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Have bloating problem. Endoscopy done. What diet and precaution should I take?

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Dietitian & Nutritionist
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I had bloating problem since last 2 yrs. Done endoscopy. Report says: Lax GE junction, Mild gastritis. Doc has asked to consume a single neksium empty stomach every day. got good result. i am continuing .
Please tell me what food to eat, what all to avoid, any specific lifestyle. I want to become completely normal.
Posted Sun, 5 May 2013 in Weight
Answered by Meenakshi Attrey 27 hours later

Thanks for posting the query.

In Lax GE junction the food is pushed back towards the esophagus from the stomach, as the valve becomes loose and fails to lock. This causes heart bun and bloated feeling.
Diet plays a central role in the management of this condition. It is important to identify the key foods that aggravate the symptoms, which may vary from person to person. To keep a record of your food intake it’s necessary for you to maintain a FOOD DIARY.
The foods that are found to increase the reflex are:
•     Fried food- avoid deep fried foods and limit the fat intake to 4-5 tsp. per day.
•     Caffeine: limit tea and coffee to 2 cups a day.
•     Spices and condiments: use only the necessary seasonings; keep the spice profile of your diet as low as possible.
•     Aerated drinks: cola and soda based drinks increase the chances of having a gastric reflex, especially when consumed on an empty stomach.
•     Limit the use of garlic, onion, chilies, capsicum etc. and keep a close eye on how your body reacts to intake of green leafy vegetables and whole grains.
•     Avoid alcohol and smoking.
•     Citrus foods like oranges, tomato and lemon may trigger reflex, strictly avoid these foods on an empty stomach.
•     Plan small and frequent meals so that there is enough space for the food in the stomach. Small meals are also digested easily and quickly.
•     Do not take water and other drinks with the meals. This causes dilution of the food in stomach resulting in reflex. Also avoid drinking fluids immediately before and after the meals.
•     Refined food and bakery products should be cut down.

Lifestyle modifications that may help you:

•     Make sure that there is a gap of 2 hours between dinner and bed time.
•     Chew your food properly and take enough time to finish the meals.
•     Avoid wearing tight clothing while and after having food.
•     Elevate your sleeping bed, instead of using the pillow. Place wooden blocks under the head of your bed.
•     Weight management is an important requirement in acid reflex. Excessive body fat exerts pressure on the stomach causing heartburn.
•     Do not do any heavy activity after eating; instead go for a light walk to stimulate better digestion.
•     Combat stress and start exercising. Ensure that the timings of meal and activity are thoughtfully planned.

Some foods that are found to be helpful in management of acid reflux include fiber XXXXXXX sources like oats and salad. Include XXXXXXX cider vinegar, aloe vera, ginger, melons, plantain, parsley and Couscous. Light vegetables like carrot, bottle gourd and pumpkin are also helpful.

Hope this would help.
Stay fit.

Dr Meenakshi
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