Nutrition recommendations for acid reflux (GERD), heartburn, and Barrett’s Esophagus?

Acid Reflux and Barrett's Esophagus

Image Credit: emedicinehealth.com

Very recently I was diagnosed with Barrett’s esophagus, would you have any recommendations as to nutrition with this problem?

Tom Deuley / Originally posted on the NutritionFacts.org Facebook page

Answer:

So sorry to hear that Tom! For those unfamiliar with the condition, it’s a precancerous condition thought to arise from chronic reflux of acid up from the stomach. In terms of dietary interventions, avoiding meat and maximizing fiber (whole plant food) intake is associated with significantly lower esophageal cancer risk overall (especially beans and greens), but adding more fruits and veggies in general to the diets of those already stricken with Barrett’s does not appear to slow the progression of the disease.

According to the latest review there are ongoing trials on the use of green tea and black raspberries to prevent progression to cancer, but data isn’t expected from these trials for at least a year. So far data is preliminary (see my video Best Fruits For Cancer Prevention for example). I’ll definitely let you know when I see something though!

For those with acid reflux (“heartburn”), before considering proton pump inhibitor drugs I ask my patients to first try decreasing their consumption of dietary components thought to contribute to reflux by decreasing the pressure of the lower esophageal sphincter and increasing the number of relaxations of this sphincter, including fat, chocolate, peppermint, onions, and coffee. Obesity, overeating, and straining associated with constipation may also compromise the sphincter’s ability to keep the acid where it belongs in the stomach. Finally, drinking lots of water throughout the day will help keep things going in the right direction, and at night, raising the head of your bed by four to six inches by placing bricks or wood blocks under the head posts can employ gravity to help keep the acid from creeping up.

Image credit: emedicinehealth.com


Michael Greger M.D., FACLM

Michael Greger, M.D. FACLM, is a physician, New York Times bestselling author, and internationally recognized professional speaker on a number of important public health issues. Dr. Greger has lectured at the Conference on World Affairs, the National Institutes of Health, and the International Bird Flu Summit, testified before Congress, appeared on The Dr. Oz Show and The Colbert Report, and was invited as an expert witness in defense of Oprah Winfrey at the infamous "meat defamation" trial.


Pin It on Pinterest

Share This