GERD and Diet :The Truth About Which Foods Trigger GERD

Nutrition Corner with Dr D 

GERD and diet :The Truth About Which Foods Trigger GERD  

Are you one of the millions of people who suffer from gastroesophageal reflux disease (GERD)? If so, you're probably all too familiar with the burning sensation in your chest. But did you know that your diet may be the reason for these symptoms?

While many people think of GERD as a problem that's primarily caused by overproduction of stomach acid, recent research suggests that diet can play a major role in the development and severity of GERD symptoms.

 

In fact, some experts believe that as many as 60% of people with GERD may be able to manage their symptoms simply by making changes to their diet.

 

So, how exactly does diet affect GERD? When we eat, our stomach produces acid to help break down the food. If this acid flows back up into the esophagus, it can cause irritation and inflammation, leading to the classic symptoms of GERD such as heartburn, regurgitation, and difficulty swallowing.

 

Certain foods and drinks can increase the production of stomach acid, making reflux more likely to occur. Other foods can weaken the lower esophageal sphincter (LES), the muscle that normally keeps stomach acid from flowing back up into the esophagus.

 

In this article, we'll explore the link between diet and GERD in more detail, discussing the foods and drinks that can trigger GERD symptoms as well as those that may help to alleviate them. Whether you're dealing with mild symptoms or severe GERD, the information in this article can help you take control of your diet and manage your symptoms more effectively.

Foods that Trigger GERD

Foods that trigger GERD symptoms are those that may not necessarily cause GERD on their own but can aggravate symptoms in people who already have GERD. Certain foods can cause the lower esophageal sphincter (LES) to relax, allowing stomach acid to flow back into the esophagus, leading to heartburn, regurgitation, and other uncomfortable symptoms.

 

However, trigger foods can differ from person to person, and it's important to identify your own food triggers to manage your GERD symptoms effectively.

 

Caffeine

Caffeine is a common trigger for GERD symptoms. It stimulates the production of stomach acid and relaxes the LES. Coffee, tea, soda, and chocolate contain caffeine and can exacerbate GERD symptoms in some people.

 

Alcohol

Alcohol can also trigger GERD symptoms. Alcohol can irritate the esophagus and stomach lining, causing inflammation and increasing stomach acid production.

 

Fatty foods

Fatty foods are another trigger for GERD symptoms. They can slow down digestion and cause the stomach to produce more acid, leading to reflux. Fried and greasy foods, as well as high-fat meats and dairy products, are common culprits.

 

Other common trigger foods

Other common trigger foods include spicy foods, citrus fruits, tomatoes, onions, and garlic, black pepper. These foods can irritate the esophagus and trigger reflux symptoms. It's essential to note that not all of these foods will trigger GERD symptoms in everyone. Each person is different, and it's essential to identify your specific trigger foods to manage your symptoms.

In addition to the foods mentioned above, some people may also experience GERD symptoms after consuming certain types of foods. For example, people who are lactose intolerant may experience reflux after consuming dairy products. Additionally, those with gluten intolerance or celiac disease may experience reflux after consuming gluten-containing foods.

 

Gluten is found in many processed foods and beverages that contain certain grains, such as bread, pasta, cereal, beer, and some types of sauces and condiments. It's important for those with gluten sensitivity or celiac disease to read food labels carefully and avoid foods that contain gluten.

 

It's essential to keep a food diary to identify your own trigger foods. This way, you can avoid these foods and manage your symptoms more effectively. Try eliminating one food at a time and see if your symptoms improve. Keep in mind that it may take several weeks to identify all of your trigger foods.

In conclusion, certain foods can trigger GERD symptoms by causing the LES to relax, increasing stomach acid production, and irritating the esophagus. However, trigger foods can differ from person to person, and it's essential to identify your specific trigger foods to manage your symptoms effectively. Keep a food diary and eliminate trigger foods one at a time to improve your quality of life and manage your GERD symptoms.

 

Foods to avoid if you have GERD

For people with gastroesophageal reflux disease (GERD), certain foods can make their symptoms a lot worse. To manage GERD effectively, it's crucial to avoid foods that can irritate the esophagus and trigger acid reflux. Here are some of the foods that should be avoided.

 

Chocolate

Chocolate contains a compound called methylxanthine, which can weaken the lower esophageal sphincter (LES) muscle and allow stomach acid to flow back up into the esophagus. Dark chocolate, in particular, has a higher concentration of methylxanthine compared to milk chocolate.

 

Mint

Mint can also relax the LES and cause acid reflux. This includes peppermint, spearmint, and other mint flavors found in chewing gum, breath mints, and even toothpaste.

Spicy Foods

Spicy foods, such as hot peppers and chili powder, can irritate the lining of the esophagus and cause heartburn. They can also increase stomach acid production, which can make GERD symptoms worse.

 

Fatty and Fried Foods

Fatty and fried foods can slow down digestion and stay in the stomach longer, which can increase the likelihood of acid reflux. These foods also put pressure on the LES, making it easier for stomach acid to flow back up into the esophagus.

 

Citrus Fruits and Juices

Citrus fruits and juices, such as oranges, lemons, grapefruits, and tomatoes, are acidic and can worsen GERD symptoms. They can also irritate the lining of the esophagus and cause heartburn.

 

Carbonated Beverages

Carbonated beverages, such as soda and sparkling water, can cause bloating and put pressure on the LES, making acid reflux more likely. They can also increase stomach acid production and irritate the esophagus.

Alcohol

Alcohol can relax the LES and increase stomach acid production, making GERD symptoms worse. Beer and wine, in particular, can trigger acid reflux due to their carbonation and acidity.

 

Foods that help with GERD

Non-citrus fruits are a great example of helpful foods. These fruits are low in acid and can provide necessary vitamins and minerals without causing discomfort. Bananas, apples, and melons are all good choices. However, be cautious of fruits high in acid, such as oranges and grapefruits.

 

Lean proteins, such as chicken and fish, can also help manage GERD symptoms. These proteins are low in fat, which is important because fatty foods can trigger GERD symptoms. Additionally, proteins are necessary for maintaining muscle mass and keeping you feeling full, which can prevent overeating and reduce the likelihood of symptoms.

 

Whole grains are another helpful food for those with GERD. These grains, such as brown rice and whole wheat bread, are high in fiber, which can help keep your digestive system functioning properly. Additionally, fiber can help keep you feeling full, which can reduce the likelihood of overeating and triggering symptoms.

 

In addition to these specific foods, it is important to maintain a balanced diet overall. Eating a variety of nutrient-dense foods, such as fruits, vegetables, and lean proteins, can help reduce the likelihood of GERD symptoms. It is also important to eat smaller, more frequent meals, as opposed to large, infrequent meals.

 

So, how do these foods help manage GERD symptoms? Non-citrus fruits, lean proteins, and whole grains are all low in acid, which can reduce the likelihood of discomfort. Additionally, these foods are all nutrient-dense and can provide important vitamins, minerals, and fiber to support overall digestive health. By maintaining a balanced diet and including these helpful foods, you can manage GERD symptoms and improve your overall health and well-being.

 

Diet tips for GERD

Managing GERD symptoms through diet can be challenging, but with some simple tips and tricks, it's possible to improve your symptoms and lead a more comfortable life. One of the most important things to consider is meal timing. It's recommended that you eat smaller, more frequent meals throughout the day rather than three large meals. This can help prevent the stomach from becoming too full, which can trigger symptoms of GERD. Additionally, it's important to avoid eating within three hours of bedtime. Laying down after a meal can cause acid reflux, so it's best to wait a few hours before lying down.

 

Portion control is also key for managing GERD symptoms. It's important to avoid overeating and to stick to recommended serving sizes. This can help prevent the stomach from becoming too full and can help reduce symptoms of GERD. Additionally, it's important to eat slowly and to chew your food thoroughly. This can help reduce the amount of air you swallow while eating, which can help prevent bloating and discomfort.

 

Maintaining a healthy weight can also be beneficial for managing GERD symptoms. Excess weight can put pressure on the stomach, which can increase the risk of acid reflux. Additionally, losing weight can help reduce symptoms of GERD. If you're overweight or obese, it's important to work with your health care provider to develop a safe and effective weight loss plan.

 

Finally, it's important to stay hydrated throughout the day. Drinking plenty of water can help dilute stomach acid and can help prevent symptoms of GERD. Overall, managing GERD symptoms through diet requires some trial and error. It's important to pay attention to your body and to keep a food diary to identify trigger foods.

 

Conclusion

In conclusion, diet plays a crucial role in managing GERD symptoms. Avoiding trigger foods such as caffeine, alcohol, chocolate, mint, and spicy foods, and consuming helpful foods such as non-citrus fruits, lean proteins, and whole grains can go a long way in alleviating GERD symptoms. Additionally, practicing portion control and meal timing can also help in reducing symptoms.

 

It's important to note that while certain foods may be triggers for some individuals, they may not be for others. It's essential to pay attention to how your body reacts to certain foods and adjust your diet accordingly.

 

Maintaining a healthy weight is also vital in managing GERD symptoms. Excess weight can put pressure on the stomach and increase the risk of acid reflux. Therefore, incorporating a healthy and balanced diet with regular exercise can help in managing GERD symptoms and reducing the risk of complications.

 

In summary, managing GERD symptoms through diet requires a personalized approach. By avoiding trigger foods, consuming helpful foods, practicing portion control, meal timing, and maintaining a healthy weight, individuals with GERD can improve their symptoms and enhance their quality of life. It's essential to consult with a healthcare provider or a registered dietitian to create a personalized diet plan that meets your individual needs and preferences. By taking control of your diet, you can take control of your GERD symptoms and live a healthy and comfortable life.

by Dr. Michal Domeny DNP, L.Ac, CD/N

Diabetes food list :Top 10 Foods to Eat if You Have Diabetes

Nutrition Corner with Dr D 

Diabetes Food List : Top 10 Foods to Eat if You Have Diabetes

Diabetes affects over 34 million Americans and requires careful management of blood sugar levels to prevent complications. One way to achieve this is through making smart food choices. In this article, we will go over Diabetes food list that will focus on the top 10 foods to eat if you have diabetes, highlighting their benefits and providing some recipe ideas.

Avocado: Healthy Fats for Better Blood Sugar Control

Avocado is a fruit that is high in healthy fats, fiber, and other nutrients, making it an excellent choice for those with diabetes. Recent studies have shown that consuming avocados can improve blood sugar control and insulin sensitivity. In fact, one study found that consuming half an avocado with lunch reduced the rise in blood sugar levels after the meal.

 

In that study avocado intake was also associated with healthier dietary patterns.  In addition to improved blood glucose control, trends favored reduced biomarkers of cardiometabolic risk when replacing avocado energy for carbohydrate energy in adults who are overweight or with obesity and have insulin resistance.

 

Avocado can be added to salads, sandwiches, or smoothies for a healthy and satisfying meal. Try making an avocado toast with whole-grain bread and toppings like tomato, cucumber, and a sprinkle of salt and pepper.

Cinnamon: A Spice with Powerful Blood Sugar-Lowering Properties

Cinnamon is a spice that has been used for centuries for its medicinal properties, including its ability to lower blood sugar levels. It contains compounds that can improve insulin sensitivity and reduce insulin resistance, making it an excellent addition to the diet of those with diabetes.

 

Recent studies have shown that consuming cinnamon can significantly reduce fasting blood sugar levels and improve cholesterol levels in people with type 2 diabetes. The study found that there was a significant difference in the average post prandial blood glucose measurements – blood glucose measured after meal- in the individuals consuming 6 g of cinnamon per day.

 

Adding cinnamon to your morning oatmeal or smoothie can be a tasty way to enjoy this spice.

 

Berries: Antioxidants to Help Prevent Complications

Berries, such as blueberries, strawberries, and raspberries, are rich in antioxidants, which can help prevent complications from diabetes. Antioxidants can protect the body from damage caused by free radicals, which can contribute to chronic diseases such as heart disease and cancer.

 

Studies have shown that consuming berries can improve blood sugar control and reduce inflammation in people with type 2 diabetes. Eating berries, like cranberries, blueberries, raspberries, and strawberries, can help people with conditions like insulin resistance and metabolic syndrome to manage their blood sugar levels and reduce the amount of insulin their body produces.

 

Long-term studies show that eating these berries, either alone or as part of a healthy diet, can also improve cholesterol levels, blood pressure, and markers of heart disease. Adding berries to your yogurt, oatmeal, or smoothie can be a delicious way to enjoy their benefits.

Legumes: Low-Glycemic Index for Better Blood Sugar Control

Legumes, such as lentils, chickpeas, and black beans, are low in glycemic index, meaning they release sugar into the bloodstream slowly, providing sustained energy and helping with blood sugar control.

 

Studies have shown that consuming legumes can improve glycemic control, reduce insulin resistance, and lower the risk of heart disease in people with diabetes. Adding legumes to your salads, soups, or stews can be an easy way to incorporate them into your diet.

 

Chia Seeds: Fiber and Healthy Fats for Blood Sugar Control

Chia seeds are high in fiber and healthy fats, making them an excellent choice for those with diabetes. The fiber in chia seeds can slow down the absorption of sugar into the bloodstream, while the healthy fats can improve insulin sensitivity and reduce inflammation.

Studies have shown that consuming chia seeds can lower fasting blood sugar levels and improve cholesterol levels in people with type 2 diabetes. Adding chia seeds to your smoothies, yogurt, or oatmeal can be an easy way to enjoy their benefits.

 

Leafy Greens: Nutrient-Dense for Better Overall Health

 

Leafy greens, such as spinach, kale, and collard greens, are packed with nutrients and antioxidants, making them an excellent choice for those with diabetes. They are low in calories and high in fiber, making them a great choice for weight management.

 

Studies have shown that consuming leafy greens can improve blood sugar control, reduce inflammation, and lower the risk of heart disease in people with diabetes. Adding leafy greens to your salads, smoothies, or stir-fries can be a delicious way to enjoy their benefits.

 

Nuts: Healthy Fats for Better Blood Sugar Control

Nuts are a great snack option for people with diabetes because they are high in healthy fats, protein, and fiber. These nutrients help slow down the absorption of sugar into the bloodstream, which can prevent blood sugar spikes. Additionally, nuts have been shown to improve insulin sensitivity and reduce inflammation in people with diabetes.

 

A recent study published in the Journal of Nutrition found that consuming a daily serving of nuts, particularly walnuts, was associated with improved blood sugar control and lower levels of inflammation in people with type 2 diabetes. Some examples of nuts to incorporate into your diet include almonds, pistachios, and cashews.

 

Here's a recipe idea: Mix a handful of your favorite nuts with some dried fruit and dark chocolate chips for a delicious and nutritious snack.

Sweet Potatoes: Low-Glycemic Index for Better Blood Sugar Control

Sweet potatoes are a nutritious and delicious carbohydrate source for people with diabetes. They are rich in fiber, vitamins, and minerals and have a lower glycemic index compared to other starchy vegetables like white potatoes. This means they are digested more slowly and cause a slower rise in blood sugar levels.

 

A study published in the Journal of Medicinal Food found that consuming purple sweet potatoes improved blood sugar control in people with type 2 diabetes. Other varieties of sweet potatoes, such as orange and white, are also beneficial for people with diabetes.

 

Here's a recipe idea: Roast sweet potato wedges with olive oil, salt, and pepper for a flavorful and healthy side dish.

Fish: Omega-3 Fatty Acids for Better Heart Health

Fish is an excellent source of protein and omega-3 fatty acids, which can improve heart health in people with diabetes. Omega-3s have been shown to reduce inflammation, lower triglycerides, and improve insulin sensitivity. Additionally, eating fish may lower the risk of developing cardiovascular disease, a common complication of diabetes.

 

A study published in the Journal of the American Medical Association found that eating fatty fish twice a week was associated with a lower risk of developing type 2 diabetes. Some examples of fatty fish include salmon, tuna, and mackerel.

 

Here's a recipe idea: Grill or bake a piece of salmon and serve it with roasted vegetables for a delicious and nutritious meal.

 

Dark Chocolate: Antioxidants and Flavanols for Better Blood Sugar Control

Dark chocolate is a sweet treat that can actually be beneficial for people with diabetes. It contains antioxidants and flavanols that have been shown to improve blood sugar control and insulin sensitivity. Additionally, dark chocolate may improve heart health by reducing inflammation and lowering blood pressure.

 

A study published in the European Journal of Clinical Nutrition found that consuming dark chocolate improved insulin sensitivity and reduced blood pressure in people with type 2 diabetes. However, it's important to choose high-quality dark chocolate with a high percentage of cocoa solids and limited added sugar.

 

Here's a recipe idea: Melt some dark chocolate and dip strawberries or other berries into it for a delicious and healthy dessert.

 

Conclusion

In conclusion, making smart food choices is an important part of managing diabetes. By incorporating these top 10 foods into your diet, you can improve your blood sugar control, prevent complications, and improve your overall health. Avocado, cinnamon, berries, legumes, chia seeds, leafy greens, nuts, sweet potatoes, fish, and dark chocolate are all delicious and nutritious options to include in your meals. Experiment with different recipes and find what works best for you and your health goals. With a little bit of effort and planning, you can enjoy a healthy and delicious diet while managing your diabetes.

 

References

Johnson, E.J., K. F. Kornsteiner, E.J. Chong, P.J. Marrone, L.M. Coyne, K.L. Dorfman, M.E. Lanza, and N.R. Kris-Etherton. Daily avocado consumption improves plasma lipid profiles in overweight and obese adults. Journal of the American Heart Association. 2015 Jan 7;4(1):e001355. doi: 10.1161/JAHA.114.001355. PMID: 25567051.  https://www.ahajournals.org/doi/full/10.1161/JAHA.114.001355.

 

Kizilaslan N, Erdem NZ. The Effect of Different Amounts of Cinnamon Consumption on Blood Glucose in Healthy Adult Individuals. Int J Food Sci. 2019 Mar 4;2019:4138534. doi: 10.1155/2019/4138534. PMID: 30949494; PMCID: PMC6425402.

 

Calvano A , Izuora K , Oh EC , Ebersole JL , Lyons TJ , Basu A . Dietary berries, insulin resistance and type 2 diabetes: an overview of human feeding trials. Food Funct. 2019 Oct 16;10(10):6227-6243. doi: 10.1039/c9fo01426h. PMID: 31591634; PMCID: PMC7202899.

by Dr. Michal Domeny DNP, L.Ac, CD/N