Gastro Esophageal Reflux Diease(Frequent Heartburn)

Gastro Esophageal Reflux Disease (GERD) is a severe form of heartburn in which the stomach acid sloshes back up into the esophagus because of a weakened valve. The valve known as the esophageal sphincter is supposed to open to allow food to enter the stomach and then close to protect the delicate tissue of the esophagus. When the valve weakens the acid reflux causes damage and pain, difficulty swallowing even cancer of the esophagus.

Heartburn is often worse at night because lying down loosens the sphincter valve allowing the stomach contents to move up more easily. Research on sleep habits indicates that people who sleep on their backs and right sides experience more reflux than those who sleep on their left sides. According to the researchers the esophagus has a natural left-sided curve. When you turn on your right side, gravity straightens out the curve making it easier for stomach acid to spill into the esophagus. Experts suggest that to ensure a left-sided night's sleep you place a wedge behind you so you don't turn over. This position can minimize symptoms and give your esophagus time to heal from the damage that burning acid can inflict.

Diet Advice

Eat small frequent meals to avoid overeating. A distended stomach increases pressure making reflux more likely.

Drink Fluids between meals not with them. Combining food and liquids increases the likelihood of reflux

Limit citrus fruits and juices, tomato products, chili powder and pepper, which can irritate the esophagus.

Give yourself at least three hours after eating before you lie down to allow acid production to subside and the stomach to empty. (Avoid milk at bedtime- this increases acid production)

Avoid peppermint, chocolate, coffee (decaf too), alcohol, fried and fatty foods- they relax the valve and allow reflux.

Chew gum to stimulate saliva production- this neutralizes stomach acid.

Lose weight is you are overweight.

Avoid tight fitting clothes that press on the abdomen.

Updated June 2000

Donna Tinnerello, MS, RD, CD/N is a registered dietitian, living in Manhattan, with more than 10 years experience in HIV and nutrition. Her subspecialties are cardiovascular, renal, gastrointestinal disease, diabetes and weight management.
Donna is available for private consultation by referral only. Ms.Tinnerello has donated time and articles to our web site at always your choice and we sincerely appreciate her contributions.