Diet
The vast majority of people with acid reflux will get better if they make some changes to their diet. Some foods are safe for heartburn sufferers, while others are major triggers of it.
It would be easy to say that there is a reflux diet. Unfortunately, we all react differently to different foods.
Below is a list of foods/drinks that commonly cause irritation and/or heartburn:
- Alcohol
- Black pepper
- Chili and chili powder
- Citrus fruit, pineapple
- Coffee
- Garlic
- Spicy food
- Tea
- Tomatoes, tomato sauce, tomato juice, ketchup
- Vinegar
- Some patients with acid reflux say these gassy foods cause discomfort:
- Beans
- Broccoli
- Brussel Sprouts
- Cabbage
- Cauliflower
- Kale
- Fizzy drinks (sodas)
- Medications
Acid suppressant - these have been shown to be effective, such as histamine2-receptor antagonists (blockers). Histamines are good at reducing inflammation. An inflamed stomach produces more acid - blocking this extra production of acid helps prevent the acids from building up and seeping upwards.
Propton pump inhibitors - these reduce the production of acid in the stomach. They act on cells in the stomach wall and produce stomach acids.
Prokinetic agents - these promote the emptying of the stomach, stopping it from becoming overfull.
Antiacids - commonly used to treat mild acid-related symptoms, such as heartburn or indigestion. They neutralize the acids in the stomach. These are not recommended for frequent heartburn for patients with GERD.
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