Dietary Modifications for GERD Management

Evidence-based recommendations for symptom control through diet

Gastroenterology

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Last updated: Mar 24, 2025

Overview

Gastroesophageal reflux disease (GERD) symptoms can be significantly improved through dietary modifications. This guide outlines evidence-based recommendations for managing GERD through diet.

Foods to Avoid or Limit

High-Acid Foods

  • Citrus fruits and juices
  • Tomatoes and tomato-based products
  • Vinegar-based dressings

Trigger Foods

  • Chocolate
  • Mint and peppermint
  • Spicy foods
  • Garlic and onions
  • Fatty or fried foods

Beverages

  • Caffeinated drinks (coffee, tea, sodas)
  • Alcoholic beverages
  • Carbonated beverages

Recommended Dietary Habits

Beneficial Foods

  • Lean proteins
  • Complex carbohydrates
  • Non-citrus fruits
  • Green vegetables
  • Ginger

Eating Patterns

  1. Consume smaller meals
  2. Eat slowly and mindfully
  3. Remain upright for 2-3 hours after eating
  4. Maintain healthy weight

Meal Timing

  • Last meal 3+ hours before bedtime
  • Space meals throughout the day
  • Avoid late-night snacking

Additional Tips

  • Keep a food diary to identify triggers
  • Consider food allergies and intolerances
  • Stay hydrated between meals rather than during
  • Wear loose-fitting clothes during meals

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