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    Tell Me What to Eat if I Have Acid Reflux, Revised Edition: Nutrition You Can Live With
    Tell Me What to Eat if I Have Acid Reflux, Revised Edition: Nutrition You Can Live With
    Tell Me What to Eat if I Have Acid Reflux, Revised Edition: Nutrition You Can Live With
    Ebook195 pages2 hours

    Tell Me What to Eat if I Have Acid Reflux, Revised Edition: Nutrition You Can Live With

    By Elaine Magee

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    About this ebook

    Heartburn isn’t just an inconvenience—it can make you miserable. Here are foods, recipes, and tips for feeling better.
     
    Heartburn happens when the lining of the esophagus comes in contact with too much stomach juice, which can produce a burning pain and injure the esophagus. A valve that connects the end of the esophagus with the stomach normally functions to keep the stomach acid where it belongs: in the stomach. But in people with frequent heartburn, this valve relaxes too frequently, allowing the stomach acid to splash up into the esophagus.
     
    Tell Me What to Eat If I Have Acid Reflux begins with a detailed yet completely understandable explanation of how and why this condition begins, based on the latest medical information. Then the majority of the book is dedicated to all the ways that diet and lifestyle can bring relief and decrease heartburn, including an entire section with specific tips and recipes to help you during the worst times of the year for heartburn sufferers—the holiday season. Discover dozens of healthful, practical, tasty recipe options for foods you never thought you could enjoy again, plus heartburn-savvy tips on navigating the supermarket, cooking in your kitchen, and eating out.
    LanguageEnglish
    PublisherOpen Road Integrated Media
    Release dateOct 15, 2008
    ISBN9781601639370
    Tell Me What to Eat if I Have Acid Reflux, Revised Edition: Nutrition You Can Live With
    Author

    Elaine Magee

    Elaine Magee, MPH, RD, is fondly known through her national column and on WebMD.com as "The Recipe Doctor." She is the author of 25 books on nutrition and healthy cooking, including the revolutionary Food Synergy, as well as other best-selling titles in the 'Tell Me What to Eat' series, covering type-2 diabetes, acid reflux, irritable bowel syndrome, and other important health issues. She frequently appears on television and radio shows across the country and resides in Northern California with her husband and two teenage daughters.

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      Book preview

      Tell Me What to Eat if I Have Acid Reflux, Revised Edition - Elaine Magee

      Tell Me What to Eat If I Have Acid Reflux

      Tell Me What to Eat If I Have Acid Reflux Revised Edition

      Nutrition You Can Live With

      By Elaine Magee, MPH, RD

      Foreword by Anthony A. Starpoli, MD

      Copyright © 2009 by Elaine Magee, MPH, RD

      All rights reserved under the Pan-American and International Copyright Conventions. This book may not be reproduced, in whole or in part, in any form or by any means electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system now known or hereafter invented, without written permission from the publisher, The Career Press.

      TELL ME WHAT TO EAT IF I HAVE ACID REFLUX

      EDITED AND TYPESET BY GINA TALUCCI

      CONTRIBUTOR: ANTHONY STARPOLI, MD

      Cover design by Lu Rossman/Digi Dog Design NYC

      Printed in the U.S.A.

      To order this title, please call toll-free 1-800-CAREER-1 (NJ and Canada: 201-848-0310) to order using VISA or MasterCard, or for further information on books from Career Press.

      The Career Press, Inc., 220 West Parkway, Unit 12

      Pompton Plains, NJ 07444

      www.careerpress.com

      www.newpagebooks.com

      Library of Congress Cataloging-in-Publication Data

      Magee, Elaine.

      Tell me what to eat if I have acid reflux : nutrition you can live with / by Elaine Magee. —Rev. ed.

                 p. cm.

      Includes index.

      ISBN 978-1-60163-019-3

         1. Gastroesophageal reflux—Popular works. 2. Gastroesophageal reflux—Diet therapy. I. Title.

      RC815.7.M34 2008

      616.3’240654--dc22

      2008021181

      Contents

      Foreword

      Introduction

      Publisher’s Note

      Chapter 1: Everything You Ever Wanted to Ask Your Doctor About Acid Reflux

      Chapter 2: Everything You Ever Wanted to Know About Food and Acid Reflux

      Chapter 3: The 10 Food Steps to Freedom

      Chapter 4: Waiting to Lose Weight

      Chapter 5: How to Have a Heartburn-Free Holiday

      Chapter 6: Recipes You Can’t Live Without

      Chapter 7: Restaurant Rules

      Index

      About the Author

      Foreword

      Worldwide, 18 percent of people experience gastroesophageal reflux disease, also known as GERD, and commonly known as acid reflux. The most common symptom of reflux is heartburn, and it affects 7 to 10 percent of the U.S. population on a daily basis. Although medical science has made significant advances in the treatment of gastroesophageal reflux disease (GERD), it remains a chronic and relapsing condition.

      The fact is that GERD is often undiagnosed and unrecognized. Compared to the multitude afflicted, a small number seek medical advice. Self-medication is common, and temporary relief of symptoms can be misleading. Complications to GERD can be masked by asymptomatic (a decrease in symptoms) response. It is well known that those patients with long-standing reflux may actually have fewer symptoms with time, yet the disease process may progress unbeknownst to the patient. The importance of making a specific diagnosis of GERD cannot be overemphasized.

      Since the first edition of this book, the wide spectrum of reflux disease has been better exposed. The term acid reflux is used synonymously with GERD. More recent research data suggests that GERD is composed of nonacid reflux, as well as acid reflux. Awareness of nonacid reflux emerged from GERD patients taking acid-lowering medications who continued to have symptoms despite their drug therapy. When evaluated it was found that these patients can still experience reflux symptoms that are of a nonacid nature, despite medical therapy. Nonacid reflux in this scenario can occur in 35 to 45 percent of patients who do not fully respond to drug therapy for reflux.

      GERD continues to affect quality of life, and the bidirectional relationship between sleep and reflux is most interesting. Patients with poor sleep patterns can worsen their reflux, and those with poorly controlled GERD can have a disturbed sleep pattern.

      A growing body of research data continues to point to GERD as a major risk factor for the development of cancer of the esophagus. The incidence of esophageal cancer has grown exponentially since the 1970s, which makes patients with the mildest forms of reflux desire to know more about their disease. Although medical and surgical therapies are widely available, reflux patients desire to play an active role in their care and make a quest to learn more about the disease and what they can do for themselves.

      Most practitioners, like me, are short-handed with regard to providing patients with detailed dietary and lifestyle advice. I am impressed with patients’ desire to understand the process behind their affliction. Most physicians are not well equipped to offer patients new approaches to diet and lifestyle. It is those things that are cornerstones to the successful management of any medical problem, including acid reflux. Proper nutrition can help combat the obesity that has been identified as an independent risk factor for developing GERD.

      Tell Me What to Eat If I Have Acid Reflux offers a comprehensive review of the mechanisms behind reflux disease and explores its many manifestations. This review edition covers the medical and procedural aspects of GERD therapy, and provides an update on the newer nonsurgical procedures for GERD as well.

      Most importantly, Elaine Magee’s presentation of acid reflux disorders provides the reader with an easy understanding of reflux disorders and provides a patient oriented, realistic strategy to controlling the condition. Her writing offers the reader a sense that they can be in control, and provides a healthy direction for any person struggling with acid reflux.

      Once again, Elaine Magee has thoroughly researched the nutrition basis for the treatment of acid reflux disease and gives practical guidelines that will lead patients to a better quality of life. I recommend this book to all my reflux patients as the perfect adjunct to their care.

      Anthony A. Starpoli, MD

      director of Gastroesophageal Reflux and Endosurgery

      St. Vincents Catholic Medical Center-Manhattan

      Attending, Gastroenterology

      Lenox Hill Hospital New York, New York

      Introduction

      Heartburn isn’t just a small inconvenience; it is very painful and can keep you from quality sleep and from doing your work. But then if you are one of the 60 million Americans who get heartburn at least once a month, you probably already knew this.

      Heartburn happens when the lining of the esophagus comes in contact with too much stomach juice (contains stomach acid), which can produce a burning pain and injure the esophagus. There is a valve that connects the end of the esophagus with the beginning of the stomach, which normally functions to keep the stomach acid where it belongs—in the stomach. But in people with frequent heartburn, this valve, the lower esophageal sphincter muscle (LES), relaxes too frequently, allowing the stomach acid to splash up into the esophagus.

      But you don’t have to take this lying down, literally! There are foods you can choose and foods you can lose to help head off heartburn. A recent national survey conducted by the National Heartburn Alliance (NHBA), revealed that 92 percent of frequent heartburn sufferers point to food as the primary cause of their digestive discomfort. The good news for sufferers is that anecdotal evidence indicates that changing your diet can significantly decrease the number of heartburn episodes, states the NHBA.

      Enter acid reflux—when heartburn becomes an occasional or frequent visitor.

      All you have to do is say the words heartburn or acid reflux and suddenly everyone with whom you speak either has it or knows several people who do. I think I’ve hit the magical age of acid reflux, because now that I am 40, I hear more and more about people being diagnosed with it. Do I personally suffer from it? Not yet, but I do know plenty of good friends and family members who have been suffering from it. That’s why I made sure to include a book on acid reflux in my Tell Me What to Eat medical nutrition series.

      Acid reflux is a disease that should not be ignored or self-treated. But what concerns me is that nearly half of acid reflux sufferers do not know that what they have been experiencing is an actual disease.

      In studies that measure emotional well-being, people with unresolved acid reflux often report worse scores than people with other chronic diseases such as diabetes, high blood pressure, peptic ulcer, or angina.

      Here’s the good news: Acid reflux is generally a treatable disease. Now, here’s even better news: Most people with acid reflux have a mild form of the disease that can be controlled through lifestyle changes and medication.

      If you think you may have acid reflux and you haven’t already consulted a physician about it, that’s the first step you need to take. The second step is working with your doctor to put together the best available treatment plan for you. No matter what medical course of action you and your doctor decide to take, the diet and lifestyle tips in this book will be a nice compliment.

      Don’t suffer needlessly. Find out for sure if you have acid reflux, then get the help that you need to feel great again. Reading this book will certainly help put you on the right track—the heartburn-free track!

      Publisher’s Note

      This book is not intended as a substitute for medical advice. Readers are encouraged to consult with a doctor before following this or any other dietary advice.

      Chapter 1

      Everything You Ever Wanted to Ask Your Doctor About Acid Reflux

      True, the majority of the book is devoted to the lifestyle and diet treatment options for acid reflux. Don’t worry, we’ll get to that. Acid reflux is the best-known term for gastroesophageal reflux disease, otherwise known as GERD. For our discussion we will use the term acid reflux, but know that reflux can be made up of acid and nonacid reflux. But first, you need to understand the who, what, where, why, and how of acid reflux. What is acid reflux? How do I got relief from my symptoms? What are my medical options—from over-the-counter products to surgery—and what are their side effects and risks? Answering these questions is what this chapter is all about. It’s about everything you ever wanted to ask your doctor about acid reflux—if you could ever have his or her undivided attention for about an hour or two.

      Q: Who has acid reflux?

      If you have acid reflux, you are definitely not alone. More than 15 million Americans suffer from heartburn daily (a major symptom of acid reflux), with an additional 45 million having heartburn at least once a month. Do the math. That quickly adds up to at least 10 percent of Americans having some degree of acid reflux disease.

      Q: What’s going on inside my body with acid reflux?

      When you have acid reflux, acid from the stomach flows backward up into the esophagus. So the word acid comes from the stomach acid, and the word reflux comes from the backward flow (or refluxing) of this stomach acid into the lower esophagus. Sounds rather simple doesn’t it? But this little backsplash of the stomach acid contents comprised of acid and nonacidic material can injure the lining of your esophagus and wreak havoc in your life. It can disturb sleep, make you very uncomfortable after meals, cause a great deal of pain and discomfort, and, when untreated, can lead to serious complications.

      When the body is functioning normally, this backsplash of stomach acid should never even reach as far up as the esophagus. You see, our bodies have a muscular valve called the lower esophageal sphincter, which connects the lower end of the esophagus with the upper end of the stomach. Food is only supposed to flow downward from the esophagus into the stomach where the food proceeds to get digested. But with acid reflux disease, this valve relaxes too frequently and allows some stomach acid to flow backward up into the esophagus.

      Q: Is there a cure for acid reflux?

      Acid reflux is a recurrent and chronic disease that does not resolve itself and go away. Anyone who has suffered from it for many years can tell you that. But long-term medical and lifestyle therapy is usually effective; it helps relieve symptoms in most people. Treatment options include lifestyle changes, medications, surgery, or a combination of those options—most help to keep the stomach acid from entering the lower esophagus.

      Q: What is the most common symptom?

      Heartburn! Thirty to 45 minutes after a heavy meal, heartburn hits. When excessive amounts of acid reflux enter the lower esophagus, the biggest result is heartburn, which is described as a feeling of burning discomfort right behind the breastbone (or heart) area of the body, that moves up toward the neck and throat. The burning can last for several hours and is

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