by Mahnke D

Making changes to lifestyle habits may help some people manage GERD. Here are some steps that can be taken.

General Steps for Managing GERD

Maintain a Healthy Weight

Excess belly weight puts pressure on the stomach. This makes it harder for the lower esophageal sphincter (LES) that controls the opening between the esophagus and the stomach to work as it should. People who are overweight should talk to their doctor or a dietitian about how to lose weight safely. Others should take steps to stay at a healthy weight.

Avoid Certain Foods and Drinks

Overeating can put pressure on the stomach and make it hard for the LES to close. This can be managed by eating smaller meals throughout the day. Food should also be eaten slowly to give the stomach time to adjust.

There are some foods that may make GERD symptoms worse. These foods can vary from person to person. Fatty and spicy foods often cause problems. Others are:

  • Spicy foods
  • Citrus fruits
  • Tomato based foods
  • Chocolate
  • Mint

The most common problem drinks are:

  • Alcohol based
  • Carbonated
  • Caffeinated
Position and Timing

The stomach needs time to break down food and move it in the right direction. GERD may be managed by:

  • Waiting 2 to 3 hours before lying down to give the stomach time to empty
  • Allowing enough time between the last food eaten and bedtime
  • Avoiding bending over and straining

Lying down makes it easier for content to flow backwards from the stomach. Elevating the head of the bed allows gravity to help keep stomach contents in place.

Smoking cigarettes affects the body's nerve and blood supply. This makes it harder for the LES to work as it should. People who smoke should talk to their doctor about ways to quit.

References

Acid reflux (GER and GERD) in adults. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults. Accessed March 18, 2022.

Gastroesophageal reflux disease (GERD). American Gastroenterological Association website. Available at: https://aga-cms-assets.s3.amazonaws.com/2018214195040---All%5FGERD%5F2017.pdf. Accessed March 18, 2022.

Gastroesophageal reflux disease (GERD). EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/gastroesophageal-reflux-disease-gerd. Accessed March 18, 2022.

Gastroesophageal reflux disease (GERD). Merck Manual Professional Version. Available at: https://www.merckmanuals.com/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/gastroesophageal-reflux-disease-gerd. Accessed March 18, 2022.

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