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17 years
Doctor zakia can i know in an explained way what food can i eat to keep acidity under a certain level?...and im taking amoxille 1000 with nexium for the 5 first days then i wil takeflagylwithklacide
Oct 3, 2014

Dr. Zakia Dimassi Pediatrics
Acid reflux and stomach content regurgitation occur when the lower esophageal sphincter, a specialized muscle that is located at the junction between the esophagus and the stomach and that serves to prevent backward movement of stomach content, becomes weak and allows stomach acid to splash up into the esophagus. Symptoms include heartburn, chest discomfort, and bitter fluid flowing up into the mouth. If the stomach juice trickles finds its way into the breathing tubes, hoarseness, cough, and even shortness of breath can occur. This entire problem is called GERD (Gastroesophageal Reflux Disease). A number of factors, including certain foods, may cause the lower esophageal muscle to relax, causing GERD.
A diet that helps prevent or reduce acid reflux can be a difficult task to implement, and not all items may precipitate symptoms in all individuals, so for instance you may get reflux after eating garlic, while another individual with this problem gets symptoms from eating onions for example. So you need to keep a food diary in order to identify the food items that most commonly produce symptoms of reflux.
In general, the basic food groups of cereals, vegetables, fruits, dairy products, and meats can be consumed with only a few limitations. Supplementation with vitamin C may be needed if an individual does not tolerate citrus foods such as orange, tomato, etc.

The following recommendations may be helpful in reducing symptoms:
1. Stop using tobacco in all forms. Nicotine weakens the lower esophageal muscle.
2. Avoid chewing gum and hard candy. They increase the amount of swallowed air (aerophagia) which, in turn, results in belching and reflux.
3. Do not lie down immediately after eating. Avoid late evening snacks.
4. Avoid tight clothing and bending over after eating.
5. Your meals should consist of small, frequent portions, so instead of 3 basic meal, split the amount over 6 meals. The same should apply to snakcs.
6. If overweight, drop the extra kilograms. Obesity exacerbates reflux.
7. Elevate the head of the bed six by 45-60 degrees to prevent reflux when sleeping. Extra pillows, by themselves, are not very helpful.
8. The following foods aggravate acid reflux, and should be avoided:
• fatty or fried foods
• peppermint and spearmint
• whole milk
• oils
• chocolate
• creamed foods or soups
• most fast foods
9. The following foods irritate an inflamed lower esophagus and may need to be limited or avoided:
• citrus fruits and juices (grapefruit, orange, pineapple, tomato)
• coffee (regular and decaffeinated)
• caffeinated soft drinks
• tea
• other caffeinated beverages
10. Spicy or acidic foods may not be tolerated by some individuals.

Food Groups:
1- Milk or milk products:
a. Recommended: skim, 1% or 2% low-fat milk; low-fat or fat-free yogurt
b. To be avoided: whole milk (4%), chocolate milk
2- Vegetables:
a. Recommended: all other vegetables
b. To be avoided: fried or creamy style vegetables, tomatoes
3- Fruits:
a. Recommended: apples, berries, melons, bananas, peaches, pears
b. To be avoided: citrus*: such as oranges, grapefruit, pineapple
4- Breads and grains:
a. Recommended: all those made with low-fat content
b. To be avoided: any prepared with whole milk or high-fat
5- Meats:
a. Recommended: low-fat meat, chicken, fish, turkey
b. To be avoided: cold cuts, sausage, bacon, fatty meat, chicken fat/skin
6- Fats/Oils:
a. Recommended: none or small amounts
b. To be avoided: all animal or vegetable oils
7- Sweets:
a. Recommended: all items made with no or low fat (less than or equal to 3 g fat/serving)
b. To be avoided: chocolate, desserts made with oils and/or fats
8- Beverages:
a. Recommended: decaffeinated, non-mint herbal tea; juices (except citrus); water
b. To be avoided: alcohol, coffee (regular or decaffeinated), carbonated beverages, tea, mint tea
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