Improve gastroesophageal reflux disease

Gastroesophageal reflux disease (GERD) is a common disease in which the patient’s symptoms are quite diverse, but the most common is burning behind the sternum and feeling fluid or food. .

Diet and routine adjustment to this pathology are very important and the first step in a comprehensive management process, aimed at improving the patient’s quality of life.

As for the diet

A high-fat diet has been shown to be a risk factor for reflux disease that does not cause esophagitis. A high-fat diet is also a risk factor for Barrett’s esophagus, a condition where an image of the mucosal variability more than 3 cm long is considered a risk factor for esophageal cancer. Meanwhile, a diet rich in vegetables has the effect of preventing these diseases.

The symptoms of gastroesophageal reflux disease are quite diverse, but the most common one is burning behind the sternum and feel of fluid or food coming up.

The symptoms of gastroesophageal reflux disease are quite diverse, but the most common one is burning behind the sternum and feel of fluid or food coming up.

In fact, patients with GERD may have many other gastrointestinal symptoms such as indigestion. Canned foods and alcohol have been shown by many studies to increase the severity and frequency of indigestion symptoms. This can be due to the presence of ingredients in canned foods that are added to preserve or preserve flavor, to the pH of the food, and to the ingredients of the can. High-fat foods reduce the pressure of the lower esophageal sphincter, which is considered a protective physiological barrier against reflux. When a patient eats a high-fat meal, the time the esophagus is exposed to acid fluids will be much higher than with a regular meal.

Chocolate is also a food that may aggravate reflux symptoms in some patients. Although some studies have shown that chocolate reduces lower esophageal sphincter pressure and prolongs the time the esophageal mucosa is exposed to gastric acidic juices, there are currently no studies that prove any benefit. improve symptoms if you stop eating chocolate.

Many studies have found menus that improve GERD symptoms, especially for patients with multiple medical combinations. In patients with chronic inflammatory bowel disease (IBD), a gluten-free diet has been shown to improve symptoms of both IBD and GERD. A Mediterranean-style diet rich in vegetables, beans, whole grains, fruits, fish, olive oil, low alcohol, moderate dairy products, and low red meat has proven beneficial for health problems. cardiovascular, cancer, diabetes.

For living habits

Studies have shown, habits like sleeping less, eating late at night, and sleeping within 2 hours after eating, eating later at night before going to bed make reflux symptoms worse.

The doctor will often instruct a patient to sleep with shoulder height to reduce the time and frequency of gastric juice regurgitating the esophagus. When compared to the group of patients still with a flat head, some studies have shown that in the group of shoulder straps, the time to clear the acid solution in the esophagus is faster and the patient has less reflux. Conversely, patients on their right side may have more severe symptoms of GERD because in this position the acid sac is closer to the area connecting the esophagus and stomach. Patients with sleep apnea syndrome often have more severe reflux symptoms.

For obese patients with GERD, weight loss is an important strategy in GERD symptom management. Increased abdominal pressure in obese patients causes the area between the esophagus and the stomach to not fit properly (diaphragmatic hernia). Additionally, obesity causes changes in esophageal peristalsis, and studies have shown that weight loss reduces the amount of time the esophagus is exposed to acid. The literature has summarized the higher the body mass index (BMI) of the patient, the more acid reflux is detected when measuring the esophagus pH and corresponding to the clinical situation. Symptoms worsen.

Thus, in addition to seeing gastroesophageal reflux disease as a disease requiring only drug treatment, the cooperation between doctors and patients in adjusting diet and living will help optimize the dose. Comprehensive use and management of drugs improve the patient’s quality of life and limit the complications of the disease.

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