|
|
|
 |
|
| DIVISION OF GASTROENTEROLOGY & HEPATOLOGY |
|
|
|
Nutrition Information
Gastroesophageal Reflux Diet
Use: This diet is indicated for people who have gastroesophageal reflux disease or its complications, such as esophageal ulcers,
esophagitis, and peptic esophageal strictures and is useful for those who experience heartburn, a common symptom of reflux.
Tips To Control Heartburn:
- Avoid foods and beverages that irritate the esophagus lining, including fried and fatty foods, peppermint, chocolate, alcohol,
coffee, citrus fruit and juices, and tomato products. See Food selection below.
- Maintain upright posture during and after eating.
- Eat 5-6 small meals instead of 3 large meals.
- Avoid clothing that is tight in the abdominal area.
- Lose weight if overweight. See sample meal plan below.
- Stop smoking.
- Elevate the head of the bed 6 inches.
- Avoid lying down 2 to 3 hours after eating.
- See a dietitian to help devise an individual meal plan.
Guidelines For Selection of Foods
|
Recommended Foods
|
May Cause Distress
|
Beverages
Skim, 1%, 2% low fat milk, buttermilk, juices (except citrus), decaffeinated, non-mint herbal teas
|
Whole milk, chocolate milk, citrus juices, carbonated beverages, tomato juice, mint tea, coffee (regular or decaf), alcohol
|
Breads and Cereals
Plain breads, cereals, rolls, bagels, low fat crackers, low fat muffins,
|
Croissants, doughnuts, sweet rolls
|
Desserts
Angelfood cake, sponge cake, low fat cookies, gelatin, sherbet, fruit ice, low fat yogurt or ice cream.
|
Pies, cookies, cakes, ice cream, any desserts containing chocolate
|
Fats
Reduced-calorie/low fat dressings, mayonnaise, and margarine; small amounts of vegetable oil
|
Gravies, heavy cream, meat drippings, butter
|
Fruits
Fresh, frozen and canned fruits as tolerated
|
Orange, lemon, tangerine, pineapple, grapefruit, citrus juices
|
Meat and meat substitutes
Lean meat, poultry (without skin), fish (fresh or packed in water), shellfish, low fat yogurt, low fat cheese, tofu, dried
beans and peas, eggs
|
Fried meat, poultry, fish, or eggs, regular lunch meat, hot dogs, sausages
|
Potatoes and Starches
Baked, boiled, mashed with low fat milk, pasta, rice
|
French Fries, potato chips, and pasta with cream sauces
|
Soups
Fat ‚ free broths, homemade soups: cream soup made with low fat milk
|
Regular cream soups and t tomato based soups
|
Vegetables
Plain fresh, frozen, and canned
|
Fried or creamy style vegetables and tomato products
|
Spices
Salt, vinegar, garlic, oregano, sage, pepper,
|
Cajun spices, spearmint, peppermint, chili, jalapeno peppers
|
Sample Meal Plan for GERD
2000 calorie, 3 meals, 2 snacks
Low fat meal plan( 25% kcal from fat
Breakfast
Apple juice (1/2 cup)
Whole grain cereal (1 cup)
Banana
Skim milk (1cup)
Lunch
Vegetable soup (1 cup)
Saltines (4)
Whole wheat bread (2)
Turkey (3 slices)
Low fat cheese (1 slice)
Lettuce and tomato
Mayonnaise (1tbls)
Apple (1)
Iced Tea
|
Morning Snack
Graham crackers (4)
Low fat yogurt (1)
Afternoon Snack
Pretzels (1 ounce)
Peach (1)
Dinner
Green salad (2 cups)
Reduced Calorie Dressing (2 tbls)
Baked Skinless Chicken Breast (4 oz)
Rice (2/3 cup)
Dinner roll (1 small)
Margarine (1 tsp)
Broccoli (1/2 cup)
Apple juice (1 cup)
|
Sources:
-
National Digestive Diseases Information Clearinghouse
2 Information Way
Bethesda, MD 20892-3570
301-654-3810
http://www.niddk.nih.gov
-
Manual of Clinical Dietetics
4th Edition
1992, The American Dietetic Association
By: Emily Rubin, RD
Registered Dietitian for Division of Gastroenterology and Hepatology
To contact for questions or to make an appointment:
e-mail:
Emily.Rubin@jefferson.edu
phone: 215-955-4152
|
|
