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Acid reflux and the diet to avoid it - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi, may I an
Doctor :   Hi
User :   hi, i am a 21 year old female. i was just diagnosed with acid reflux today and i have gone online what kind of diet i should eat but i have seen conflicting things
Doctor :   ?
How can I help you ?
User :   so i would like to know what types of food i can eat and which ones i should avoid
Doctor :   Ok.
Doctor :   Acid reflux can be caused due to 2 reasons
Doctor :   1. Due to excess secretion of acid in the stomach
Doctor :   2. Weakening of the esophageal sphincter
Doctor :   There are some foods which increase acid secretion of stomach
Doctor :   1. Oily diet
Doctor :   2. Fatty diet
Doctor :   3. Spicy fooods
Doctor :   4. Carbonated cool drinks
Doctor :   5. Caffeinated drinks
Doctor :   All these increase the acid secretion of stomach
Doctor :   Which weaken the esophageal sphincter : Doctor :   1. Cigarette smoking
Doctor :   2. Alcoholism
Doctor :   3. Sleep immediately after dinner/lunch
Doctor :   4. Coffee, Aerated drinks
Doctor :   Hope you have followed ?
User :   yes
User :   very much so
Doctor :   Do you have anything else to ask ?
User :   im very concerned because i experience some regurgitation of food 3 years ago, but it was only after eating a large meal from what i remember
User :   i read about Barretts esophagus
User :   im just concerned i waited too long
User :   i know i am 21 now
User :   the doctor said i was too young for that
Doctor :   Ok.
User :   but i did wait 3 years
Doctor :   Please do not worry, as one large meal never risks the incidence of barrets
User :   even though its been 3 years since ive had the regurgitation symptoms
Doctor :   Ok, You have the symptoms for 3 years now ?
Doctor :   I would suggest you to undergo the following tests : Doctor :   1. Endoscopy
Doctor :   2. pH Test in the esophagus
Doctor :   3. Esophageal manometry
User :   it was never really constant..just when i ate big meals in the past years. it's just lately gotten constant for a bit
User :   i noticed this minty feeling in my throat a week ago
User :   never really had heartburn or any other symptom until last week with the minty feeling in my throat
User :   my doctor asked about my stool and stuff like that
User :   she said it appeard to be ok on that aspect
Doctor :   I am sorry to say that,
There is no connection with stool and the acid burn/heart burn .
User :   she asked whether i had mucus or a black stool
User :   and whether i had lost my voice
User :   or had heartburn at night
User :   i answered no to all
Doctor :   Ok.
Doctor :   Yes hoarsenss is one important reason.
Doctor :   to suspect GERD.
Doctor :   bUT most of the symptoms are a No, So I would say that you are not having an acid reflux.
Doctor :   But to be on the safer side , please run through the tests that I have recommended you .
User :   she did a hpyolri?
User :   H pylori test?
User :   today
User :   just had it done
Doctor :   Ok.
Doctor :   When would you knw the esult ?
Doctor :   I might require more time to help you
Doctor :   Thank you for consulting me
Doctor :   Take care, Bye for now.
User :   sorry i had technical difficulties
Doctor :   No problem .
Doctor :   H.pylori is basically for gastric ulcers .
Doctor :   For GERD, tHE best test is Endoscopy
Doctor :   Or Barium Meal study
Doctor :   Has she suggested these tests ?
User :   no she did not
User :   she prescribed prilosec
User :   and a change in diet
User :   i will meet with her in 2 weeks to see how that's working
Doctor :   Ok.
User :   that's all she said at this point
Doctor :   Is she a Gastroenterologist
User :   no
User :   she said that Barrett's esophagus is highly unlikely because of my age
Doctor :   That is very true .
Doctor :   In every GERD Case or Acid Reflux case we do not see Barrets
Doctor :   It is usually seen in males and more so after 40.
Doctor :   Acid reflux in a very initial stage and if it is persistent for many years , it develops into Barrets.
User :   i see
User :   will i have to be on medication for the rest of my life?
User :   im a little worried and sad about that possibility
Doctor :   no
Doctor :   Not at all.
User :   so it's not a chronic condition?
Doctor :   You can get out of this in just 6 months
Doctor :   If you can make some life style changes
Doctor :   And switch to some specific habits : Doctor :   1. Avoid oily, fatty diets & heavy lunch or dinner
User :   i like doing yoga
User :   is it ok to practice that?
Doctor :   Very good.
Doctor :   It would be of great help.
Doctor :   2. Have lots of fruits, veggies, juices
User :   i was going to ask
User :   are oranges ok?
User :   theyre acidic
Doctor :   Acidic
Doctor :   Avoid tomatoes, oranges, onion, garlic. mexican spices
User :   what foods should i eat?
User :   vegetables?
Doctor :   All other fruits, nuts, beanns, veggies, juices, etc.
Doctor :   Do avoid too many choclates,
User :   what about chicken and fish?
User :   are shrimp ok?
Doctor :   Yes , but grilled would be advisable ?
Doctor :   Yes , but grilled would be advisable.
User :   i see
User :   so even though ive had these symtoms off and on for 3 yrs if i make the proper changes i can be out of this in 6 months?
Doctor :   Yes very much, please do finish your dinners very soon, at 6 pm.
Doctor :   take 3 hrs after that to sleep
User :   i will for sure
User :   she asked about pain in lower stomach
User :   i just experienced something of a pain yesterday
User :   not a lot
User :   very small
Doctor :   Ok.
User :   only if i move a certain way
Doctor :   Dont worry, but keep practisinf these fr 6 months
Doctor :   and you will surely get well
User :   oh doctor
User :   you have been an amazing help
User :   thank you very very much
Doctor :   Thank you for consulting me
Doctor :   take care
Doctor :   bye for now
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