Doctor insights on:
Foods For Gerd Patients
Lean meats: Perhaps try lean proteins such as chicken and fish. They can be prepared many ways, and you can determine whether different sauces or cooking methods aggravate you or not. For sure i would not fry them, but would suggest baking, broiling, or grilling. ...Read more
Is it possible to have barretts and not gerd.And if so, do I have to follow the same diet a GERD patient would?
Yes: Although technically , barrett's should only occur in the setting of acid reflux , once you have barrett's, the lining accommodates so that you may not actually have reflux symptoms. It is still recommended to decrease acid exposure to the lower esophagus to theoretically decrease the chance of progression to esophageal cancer. This can be done with medications or going on an antireflux diet. ...Read more
Decaf. GT is good.: No, green tea is favorable for gerd, together with a healthy diet and lifestyle. Decaffeinated green tea is superior for gerd relief, as caffeine may promote reflux symptoms in some patients. Japanese consume about 3 cups of green tea/day providing roughly 240-320 mg of polyphenols, the major one being egcg (epigallocatechin-3-gallate). Most studies are done for cancer- and neuroprotection. ...Read more
When the best time you recommend your patients to take Nexium (esomeprazole) for GERD for Acid Re-flux (Bed time or morning).? Thanks.
Depends: When are symptoms worse? Dose medication to be at higher concentration when symptoms more severe. ...Read more
Is it true that a patient with GERD should be treated with PPIs first for 6 weeks before EGD to avoid false positive of BE?
See answer: Not sure what BE refers to BUT it is not advisable to start with a PPI first because they can be "addicting" due to rebound hyper secretion of acid.( When you try to stop the PPI the heartburn comes back with a vengeance). This doesn't happen with an H2-blocker like Zantac or Pepcid (famotidine). For more information see my Checklist: "Treating Heartburn". It will direct you to additional information ...Read more