Right nutritional management during any disease gives right health with free mind or it is really important to improvise meals during gastro oesophageal reflux disease.
what is GERD?
GERD refers to the regulation of acidic stomach contents into the oesophagus resulting in heartburn.
This reflux occurs when the pressure inside the stomach is higher than that maintained by the muscles found, where the stomach and oesophagus meet.
It is a typical chronic, and while it is generally non-progressive, some cases are associated with the development of complications of increasing severity.
GERD may develop due to the following functions
- Decreased muscles tone or abnormal relaxation of the LES.
- Reduced stomach motility, allowing food to remain too long in the stomach.
- Hiatus hernia.
symptoms during gastro oesophageal reflux disease
People mostly complains-
- Heartburn
- Difficult or painful swallowing
- A sour taste in the mouth
- Frequently belching
- Less typical features include chronic cough, hoarseness, sore throat and sensation of fullness
Usually symptoms are most often present after meals, especially after eating certain foods and at night, while lying in bed and may be relieved temporarily by antacids or milk.
complications during gastro oesophageal reflux disease
- Oesophagitis
- Bleeding, oesophageal erosion and ulcerations
- Stricture of the intestines
- Adernocercinoma of the oesophagus
nutritional management
Objectives-
- To prevent gastrooesophageal reflux.
- To neutralize the acid present in the stomach.
- to maintain normal weight.
Nutritional requirements remains unchanged for most patients. However, the dietary patterns may need to be modified.
If GERD has developed due to abdominal obesity, it is essential to prescribe a weight reducing diet for the patients.
Dietary fat in the duodenum appears to be a strong reflux trigger, in part by impairing gastric emptying. However, it is advisable to strictly reduce the fat intake. Lower fat intake may also be advised in the case of the obesity patients.
During certain complications such as a bleeding there is a necessity of increased intake of dietary proteins, iron, B-group vitamins and vitamin C.
Meals are the major aggravating factor of GERD symptoms, since they stimulates the production of gastric acid available for reflux into the oesophagus.
Meals eaten within 2 to 3 hours off bedtime or with alcohol, can predispose patients to nocturnal reflux.
foods to be avoided due to gastro oesophageal reflux disease
raw onions, chocolate, caffeine,, peppermint, citrus juices, alcoholic beverages, tomato products and spicy food. peppermint and chocolate are thought of lower LES tone, facilitating reflux. citrus juice, tomato juice and pepper irritate damaged oesophageal mucosa. aerated beverages, tea, coffee, and beer have an acidic pH, lower LES pressure to precipitate symptoms.
here is explaination or nutritional management of GERD hope it will help you guys!
