Gastritis and gastro-oesophageal reflux
Few conditions accumulate as much unsupported popular advice as these two.
Gastritis and reflux share symptoms but are not the same thing, and management differs. In reflux, mechanical factors almost nobody mentions carry a lot of weight: meal volume, the interval between the last meal and lying down, sleeping position, and excess abdominal fat, which raises intra-abdominal pressure.
The universal list of “forbidden foods” performs poorly because triggers are quite individual. What the evidence does support is reducing volume per meal, separating dinner from sleep, and working on body composition when abdominal fat is increased.
- Identifying your real triggers rather than a generic list
- Adjusting meal volume and timing
- Reducing abdominal fat when it contributes to intra-abdominal pressure
- Specific management if Helicobacter pylori is confirmed
- Compatibility with proton pump inhibitors and a withdrawal strategy with your doctor
This page is educational material from a registered dietitian, not a diagnostic tool. Diagnosis and medical treatment are your doctor’s remit; clinical nutrition accompanies that treatment, it does not replace it.
Frequently asked questions
It can relieve immediately through a buffering effect, but afterwards it stimulates acid secretion, and the net result is frequently worse. It is one of the popular tips that has aged worst.
Not necessarily. In some people it is a clear trigger and in others it is not. It is tested in an orderly way. Quantity, whether it is taken on an empty stomach and what accompanies it usually matter more than the coffee itself.
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