Dietary Guidelines for Patients with Reflux Esophagitis

Reflux esophagitis is a condition characterized by damage to the mucous membrane of the lower esophagus due to the backflow of stomach contents. This occurs when the lower esophageal sphincter (LES) becomes relaxed or weakened, allowing gastric acid to flow backward into the esophagus. Managing dietary and lifestyle habits is crucial in preventing LES dysfunction and reducing symptoms.

One of the most important aspects of managing reflux esophagitis is eating behavior. It's essential for patients to eat calmly, chew food thoroughly, and avoid overeating or eating too quickly. Maintaining a steady pace while eating helps regulate digestive rhythms and reduces pressure on the gastrointestinal tract. In addition, individuals should steer clear of spicy, acidic, or overly processed foods that can irritate the stomach lining and relax the LES.

Certain beverages and substances are also known to worsen symptoms. These include alcohol, coffee, strong tea, mint products, and carbonated drinks. These items can stimulate gastric acid secretion and further weaken the lower esophageal sphincter. Avoiding them significantly lowers the risk of acid reflux episodes and associated discomfort.

Including more fiber-rich foods in the diet can aid digestion and help maintain regular bowel movements. A high-fiber diet contributes to reduced abdominal pressure, which can alleviate symptoms of reflux. Moreover, patients should avoid eating or drinking at least three hours before bedtime. Lying down soon after consumption increases the likelihood of acid regurgitation during sleep.

Approximately 20% of patients experience symptom improvement through these lifestyle modifications alone. However, most individuals require pharmacological treatment such as antacids or acid-suppressing medications. It is vital to follow the guidance of a gastroenterologist when using any medication to manage reflux esophagitis.