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Suggest Ideal Diet When Diagnosed With Burning Sensation In Esophagus
Question: My husband has had esophagus cancer in 2002. He did not have chemo or radiation. However, he has started having what he call acid burning in his esophagus. He sleeps with his head elevated. I know it would be hard to really give me a diagnosis. but would you tell me what could be his problem. I tell him it is what he eats. Can you tell me where to go to get a proper diet plan for him? Oh, by the way he has had colon cancer in 2009 and he has a bag. It is hard for him to balance his diet between the two. Just need some help
Brief Answer:
Diet plans for Post-Esophagectomy and colostomy
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
Ideally any nutritionist with a certified degree in your area should be able to guide you with a proper diet plan for the medical conditions mentioned. I would light to throw some light on it.
Your husband is having gastric regurgitation as the lower half of esophagus along with upper part of stomach and hence gastro-esophageal sphincter has been removed. Sleeping with head elevated will reduce reflux (against gravity) and hence aspiration of gastric contents into respiratory tract .
At best he can take antacid like pantoprazole and prokinetic drug like domeperidone to reduce acid burning in his gullet.
He also has colostomy bag following colectomy for colonic cancer.
The following general guidelines will help make caring for colostomy easier:
Eat meals regularly and three or more times a day. An ostomy works best this way and produces less gas.
Chew your food well. Chewing well will help to avoid a blockage at stoma site.
Try new foods one at a time. Learn which foods may give you annoying side effects such as excess gas, constipation, a looser stool, or odor. If a new food seems to give you problems, eliminate it for a few weeks, but try it again later.
Avoid gaining excess weight. Extra weight is not good for your ostomy, and it can cause health problems in general.
Drink a lot of fluid daily. You may lose more body fluids than usual through the stoma, so it is important to drink a lot of fluid because most of the body’s fluid is normally reabsorbed in the large intestine.
Post-Esophagectomy Diet general Guidelines
Smaller stomach size→
6 or more small meals daily
Limit fluids to 4 ounces (1/2 cup) with meals
Up to 8 ounces fluid one hour before or after a meal
Chew foods well
Eat slowly to prevent overfilling
Preventing reflux→
Sit upright during meals & for one hour afterwards
Last meal 2 hours before bedtime
Head of bed elevated to 45 degree angle
Avoid clothes tight-fitting around waistline
You need to balance between the two guidelines ;some are overlapping and needs individual adjustments which is not very difficult.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Diet plans for Post-Esophagectomy and colostomy
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
Ideally any nutritionist with a certified degree in your area should be able to guide you with a proper diet plan for the medical conditions mentioned. I would light to throw some light on it.
Your husband is having gastric regurgitation as the lower half of esophagus along with upper part of stomach and hence gastro-esophageal sphincter has been removed. Sleeping with head elevated will reduce reflux (against gravity) and hence aspiration of gastric contents into respiratory tract .
At best he can take antacid like pantoprazole and prokinetic drug like domeperidone to reduce acid burning in his gullet.
He also has colostomy bag following colectomy for colonic cancer.
The following general guidelines will help make caring for colostomy easier:
Eat meals regularly and three or more times a day. An ostomy works best this way and produces less gas.
Chew your food well. Chewing well will help to avoid a blockage at stoma site.
Try new foods one at a time. Learn which foods may give you annoying side effects such as excess gas, constipation, a looser stool, or odor. If a new food seems to give you problems, eliminate it for a few weeks, but try it again later.
Avoid gaining excess weight. Extra weight is not good for your ostomy, and it can cause health problems in general.
Drink a lot of fluid daily. You may lose more body fluids than usual through the stoma, so it is important to drink a lot of fluid because most of the body’s fluid is normally reabsorbed in the large intestine.
Post-Esophagectomy Diet general Guidelines
Smaller stomach size→
6 or more small meals daily
Limit fluids to 4 ounces (1/2 cup) with meals
Up to 8 ounces fluid one hour before or after a meal
Chew foods well
Eat slowly to prevent overfilling
Preventing reflux→
Sit upright during meals & for one hour afterwards
Last meal 2 hours before bedtime
Head of bed elevated to 45 degree angle
Avoid clothes tight-fitting around waistline
You need to balance between the two guidelines ;some are overlapping and needs individual adjustments which is not very difficult.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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