people may experience a spike in symptoms after just one drink, others can tolerate moderate amounts. Experiment to see what works for you.
Keep good posture during and after a meal. It’s a good idea to sit up while eating and avoid lying flat for a minimum of two hours after eating a meal. Standing up and walking around after a meal helps encourage gastric juices to flow in the right direction.
Avoid eating immediately before bed. Digestion increases the amount of gastric acid present in the stomach. When you lay down, the ability of the LES to prevent stomach contents from traveling up the esophagus decreases. Occurring together, lots of stomach acid and a reclined position are a recipe for reflux. Timing can vary from individual to individual, but generally, eating a full meal less than three or four hours before bed is not advisable for GERD sufferers.
Eating right for GERD does not have to mean cutting out all of your favorite foods. Making just a few, simple modifications to your current diet is often enough to help reduce the discomforts of GERD. The goal is to create a diet based on a healthy variety of foods that include fruits and vegetables, lean sources of protein, complex carbohydrates, and healthy fats.
If you suspect that foods may trigger or worsen your symptoms of GERD, try keeping a one week daily diary.
Published in Digestive Health Matters, Vol. 23, No. 3.
|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.|
Foods to eat and avoid
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In April 2020, the Food and Drug Administration (FDA) requested that all forms of prescription and over-the-counter (OTC) ranitidine (Zantac) be removed from the U.S. market. They made this recommendation because unacceptable levels of NDMA, a probable carcinogen (or cancer-causing chemical), were present in some ranitidine products. People taking prescription ranitidine should talk with their doctor about safe alternative options before stopping the drug. People taking OTC ranitidine should stop taking the drug and talk with their healthcare provider about alternative options. Instead of taking unused ranitidine products to a drug take-back site, a person should dispose of them according to the product’s instructions or by following the FDA’s guidance.
Gastroesophageal reflux disease is a condition in which the stomach contents regularly move back up the food pipe.
This regurgitation is usually long-term, and can result in uncomfortable symptoms, including heartburn and pain in the upper abdomen. The severity of the condition often relates to diet and lifestyle.
Gastroesophageal reflux disease (GERD) affects about 20 percent of the American population.
Avoiding trigger foods and following other dietary tips may relieve the symptoms of GERD. In this article, we discuss the foods that people with GERD may wish to exclude from their diet and those that they might benefit from consuming.
Some foods might actively improve GERD symptoms.
Until recently, researchers did not fully understand GERD, and there was a lack of scientific evidence to suggest that changing the diet could improve symptoms.
However, a 2013 study of more than 500 people found that some foods do appear to reduce the frequency of GERD symptoms.
- protein from low-cholesterol sources, such as salmon, trout, almonds, lean poultry, beans, and lentils
- certain carbohydrates that occur in fruits, vegetables, potatoes, and some whole grains
- vitamin C-rich foods like fruits and vegetables
- fruits high in fiber, magnesium, and potassium, especially berries, apples, pears, avocados, melons, peaches, and bananas
- eggs, in spite of their cholesterol content
- green vegetables, such as broccoli, spinach, kale, asparagus, and Brussels sprouts
Research also suggests that foods high in fiber, particularly soluble fiber, can help reduce the symptoms of GERD.
The trigger-food diet
The trigger-food diet involves eliminating common trigger foods, such as coffee and chocolate, to alleviate symptoms. These methods have little clinical backing and results vary between individuals.
In a set of guidelines on diagnosing and managing GERD, the American College of Gastroenterology state that they do not recommend eliminating trigger foods because the dietary connection is not straightforward.
Instead, they believe that the primary aim of treatment should be to heal the digestive system.
Certain foods can trigger GERD symptoms.
GERD is a digestive disorder, so diet can often affect the symptoms of the condition. Making dietary and lifestyle changes can go a long way toward treating many instances of GERD.
An article published in the Gastroenterology Research and Practice Journal found a connection between reflux esophagitis, which is inflammation that is usually due to GERD, and a high intake of specific foods.
Foods that might make GERD or reflux esophagitis symptoms worse include:
- meat, as it tends to be high in cholesterol and fatty acids
- oils and high-fat foods, which may cause the sphincter in the stomach to relax
- high quantities of salt
- calcium-rich foods, such as milk and cheese, which are sources of saturated fats
A study published in Gut and Liver examined the relationship between cow’s milk allergy (CMA) and GERD symptoms in children.
The researchers found that children with CMA often experienced symptoms of GERD after consuming cow’s milk. Ongoing research is looking into whether this also applies to adults.
People who regularly experience discomfort or bloating after eating dairy products containing cow’s milk may find that eliminating them from the diet reduces these symptoms.
A study published in Alimentary Pharmacology and Therapeutics explored the relationship between cholesterol and GERD.
The results indicated that people who consumed more cholesterol and saturated fatty acids and a higher percentage of calories from fat were more likely to experience GERD symptoms.
Other food flare-ups
There are additional foods that typically cause GERD flare-ups, which doctors often recommend people with this condition to avoid. These include:
- carbonated beverages
- acidic drinks, such as orange juice and coffee
- acidic foods, including tomato sauce
There is little clinical evidence linking these foods to GERD symptoms, but the anecdotal experiences of some people with the condition suggest that these foods may worsen symptoms.
However, trigger foods can vary from person to person. People with GERD should try eliminating each food type from their diet to see if their symptoms improve. If they do not, they can incorporate the food back into their diet.
Share on PinterestGERD occurs when stomach contents move back up the food pipe, causing discomfort.
When a person swallows, food passes down the food pipe to the stomach. A ring of muscle tissue called the lower esophageal sphincter contracts after allowing food into the stomach. This prevents the food from returning into the food pipe.
If the esophageal sphincter does not close correctly, the contents of the stomach can leak back up into the food pipe, causing GERD.
If GERD symptoms occur more than twice a week for a period longer than 3 weeks, doctors will define the condition as chronic.
People sometimes refer to GERD as acid reflux or heartburn, but these are technically symptoms of the disease rather than conditions in their own right.
Without treatment, GERD can lead to severe health problems, such as Barrett’s esophagus. In this condition, the cells lining the food pipe become abnormal and have the potential in some people to develop into cancer.
The primary symptom of GERD is heartburn, a painful sensation that ranges from a burning feeling in the chest to a sensation of food sticking in the throat. It is also relatively common to experience nausea after eating.
Some less common symptoms of GERD include:
- wheezing or weak coughing
- a sore throat
- changes to the voice, including hoarseness
- food regurgitation
Lying down immediately after eating can make symptoms worse. People sometimes find that their symptoms are also worse during the night. If this is the case, it is often possible to find relief by elevating the head while sleeping and avoiding eating eat least 2 hours before going to bed.
The symptoms of GERD are highly treatable.
People can purchase over-the-counter (OTC) medications to treat GERD. These include antacids, such as Gaviscon, which neutralize stomach acid.
People can also buy h3-receptor blockers, which may decrease the production of stomach acid for up to 12 hours. OTC proton-pump inhibitors (PPIs) have a similar effect.
Prescription medications might include stronger antacid, or acid-blocking, drugs. Although these are effective, they reduce the level of stomach acid. This acid is responsible for most vitamin B-12 absorption from food during digestion, so the frequent use of antacids, PPIs, or h3-receptor inhibitors can lead to vitamin B-12 deficiency.
Baclofen is a drug that can help to control symptoms by reducing the relaxation of the lower esophageal sphincter. However, baclofen can cause adverse effects, including fatigue and confusion.
Holistic dietary strategies for GERD
A comprehensive GERD treatment plan must consider additional factors beyond basic dietary changes.
For many people with digestive issues, restoring balance to the bacterial flora in the intestines may be beneficial. Eating fermented and pre-biotic foods might help to achieve this.
People call the bacteria in these foods probiotics. Probiotics may reduce digestive issues by balancing the digestive system as a whole. Prebiotics are foods that are rich in fibers that selectively grow beneficial bacteria.
Foods that contain natural probiotics include:
- raw sauerkraut
- raw kimchi
- raw fermented pickles and vegetables
- kombucha, a fermented tea drink
Prebiotic-rich foods include:
- Jerusalem artichokes
- chicory root fiber or inulin
- greener bananas
People with GERD might find that probiotic and prebiotic foods can reduce symptoms. Probiotics help to fight a bacterial strain known as Helicobacter pylori, which some scientists believe might relate to GERD. More research is necessary to confirm this.
Other natural treatments that may relieve GERD symptoms include deglycyrrhized licorice, ginger and slippery elm bark, which may reduce symptoms, relieve nausea, and improve gastric emptying.
Slippery elm contains high levels of mucilage. Mucilage can coat and soothe the throat and stomach. It may also cause the stomach to secrete mucus, which helps protect it from acid damage.
Research from 2010 in BMC Gastroenterology suggests that an oral melatonin supplement might also help treat GERD symptoms. However, the researchers only recommend this as one aspect of treatment, and further studies are necessary to confirm these results.
An article published in the Archives of Internal Medicine suggests that losing weight and keeping the head raised during sleep can minimize the symptoms of GERD.
Although people typically consider GERD to be a chronic disorder, it does not have to be permanent.
Changes to the diet, lifestyle, and integrative treatments can help alongside medication. If this treatment does not work, surgery can be an option to strengthen the lower esophageal sphincter.
The appropriate treatment should prevent GERD from affecting quality of life. It is vital to always talk to a doctor before making any changes to a treatment plan.
Some of the medications and home remedies listed in this article are available for purchase online.
Avoid These Foods & Drinks
You wake in the night, your chest burning. Sometimes the pain is so intense you think it’s a heart attack.
For the 60 million Americans who get heartburnat least once a month, the pain isn’t just a small inconvenience. Heartburn can affect almost everything you do, keeping you from sleeping at night and functioning well during the day.
Heartburn: Why It Happens
A muscular ring between the end of the esophagus and the beginning of the stomach normally keeps stomach acid where it belongs — in the stomach. But in people with frequent heartburn, this area, the lower esophageal sphincter muscle (LES), may not prevent stomach acid from splashing up into the esophagus.
Does this mean you just have to live with heartburn? No! A recent survey conducted by the National Heartburn Alliance (NHBA) revealed that 92% of frequent heartburn sufferers point to food as the primary cause of their digestive discomfort.
So, if a change in diet can help you avoid heartburn, which foods should you choose to lose to help head off the pain?
Heartburn Relief: Food Facts
Though heartburn triggers can vary from person to person, certain food and drinks are more prone to allowing stomach acid to splash up into your esophagus, including:
Meats. Ground beef, marbled sirloin, chicken nugget-style, and chicken/buffalo wings.
Fats, Oils & Sweets.Chocolate, regular corn and potato chips, high-fat butter cookies, brownies, doughnuts, creamy and oily salad dressings, fried or fatty food in general.
Fruits, Vegetables & Juice. Orange juice, lemon, lemonade, grapefruit juice, cranberry juice, tomato, mashed potatoes, French fries, raw onion, potato salad.
Other Beverages. Liquor, wine, coffee, and tea.
Grains. Macaroni and cheese, spaghetti with marinara sauce.
Dairy. Sour cream, milk shake, ice cream, regular cottage cheese.
Foods and beverages like these contribute to heartburn (and the more serious GERD) by lessening the effectiveness of the LES to keep stomach contents in the stomach. Smoking also plays a large role, and carbonated beverages should be added to the list as they can put pressure on the stomach, forcing stomach acid back up into the esophagus.
Avoid the foods and beverages above — and eat smaller meals — and you may decrease the amount of reflux from your stomach into the esophagus.
Yet changing what you eat isn’t the only way to avoid the horrors of heartburn, there are simple lifestyle changes you can make as well.
3 Heartburn-Preventing Lifestyle Changes
While watching what you eat and drink can help reduce your occurrences of heartburn, there are a few changes you can make in everyday life that can go hand in hand.
Watch Portion Size. Larger meals and higher-fat meals tend to stay in the stomach longer before moving into the small intestine, so the LES and esophagus are potentially exposed to stomach contents/acid for a longer time, according to Pat Baird, RD, with the National Heartburn Alliance.
So if you have frequent or occasional heartburn, it helps to keep meals in your stomach for as short a time as possible — that means watching portion size.
Keep a Heartburn and Food Journal: “Keep in mind that anything we say about food and heartburn are generalizations and in any given individual, all bets are off,” explains Shekhar Challa, MD, president of Kansas Medical Clinic and author of Spurn the Burn, Treat the Heat.
That’s why it’s important to keep a heartburn journal, discovering what triggers your heartburn, whether it’s eating peppermint, drinking fruit juice, or lying down after a meal.
To make the most of your log, record symptoms, the time they occurred, what you ate, and activities you engaged in before the discomfort started.
Eat Out, Right. Many of us end up eating out many times a week and restaurants definitely offer a few challenge for those with heartburn. But, once you know what your personal heartburn triggers are, eating out can be easier, leaving just two important restaurant challenges:
High-fat foods. Choose low-fat options when you eat out and you’ll avoid one of the prime triggers for heartburn — fatty foods.
Huge portions. Eating too much can increase stomach pressure, causing acidic stomach contents to splash back into the esophagus. When you eat out, avoid big portions or take half your meal home.
Simple changes in diet and lifestyle can yield big heartburn relief. That’s why it’s a good idea to take the time to track your triggers, avoid the foods that irritate your heartburn, and make a few behavioral changes — and reap the relief that follows.
Elaine Magee, MPH, RD is the author of “Tell Me What to Eat If I Have Acid Reflux
What to eat when you have chronic heartburn
Avoid spicy foods, and keep some dazzle in your diet with low-fat sauces and fresh herbs.
The fiery feeling of heartburn is the last way you want to remember a great meal. But when your doctor says you have chronic heartburn caused by gastroesophageal reflux disease (see “What is GERD?”), you may worry that a bland and disappointing menu is in your future. “That may not be true,” says Dr. Kyle Staller, a gastroenterologist at Harvard-affiliated Massachusetts General Hospital. “The foods that trigger heartburn are different for everyone.” He suggests keeping a journal to determine which foods cause symptoms.
Some foods and ingredients may intensify heartburn, such as spicy foods, citrus, tomato sauces, and vinegar.
Fatty and fried foods linger longer in the stomach. That may increase stomach pressure and force open the muscles that keep stomach acid out of the esophagus.
Other common heartburn triggers include chocolate, caffeine, onions, peppermint, carbonated drinks, and alcohol.
What’s for dinner?
You can still enjoy lean meats, fish, poultry, vegetables, legumes, fruits, and whole grains. The trick is making them flavorful.
If spices bother you, try using only small amounts, and be mindful of blends that contain cayenne or chili powder. Or use fresh herbs instead. “Fresh herbs are less concentrated and may be less irritating,” says Emily Gelsomin, a registered dietitian with Harvard-affiliated Massachusetts General Hospital. She recommends using fresh parsley, oregano, and basil.
Another tip: roast your food. “This makes vegetables sweeter. The natural sugars come out and caramelize,” says Gelsomin. Carrots, sweet potatoes, cauliflower, broccoli, squash, and Brussels sprouts work well. Broiling, sautéing, or grilling food also brings out intense flavor.
Eat vegetables raw. “Tomato sauce may bother you, but a fresh tomato may not,” says Gelsomin.
Use sauces but cut the fat. Blend low-fat yogurt with cucumber and basil, or sauté mushrooms in a little olive oil. “Or make a pesto. Blend basil, pine nuts, Parmesan cheese, and a dash of olive oil or water. Use a tablespoon of it on food,” suggests Gelsomin.
Breakfast and lunch
Avoid fatty meats like ham or bacon. “Oatmeal is a great option. Throw in bananas, raisins, and maybe a hint of cinnamon,” suggests Gelsomin. Other possibilities: low-fat yogurt with fruit or nuts, any kind of eggs, whole-grain toast, or a side of chilled whole grains like quinoa mixed with fruit or topped with a dollop of yogurt.
For lunch, think salads with protein such as chicken or beans. “But maybe use a yogurt-based dressing, to avoid vinegar and citrus,” says Gelsomin.
What is GERD?
One of the most common causes of heartburn is called gastroesophageal reflux disease (GERD). It occurs when stomach acid backs up into the esophagus, the tube connecting the mouth and stomach, usually because the ring-like muscles that prevent backflow stop working properly. In addition to heartburn, GERD may cause nausea, a sour taste in the mouth, difficulty swallowing, a sore throat, coughing, and tightness in the chest.
Medications to treat GERD reduce stomach acid. Antacid pills and liquids have been around the longest. Proton-pump inhibitors (PPIs), such as omeprazole (Prilosec) or lansoprazole (Prevacid), and h3 blockers, such as cimetidine (Tagamet) or famotidine (Pepcid), have become available over the counter.
Don’t fool yourself into thinking medication allows you to frequently eat foods that once caused heartburn. “If medication controls your symptoms, then it’s probably okay to have a ‘trigger’ food occasionally. But if you do that too often, the heartburn will return,” says Dr. Kyle Staller, a gastroenterologist at Harvard-affiliated Massachusetts General Hospital. You may not have to take a medication to control GERD symptoms. Eating smaller meals and avoiding food triggers can help (see accompanying article). “Weight loss and quitting smoking will help most,” says Dr. Staller.
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should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.
Foods to Avoid with GERD
Having gastroesophageal reflux disease (GERD) can make it difficult to enjoy having certain foods. Some foods and beverages can end up making symptoms worse.
What Foods Should Be Avoided with GERD?
When you have GERD, there are certain foods and drinks that might irritate your condition and cause symptoms to flare up. You should avoid eating foods that are high in fat, as well as foods and beverages that contain caffeine, such as coffee and chocolate. Other foods and drinks to avoid include onions, carbonated drinks, citrus fruits, and other products, tomato products, and peppermint.
What Foods Help Heal the Esophagus?
Some foods may provide relief from GERD symptoms. Your diet should include non-citrus fruits and vegetables, such as apples and carrots. Eating lean proteins, such as eggs and lean cuts of meat, can also help improve GERD symptoms for some people. Other foods to include in your diet are whole grains and other complex carbohydrates, as well as healthy fats, such as olive oil, peanut butter, flaxseed, and salmon.
Is Yogurt Good for GERD?
Yogurt that is low in fat is generally safe to eat for those who have GERD. You should avoid eating yogurt that contains whole fat rather than low amounts of fat. Whole fat yogurt can be harder for you to digest and might trigger GERD symptoms.
Is GERD Curable?
GERD is not considered curable, but there are ways to manage this condition through dietary and lifestyle changes. Maintaining proper posture while you eat and after eating instead of slouching can help lower your risk of GERD symptoms. Not eating right before bed can also help.
Can I Drink Milk if I Have GERD?
You can drink milk if you have GERD as long as it is low in fat. Avoid drinking whole milk, which can end up making GERD symptoms worse. Instead, choose skim milk, 1% or 2% milk, since these all contain lower amounts of fat and are easier to digest.
How Can I Heal My Esophagus?
Your doctor can recommend treatments that might help ease symptoms of GERD and prevent additional damage to your esophagus. There are surgical procedures that might help if you have severe GERD that does not respond to other forms of treatment, such as medication.
What Can I Eat During a GERD Flareup?
During a GERD flareup, you should avoid foods that make your symptoms worse. Eat foods that can help ease symptoms, such as fruits, vegetables, whole grains, lean meats, and healthy fats.
How Do You Make Acid Reflux Go Away Fast?
Some over-the-counter medications, such as antacids, can provide short-term relief from GERD symptoms. If you keep having these symptoms, you should see your doctor for treatment.
Is Coffee Bad for GERD?
Coffee contains caffeine, which can irritate your condition if you have GERD. If you use whole fat creamer in your coffee, this can cause your symptoms to become worse. Drink decaffeinated coffee and use low-fat creamer or milk to avoid GERD flareups.
If you have symptoms of GERD and are looking for treatment options, make an appointment today with Gramercy Park Digestive Disease Center. Our experienced gastroenterologists can provide treatment options and manage your symptoms in the most effective way possible.
90,000 GERDA DIET – PRODUCTS TO AVOID TO REDUCE ACID REFLUX OR HEARTBURN – ARTICLE
Imagine that you are at a friend’s wedding. Food is so inviting that you end up overeating. After a few minutes, your chest starts to burn , and it intensifies every second. Drinking gallons of water doesn’t put out a fire either.
Heartburn is a typical symptom of GERD or gastroesophageal reflux disease. This is a condition that occurs when the contents of your stomach return to the esophagus.About 20% of adults in the West have GERD (1). According to doctors, one of the best ways to prevent and cure GERD is to change your diet and lifestyle. Read on to learn all about GERD and prevent it from becoming a recurring nuisance. Swipe up!
- What Causes GERD?
- GERD Symptoms
- Food to Eat
- Foods to Avoid
- Diet and Lifestyle Strategies to Reduce GERD Symptoms
- Foods Causing GERD
- Is there a special diet for GERD?
What Causes GERD?
GERD, or acid reflux, occurs when food and digestive juices in the stomach return to the esophagus (the tube that connects your mouth to your stomach). The lower esophageal sphincter or LES (very similar to a tap valve) closes to prevent backflow of stomach contents into the esophagus.
But a weak or damaged LES cannot do this. The contents of the stomach flow back into the esophagus, irritating the lining of the esophagus, thereby causing heartburn (2).
But heartburn is not always severe. The severity of acid reflux or GERD depends on the amount of stomach contents flowing back, the state of your IVC, and the neutralizing effect of saliva.
GERD also occurs due to hiatal hernia . A break is a small opening in the diaphragm, the muscle that separates the chest and abdomen. The esophagus goes through the hiatus. Sudden physical exertion, coughing, and vomiting can cause a small portion of the stomach to move upward into the chest through the hiatus, resulting in a hiatal hernia (3).
Besides heartburn, there are other symptoms of acid reflux or GERD that you should be aware of.
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- Chronic dry cough
- Bad breath
- Ear pain
- Chest pain
- Feeling of a lump in the throat
- 9000 Note. Seek medical attention immediately if one or more of these symptoms occur.
Long-term treatment for acid reflux or GERD requires diet and lifestyle choices. Here is a list of foods to help relieve symptoms.
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Food to eat
- Vegetables – Vegetables are rich in dietary fiber and mainly leave an alkaline metabolic residue that helps neutralize acidity.Eat broccoli, cauliflower, spinach, kale, carrots, potatoes, cucumbers, and legumes.
- Fruit – Fruit is rich in fiber, vitamins, fruit sugar and minerals. Eat non-citrus fruits like banana, watermelon, cantaloupe, and cantaloupe.
- Lean Protein – High saturated fat in food can also cause acid reflux. Therefore, it is best to consume lean protein sources such as fish, skinless chicken breast, mushrooms, egg whites, turkey and shrimp.
- Dietary Fiber – Fiber-rich foods such as oatmeal, whole grain bread, buckwheat, barley, and whole grain rice help absorb acid.
- Probiotics. Yogurt is the best source of probiotics, especially if you suffer from acid reflux or GERD. Drink a small cup of low fat yogurt with a pinch of salt. You can also drink a smoothie with ½ cup yogurt, 1 tablespoon lime juice, 1 teaspoon brown sugar, and ¼ cup water.
- Prebiotics – Green banana, apple, leek and Jerusalem artichoke are best consumed if you have GERD regularly.
- Natural Remedies – Ginger, licorice, and slippery elm bark are helpful in reducing GERD symptoms and nausea. They help improve gastric emptying and coat the lining of the esophagus, preventing further irritation of the lining of the esophagus.
- Dairy – Skim milk and yogurt are best consumed as whole milk can worsen symptoms.
- Soups – Eat clear soups with lean meats and vegetables. Avoid using cream or butter.
- Dessert – frozen yogurt, popsicles, low fat biscuits and cakes.
- Drinks – herbal teas, water, freshly squeezed and strained fruit juices, excluding citrus fruits.
What should you avoid? Here’s a list – take a look.
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Foods to avoid
Avoid the following:
- Caffeinated beverages such as coffee, tea and energy drinks.
- Deep-fried foods such as fries and fried chicken
- Fatty foods such as cream, cheese, full-fat milk, butter, ghee, too much butter, full-fat yogurt, hot chocolate, and chocolate milk.
- Spicy food
- Pork, beef and chicken with skin
- Cereals with whole milk
- Cream soups
- Carbonated drinks
- Packaged fruit juices and citrus juices
- Tomatoes , ketchup and tomato-based sauces
- Cream cheese
In addition to understanding what to eat and what to avoid, you also need to take care of your lifestyle.Scroll down to see the to-do list.
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Diet and lifestyle strategies to reduce GERD symptoms
- Stop smoking. Nicotine tends to weaken LES, making you more prone to acid reflux.
- Do not eat at least 3 hours before going to bed.
- Practice portion control and eat often.
- Reduce weight if you are overweight or obese.
- Don’t chew gum.
- Do not bend over or eat.
- Close your mouth and chew slowly.
- Avoid fatty foods.
- Stay hydrated.
- Do yoga.
- Please consult your doctor before purchasing any over-the-counter medication.
- Raise the head of the bed at least 4 inches before going to bed.
- Avoid triggered foods.
What are trigger products? Well, here’s what you need to know.
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Foods Causing GERD
Foods Causing GERD, as the name suggests, induces a new episode of acid reflux. But “trigger foods” vary from person to person. To know which foods are not right for you, keep a food diary throughout the week. Check what, how much and when you ate during the week. Write down how you felt and if any of the foods you ate caused acid reflux.
So, is there a special diet for GERD? Let’s find out!
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Is there a special diet for GERD?
No, there is no special diet for GERD. But food
The Snow Queen (Andersen) – a summary for the reader’s diary
Once an evil troll decided to create a mirror in which reality was completely distorted. Everything beautiful about him looked terrible, and everything bad became even more ugly and disgusting.However, the troll’s disciples shattered the mirror, which shattered into thousands of pieces around the world. If even one of them fell into the heart or eyes of a person, he became angry and saw everything in a negative light.
And now one of the fragments hit the heart of a boy named Kai. If earlier he was cheerful and kind, then after this incident he became callous, angry and indifferent. This saddened his named sister Gerda, with whom he was very friendly. Once, Kai was sledding and clung to the carriage of a delightful stranger, who turned out to be the Snow Queen.She kissed the boy on the forehead, after which he forgot about his home and Gerda, and went with him to her ice palace.
When Gerda realized that Kai had disappeared, she cried for a long time and was sad, but did not want to believe that he was dead. With the onset of spring, the girl went in search of a friend. Gerda got into the boat, and the current carried her along the river until she reached the house of the good sorceress. The old woman really liked the girl, and she wanted to keep her with her. Gerda spent a long time in the house of the sorceress, where eternal summer raged in the garden and many flowers bloomed, forgetting about Kaya and her home, but the girl was able to overcome the spell and again go in search of a friend.
Then Gerda met a wise raven who told the girl about a prince who looks like Kai. The crow’s bride led Gerda to the palace, but the prince was not Kai. When the princess heard the story of the girl, she presented her with beautiful clothes and a carriage so that she could continue her search.
On the way, robbers attacked Gerda and wanted to kill the girl, but the daughter of the chieftain stood up for her. She took Gerda to her lair, where the girl heard from the deer that Kai was living in the Snow Queen’s castle.The little robber decided to have mercy on Gerda and ordered the deer to take her to Lapland.
The next people Gerda met were Laplandka and Finka, who showed the way to the Snow Queen’s castle. When the girl got into the palace and saw Kai, she melted the fragments of the mirror in his heart and eyes with her tears. After that, the boy remembered everything and recognized Gerda, and together they hurried to escape from the palace of the Snow Queen. When the friends returned home, they realized that they had grown up, but their souls retained their childish sincerity and kindness.
90,000 Old woman and memory. Performance “Gerda’s Room / The Snow Queen” at the “Osobnyak” Theater
Photo: Anna Ostashver
Gerda – an old woman with a face-mask of wrinkled, but still smiling Alisa Oleinik – appears in the Room as if from nowhere, spontaneously arises in a heap of dusty old coats.She tries to make morning coffee: now the coffee grinder is buzzing, now the cup does not fit the saucer, then the table moves away from the stool – you can’t get it. It’s hard to be old, simple things become so inaccessible. And when a raven sneaks a coffee cup out of its hands, all that remains is to puff indignantly. Rhythmic grumbling imperceptibly turns into beatbox, the mechanistic movements of stiff joints – into hip-hop, Alice-Gerda starts a gorgeous dance, but her back, but her heart …
Air ordeals.”Castle” by Peter Shereshevsky in the Malyshitsky Chamber Theater
Air ordeals. “Castle” by Peter Shereshevsky in the Malyshitsky Chamber Theater
The actress, locked in “Gerda’s Room” by Yana Tumina’s Creative Laboratory, is by no means alone.Behind the walls, narrowing the already tiny stage of the Osobnyak Theater to the claustrophobic old world, Dmitry Chupakhin rushes about invisibly and tirelessly. He is both an insolent raven-glove with a sewn-on eye-button, and Rosa (with such natural human annoyance she slaps the offended stupid girl Gerda on the back before disappearing into the doorway). Thanks to him (and technologist Nik Khamov), everything in the room rustles, moves, clings and unhooks, Gerda’s red shoes themselves go to the river, the Snow Queen flies over the room like a cloud, ghosts look out the window, the pendulum of the clock swings, old paintings come to life just in time filigree light and sound score.
Objects, dolls and masks of Kira Kamalidinova turn Alisa Oleinik into a rag toy, a hilarious lisping Rogue, a bespectacled Lapland grandmother, a microscopic Deer rider, even into the Snow Queen herself. But these are all cute (really charming) trifles in comparison with another alter ego of Gerda – an old woman in a white cap with a prayer on her lips, a church stained glass window (which tries to turn into accordion furs) in her hands and an insinuating whisper: “Forget about Kaya, sleep, rest “.
The Old Woman The memory fails Gerda.And yet no unconsciousness has power over the past, over the precious core of the soul, over the one whom he has been looking for all his life. Kai – a cute cardboard baby cut from an old family photo – rolls out in a ray of light out of nowhere, and Gerda tells him everything: how they looked for him around the bend, how they went to the river, and how the neighbor’s Stefan (can you imagine ?! ) said that since Kai is dead, can he take his sleigh? A living warm hand protrudes from the sleeve of a jacket hanging on a hanger, and a small paw of the actress is lost in it.
The piercing moment is at the point of the golden section, but not at the end of the performance. Gerda looks at the cardboard boy: “I identified myself!” – and the action, as if by inertia, moves on. Its optionalness even confuses: why inventively and cheerfully retell a children’s fairy tale in this not at all children’s treatise about old age, memory and human essence? However, the ending expiates and explains everything. Gerda finds the real Kai. Where – it’s not hard to guess. Icicles on her back, skis in her hands, a cage with a butterfly-Psyche under her arm – Gerda sets off on a journey that lies in front of each of us.But with what a soul, with what a light heart.
Yana Tumina and her team in each performance answer the single most important question – how does a person live? – avoiding loud, and often all kinds of words. In “Gerda’s Room” this masterly ability to speak about important things so quietly that it reaches the noisiest and inattentive student in the classroom (that is, the auditorium), exactly reaches the goal. Well, catharsis reaches the viewer. Check it out for yourself.
Select the fragment with the error text and press Ctrl + Enter
90,000 Polar bear cub in the Novosibirsk Zoo is already leaving its den
According to the press service of the Novosibirsk Zoo, the first-born of polar bears Kai and Gerda, born two months ago, began to go out in early March, but so far under the strict control of the mother bear.
“While these walks are very short, but we hope that by the end of March Gerda and the baby will spend more time outdoors,” the message says.
Then it will be possible to determine the gender of the bear and the zoo will announce a competition for the best name for it.
The zoo explained that in the wild, a she-bear with her cubs tries to avoid adult males, who sometimes attack young animals. A very caring mother is able to drive away a bear much larger than her.
Cubs rely on the experience they received from their mothers during the first two to three years. “By developing patience and cunning, they learn to successfully hunt seals and avoid danger,” experts say.
As a reminder, the first-born was born to a pair of polar bears Kai and Gerda in early December 2013. This was a long-awaited event – the last time polar bears bred in the Novosibirsk Zoo was in 1972.
Kai and Gerda entered the Novosibirsk Zoo in 2008 from the Leningrad and Moscow Zoos.Here they were created conditions as close as possible to natural, disconnecting from time to time in different enclosures.
In November 2013, Gerda began to create her own “den”, laying out a bed of hay, and at the beginning of December she had already stopped coming out of the shelter. The bear showed herself as a responsible mother and never showed aggression towards the baby.
The polar bear is distributed on the islands and coasts of the Arctic Ocean. It lives on floating ice, along the shores of continents and islands, leads a nomadic lifestyle, feeds on fish and pinnipeds.The female hibernates in a den on the coast or island.
Polar bears give birth once every 2-3 years, from one to three babies can be born. Pregnancy lasts 230-250 days. Newborn cubs weigh from 450 to 750 grams. 3-4 months after giving birth, the female leaves the den with them and begins a wandering lifestyle. The cubs stay with her for up to 1.5-2 years, all this time the she-bear feeds them with milk.
Repertoire of the Bolshoi Theater
Trolls collect a mirror from the fragments, which they call the mirror of evil.
The lamplighter, who will accompany us through this story, says that once the orphan Kai was taken in by Grandma, and since then he has Gerda and a good home in the glorious city of Odense.
The townspeople are waiting for spring, which will drive away the blizzard and winter cold.
Kai and Gerda are addicted to the game, and Grandma cannot call them home.
The trolls appear. They are annoyed by the cheerful townspeople, and especially by the laughing Kai. The trolls want to ruin everyone’s mood, but the townspeople chase them away. The trolls are plotting revenge.
House of Kai and Gerda.
Kai reads a book, his fantasy is played out: he dreams of long journeys, the walls of a small house have become cramped for him.
Gerda lights the fireplace and candles. Kai swears loyalty to her and says that he will never leave alone.
Grandma comes.Kai jokingly tells Gerda the story of the Snow Queen. Gerda laughs, but immediately notices a shadow in the window: someone was spying on them.
Kai realizes that he seriously scared Gerda, and starts playing blind man’s buff. While playing, they do not notice the appearance of the troll.
The troll stabs Kai’s heart with an ice pointer. Kai begins to tease, mock Granny and Gerda. The ice patterns on the glass form words for him, he hears the voice of the Snow Queen. She wants to take Kai, but Gerda does not let him go.
The Lamplighter grieves over the winter that is overtaking the hearts of people.
The trolls discuss their trick and look forward to the appearance of the Snow Queen.
Square in Odense.
The townspeople are entertained by a troupe of traveling artists. Gerda tries to cheer Kai, but Kai dismissively and condescendingly speaks of the holiday, insults the Lamplighter and the townspeople.
The Snow Queen appears and calls Kai to her ice palace. He follows her and they disappear into a whirlwind of snow.
Gerda goes in search of her beloved.
Gerda makes her way through the thicket.
Suddenly the forest comes to life: robbers escape from the cold in the hollows. They are tired, hungry and unhappy that they have wandered so far.
Atamansha returns with loot. The robbers praise her and their craft.
Gerda is ambushed by a robber. Since they cannot rob her, the robbers want to kill the girl, but the Atamansha orders her to be tied up and left until morning.
The Little Robber, the daughter of the Atamansha, appears. Gerda talks about Kaya, and this story touches the heart of the Little Robber.She decides to help Gerda, but does not know how.
The reindeer that lives with the Little Robber intervenes: he saw how the Snow Queen took Kai away, and knows where to look for him.
The little robber releases Gerda and the Deer.
Gerda rides a Deer to Lapland.
The Lamplighter contemplates that the saddest and most dangerous thing in the world is dislike.
Palace of the Snow Queen.
Children-captives, frozen by the Snow Queen, collect the word “eternity” from ice floes.
Kai is among them. He just can’t get the word out. The Snow Queen appears. Feeling that Kai’s heart begins to thaw, she cools him down again and leaves, while he continues his work.
Gerda appears. With the song he and Kai once sang together, it melts his heart. Kai and Gerda’s passionate love destroys the Snow Queen.
Kai and Gerda hurry to Odense, where the townspeople, the Lamplighter, the Little Robber and their beloved Grandmother are waiting for them.Everyone is getting ready to meet the long-awaited spring.
90,000 Installation of Gerda locks in St. Petersburg, price – ZR
We carry out professional installation of Gerda locks (insert, cover plate) in metal, wooden, plastic doors.
You can consult the foreman free of charge by phone in order to choose the preferred model of the Gerda castle. He will assess the situation, answer all your questions and give advice on the selection of the correct locking device for your initial installation or replacement.
Perhaps you just need to repair an already installed lock, or you want to install a replacement Gerd larva in its case in order to avoid unnecessary expenses.
About the castles of Gerd
Gerda has been on the market for decades. The original models of locks and hardware of this brand comply with the ISO 9001 quality management system. The latest developments and patented solutions have made it possible to create locking mechanisms with a high class of protection.
The range of products is very diverse, there are mortise and overhead models of lever and cylinder locks with latches and latches.These locking devices have resistance to various types of burglary, even bump protection is provided. A big plus is the possibility of recoding in case of use of the key by strangers, theft or loss.
Call the specialists of our service center in case of a malfunction of the door lock of your entrance metal door. Our advantage is that we employ professionals who are ready to solve any problem. Individual approach to each client.
What work is required during the installation?
First, a visual inspection is carried out, then diagnostics using special equipment and tools.As a result, the reason will be found because of which the old lock broke.
If this is the initial setting of the lock, then a new footprint will be marked or the old one will be used.
We will perform the following services on site:
- in case of emergency, opening the lock without damage;
- on a new or old door, installing a lock in a new or old place;
- in case of breakdown, replacement of the larva or repair of the mechanism;
- in case of malfunctions, adjustment or repair of the mechanism;
- for problems with the door locksmith work.
Polar bear Gerda took her baby out of the den (PHOTOS)
06 March 2014 15:45
The teddy bear does not leave its mother a single step, and its walks are still very short. “But we hope that by the end of March Gerda and the baby will spend more time outdoors.Then it will be possible to determine the gender of the bear and a competition for the best name for it will be announced, ”the Novosibirsk Zoo noted.
Zoo staff also pointed out that in the wild, a female bear with cubs tries to avoid adult male polar bears, which sometimes attack young animals. “A very caring mother is able to drive away a male much larger than her. Cubs rely on the experience they received from their mothers during the first two to three years.Developing patience and cunning, they learn to successfully hunt seals and avoid danger, ”said the zoologists.
Recall that the staff of the Novosibirsk zoo first announced the addition to the family of Kai and Gerda at the end of February, and the baby was born in December last year. “To our great joy, Gerda showed herself as a responsible mother and never once showed aggression towards the baby,” the menagerie workers said at the time.