Managing Diet for Reflux Esophagitis: Key Considerations

Reflux esophagitis is a condition commonly characterized by symptoms such as acid regurgitation and heartburn. Some patients may also experience extra-esophageal manifestations like pharyngitis or asthma. One of the most effective ways to manage this condition is through dietary adjustments, which play a crucial role in reducing symptoms and preventing flare-ups.

To begin with, eating smaller, more frequent meals is highly recommended. Overeating can increase pressure on the stomach and lead to acid reflux. It's best to eat until you're about 70% full and avoid heavy meals that can overwhelm the digestive system. Additionally, certain foods and beverages should be avoided as they can trigger increased gastric acid production. These include fatty or fried foods, overly acidic items, spicy dishes, and sweets.

Moreover, steering clear of stimulants such as strong tea, coffee, chocolate, alcohol, and tobacco is essential. Certain vegetables like leeks, raw garlic, ginger, and foods like sweet potatoes should also be limited. Consuming these items may relax the lower esophageal sphincter or stimulate acid secretion, thereby worsening reflux symptoms. For instance, some individuals notice a significant increase in acid reflux after eating biscuits or drinking concentrated tea.

Another important strategy is avoiding food intake 2–3 hours before bedtime. This allows the stomach to empty partially and reduces the likelihood of nighttime reflux episodes. For individuals who are overweight or obese, losing weight through moderate calorie restriction can also help alleviate symptoms. Excess body weight can contribute to the relaxation of the lower esophageal sphincter, so maintaining a healthy weight supports better digestive health.

Lastly, patients with hypertension should consult their doctor about medication choices, particularly calcium channel blockers like nifedipine, which can exacerbate reflux by relaxing the esophageal sphincter. Always work closely with your healthcare provider to find alternatives that won't interfere with your digestive system.

By following these dietary and lifestyle recommendations, individuals suffering from reflux esophagitis can significantly improve their quality of life and reduce the frequency of uncomfortable symptoms.