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Tuesday 16 January 2018

GASTRO-ESOPHAGEAL REFLUX DISEASE (GERD)

GASTRO-ESOPHAGEAL REFLUX DISEASE (GERD) 
  It is the regurgitation of thee gastric content into the esophagus through the lower esophageal sphincter. This is due to increased abdominal pressure or relaxation of the lower esophageal sphincter.

SIGNS AND SYMPTOMS:
Its major symptoms includes
Heartburn
Delayed gastric emptying
Delayed esophageal clearance rate
Irritation of the esophageal mucosa


DIET INDICATION:
There are four main goals of nutritional therapy for GERD which includes:

Maintain lower esophageal sphincter pressure by limiting dietary fat intake

o The patient should also loose weight because obesity increases abdominal pressure.

o Foods like chocolate, coffee should be avoided because they decrease lower esophageal sphincter (LES) pressure.

o Avoid alcohol because it increases gastric acid secretion

o Avoid very tight clothes around the abdomen.

To decrease reflux frequency in volume by eating small meals more frequently

o By drinking fluids between meals rather than with meals

o Take adequate fibre to avoid constipation

To decrease esophageal irritation and limit the intake of carbonated beverages, spicy
foods, and any food that the patient discovers causes heartburn should be avoided, also smoking should be avoided.

To improve esophageal clearing ability by counseling the patient to sit upright after eating or eat 2-3 hours before bed time. If you can elevate the head of the bed.

DIET PLAN PREPARATION:
Avoid fried foods
Avoid carbonated drinks
Avoid spicy foods


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