Brief Answer: low Vit K diet Detailed Answer: Hi XXXXXXX Thank you for choosing XXXXXXX Acitrom , as your doctor would have told, is a blood thinning medicine. The connection between diet and this medicine is Vit K. This vitamin acts as an anticoagulant, and the foods rich in Vit K may lead to lower effectiveness of The medicine. Almost all the foods contain this Vitamin, but the ones that have particularly high levels of this vitamin are XXXXXXX spring onions. Brussels sprouts, spinach. Mustard greens, cabbage, broccoli and prunes. Green tea and oats should be limited in diet . Avoiding these foods would help in improving the medicine effects. However since this medicine is to be taken life long, you may include these foods in small quantities, keeping the intake constant over the time. The medication in some cases has been found to cause symptoms of acidity. Please continue to take Pan 40 to prevent the same. However, certain guidelines that would help you minimize the acidity are: • avoid deep fried foods and limit the fat intake to 4-5 tsp. per day. • limit tea and coffee to 2 cups a day. • use only the necessary seasonings, keep the spice profile of your diet as low as possible. • cola and soda based drinks increase the chances of acidity. • 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. • Refined food and bakery products, should be cut down. • Chew your food properly and take enough time to finish the meals. • Weight management is an important requirement in acid reflux. 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. Hope this would help. Meenakshi

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