Dr Novakovic is an Australian Ear, Nose & Throat, Head & Neck surgeon with a special interest in voice and swallowing problems. He is subspecialty ... View Profile
Different people experience different triggers for their gastro-oesophageal reflux symptoms (including heartburn).
Generally there are a few key foods that commonly make symptoms worse. These include:
1) Caffeine - Caffeine containing foods including coffee, tea, chocolate and many carbonated drinks can make reflux worse in a number of ways. Caffeine can decrease the pressure of the lower oesophageal sphincter (LES) which is a tight ring of muscle at the bottom of the oesophagus (food pipe) that normall stays closed to prevent stomach contents ‘refluxing’ back up towards the throat. Caffeine is also known to increase acid secretion by the stomach.
2) Spicy foods
3) Fatty / rich foods - the combination of spicy and rich / fatty foods (such as a hot cream based curry) will increase stomach acid production and also decrease LES pressure
4) Acidic foods - acidic foods in themselves do not cause reflux. Some people experience throat symptoms of reflux - so called Laryngopharyngeal Reflux (LPR). In these people eating acidic foods may reactivate stomach enzymes in the throat and continue to give them LPR symptoms of throat irritation, chronic cough and throat clearing even when they are on adequate acid suppression medicationReply to this post · Report
This is an excellent answer with comprehensive recommendations. If you are still struggling check out this article. http://www.ncbi.nlm.nih.gov/pubmed/22327302 It mentions intolerance to foods and you might find that having food allergy/reactivity assessed is useful. Funnily enough I have often found that patients benefit when getting their production of stomach acid boosted rather than suppressed.Reply to this post · Report
Hi my name is Chris and I am passionate about good health and nutrition. Chris is a tertiary trained nutritionist and is currently completing his ... View Profile
Great recommendations by Dr Novalovic, its best to seek out the expert advice from an Accredited Practising Dietitian (APD) for practical advice on how to avoid those foods which cause heartburn without compromising nutritional adequacy of the diet. You can find an APD at www.daa.asn.auReply to this post · Report
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