Example diet for Gastroesophageal Reflux Disease

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(GERD) is a disorder linked to the ascent of the gastric contents in the esophagus which, not having the proper protections towards such an acid pH, can be damaged in the long term causing symptoms characterized by: retro-sternal heartburn, regurgitation of gastric material (di NOT always noticeable) and epigastric pain; NB. gastroesophageal reflux disease is often linked to an "anatomical alteration called hiatal hernia.
The gastroesophageal reflux is a PHYSIOLOGICAL manifestation (about 50 episodes per day), but what determines GERD is the "alteration of the balance between the aggressive agents (gastric acid content) and the preventive-defensive agents of the esophagus; the latter are: the anti -reflux (consisting mainly of the lower esophageal sphincter - SIX - which activity, in GERD, is partially compromised) and mucous trophism (stratified paving epithelium that prevents the passage of acid ions to the submucosa - in GERD considerably worn by the chemical stress of the contents gastric).
The diagnostic criteria of gastroesophageal reflux disease are mainly related to the symptoms: reflux episodes that last at least 3-5 minutes and are associated with heartburn, regurgitation and pain. However, especially in the initial phase, gastroesophageal reflux disease is almost totally asymptomatic and for the diagnosis are necessary: an associated pH-metric evaluation and, possibly, an esophagogastroduodenoscopy.
NB. GERD occurs more frequently in obese than in normal weight subjects.

, the subject with GERD could benefit from herbal products useful in case of gastritis.

Divide meals more by reducing their volume

Eliminate foods that promote gastric secretion (nerves: coffee, tea, alcohol)

Eliminate spices and carbonated drinks

Eliminate / minimize high-fat meals

Eliminate / minimize poorly digestible protein foods, therefore raw or with prolonged cooking

Eliminate / minimize very cold or very hot foods

Eliminate / minimize chocolate, mint, onion and garlic.

Gastro-esophageal reflux disease must also be associated with some very specific habits; for example: abolition of cigarette smoking, elimination of clothes that are too tight, maintenance of upright posture during and after meals, prolonged chewing, going to bed at least 3 hours after a meal and not performing physical exertion immediately after a meal.

40 Height cm 182 Wrist circumference cm 18,1 Constitution Robust Height / wrist 10,1 Morphological type Normolineo Weight kg 85 Body mass index 25,7 Assessment Overweight Physiological body mass index desirable 24,1 Desirable physiological weight kg 79,8 Basal metabolism kcal 1805 Physical activity level coefficient NO aux 1.41 Energy expenditure kcal 2545,1 Diet HYPOCALORIC - 10% About 1780 Kcal Lipids 25% 445kcal 49.4g Proteins 1.2g / kg * physiol. 383kcal 95.8g Carbohydrates 53,5% 952kcal 253.9g Breakfast 15% 267kcal Snack 10% 178kcal Lunch 35% 623kcal Snack 10% 178kcal Dinner 30% 534kcal

It was decided to invert the foods commonly used for lunch with those for dinner in order to obtain a lower gastric commitment in the hours preceding sleep; in this way it is possible to face sleep with the stomach almost completely empty, minimizing gastroesophageal reflux.

Example Anti-Reflux Diet - Day 1

Breakfast, about 15% kcal TOT Low-fat milk, 2% of the total 150ml, 75kcal Bitter cocoa 10g, 39.8kcal Muesli 30g, 102.0kcal honey 10g, 30.4kcal Snack, about 10% kcal TOT Light yogurt 125g, 70.0kcal Strawberries 150g, 48.0kcal Rusks 15g, 63.9kcal Lunch, about 35% kcal TOT Grilled pork chop Chop, lean meat 200g, 254kcal Zucchini 200g, 32kcal Whole grain bread 90g, 218.7kcal Extra virgin olive oil 15g, 135kcal Snack, about 10% kcal TOT Light yogurt 125g, 70.0kcal Sour red cherries 100g, 50.0kcal Rusks 15g, 63.9kcal Dinner, about 30% kcal TOT Pasta with tomato sauce Semolina pasta 60g, 213.6kcal Tomato sauce 100g, 24.0kcal Parmesan 10g, 39.2kcal Fennel 100g, 62.0kcal Whole grain bread 30g, 72.9kcal Extra virgin olive oil 15g, 135kcal

Example Anti-Reflux Diet - Day 2

Breakfast, about 15% kcal TOT Low-fat milk, 2% of the total 150ml, 75kcal Bitter cocoa 10g, 39.8kcal Muesli 30g, 102.0kcal Honey 10g, 30.4kcal Snack, about 10% kcal TOT Light yogurt 125g, 70.0kcal ½ apple, with peel 100g, 50.7kcal Rusks 15g, 63.9kcal Lunch, about 35% kcal TOT Veal steak Loin of veal 200g, 232kcal Artichokes 150g, 70.5kcal Whole grain bread 90g, 218.7kcal Extra virgin olive oil 15g, 135kcal Snack, about 10% kcal TOT Light yogurt 125g, 70.0kcal ½ apple, with peel 100g, 50.7kcal Rusks 15g, 63.9kcal Dinner, about 30% kcal TOT Rice with zucchini Brown rice 60g, 217.2kcal Zucchini 100g, 16.0kcal Parmesan 10g, 39.2kcal Eggplant 100g, 48.0kcal Whole grain bread 30g, 72.9kcal Extra virgin olive oil 15g, 135kcal

Anti-Reflux Diet Example - Day 3

Breakfast, about 15% kcal TOT Low-fat milk, 2% of the total 150ml, 75kcal Bitter cocoa 10g, 39.8kcal Muesli 30g, 102.0kcal Honey 10g, 30.4kcal Snack, about 10% kcal TOT Light yogurt 125g, 70.0kcal Kiwi 100g, 61.0kcal Rusks 15g, 63.9kcal Lunch, about 35% kcal TOT Hard-boiled eggs Chicken eggs 100g, 143kcal Potatoes 250g, 192.5kcal Whole grain bread 90g, 218.7kcal Extra virgin olive oil 10g, 90kcal Snack, about 10% kcal TOT Light yogurt 125g, 70.0kcal Kiwi 100g, 61.0kcal Rusks 15g, 63.9kcal Dinner, about 30% kcal TOT Boiled beans and carrots Dried beans 50g, 155.5kcal Carrots 200g, 82.0kcal Parmesan 10g, 39.2kcal Whole grain bread 30g, 72.9kcal Extra virgin olive oil 15g, 135kcal

Anti-Reflux Diet Example - Day 4

Breakfast, about 15% kcal TOT Low-fat milk, 2% of the total 150ml, 75kcal Bitter cocoa 10g, 39.8kcal Muesli 30g, 102.0kcal Honey 10g, 30.4kcal Snack, about 10% kcal TOT Light yogurt 125g, 70.0kcal Strawberries 150g, 48.0kcal Rusks 15g, 63.9kcal Lunch, about 35% kcal TOT Baked sea bass Sea bass, various species 200g, 194kcal Zucchini 200g, 32kcal Whole grain bread 90g, 218.7kcal Extra virgin olive oil 20g, 180kcal Snack, about 10% kcal TOT Light yogurt 125g, 70.0kcal Sour red cherries 100g, 50.0kcal Rusks 15g, 63.9kcal Dinner, about 30% kcal TOT Pasta with eggplants Semolina pasta 60g, 213.6kcal Eggplant 100g, 24.0kcal Parmesan 10g, 39.2kcal Fennel 100g, 62.0kcal Whole grain bread 30g, 72.9kcal Extra virgin olive oil 15g, 135kcal

Anti-Reflux Diet Example - Day 5

Breakfast, about 15% kcal TOT Low-fat milk, 2% of the total 150ml, 75kcal Bitter cocoa 10g, 39.8kcal Muesli 30g, 102.0kcal Honey 10g, 30.4kcal Snack, about 10% kcal TOT Light yogurt 125g, 70.0kcal ½ apple, with peel 100g, 50.7kcal Rusks 15g, 63.9kcal Lunch, about 35% kcal TOT Baked sea bream Sea bream 200g, 180kcal Artichokes 150g, 70.5kcal Whole grain bread 90g, 218.7kcal Extra virgin olive oil 20g, 180kcal Snack, about 10% kcal TOT Light yogurt 125g, 70.0kcal ½ apple, with peel 100g, 50.7kcal Rusks 15g, 63.9kcal Dinner, about 30% kcal TOT Rice with radicchio Brown rice 60g, 217.2kcal Radish 100g, 24.0kcal Parmesan 10g, 39.2kcal Eggplant 100g, 48.0kcal Whole grain bread 30g, 72.9kcal Extra virgin olive oil 15g, 135kcal

Anti-Reflux Diet Example - Day 6

Breakfast, about 15% kcal TOT Low-fat milk, 2% of the total 150ml, 75kcal Bitter cocoa 10g, 39.8kcal Muesli 30g, 102.0kcal Honey 10g, 30.4kcal Snack, about 10% kcal TOT Light yogurt 125g, 70.0kcal Kiwi 100g, 61.0kcal Rusks 15g, 63.9kcal Lunch, about 35% kcal TOT Ricotta Semi-skimmed milk cow ricotta 100g, 138kcal Potatoes 250g, 192.5kcal Whole grain bread 90g, 218.7kcal Extra virgin olive oil 10g, 90kcal Snack, about 10% kcal TOT Light yogurt 125g, 70.0kcal Kiwi 100g, 61.0kcal Rusks 15g, 63.9kcal Dinner, about 30% kcal TOT Chickpeas and boiled celery DRIED chickpeas 60g, 200.4kcal Celery 200g, 32.0kcal Parmesan 10g, 39.2kcal Whole grain bread 30g, 72.9kcal Extra virgin olive oil 15g, 135kcal

Anti-Reflux Diet Example - Day 7

Breakfast, about 15% kcal TOT Low-fat milk, 2% of the total 150ml, 75kcal Bitter cocoa 10g, 39.8kcal Muesli 30g, 102.0kcal Honey 10g, 30.4kcal Snack, about 10% kcal TOT Light yogurt 125g, 70.0kcal Strawberries 150g, 48.0kcal Rusks 15g, 63.9kcal Lunch, about 35% kcal TOT Cod in the pan Cod fillets 200g, 164.0kcal Endive 200g, 34kcal Whole grain bread 90g, 218.7kcal Extra virgin olive oil 25g, 225kcal Snack, about 10% kcal TOT Light yogurt 125g, 70.0kcal Sour red cherries 100g, 50.0kcal Rusks 15g, 63.9kcal Dinner, about 30% kcal TOT Pasta with spinach Semolina pasta 60g, 213.6kcal Spinach 100g, 23.0kcal Parmesan 10g, 39.2kcal Fennel 100g, 62.0kcal Whole grain bread 30g, 72.9kcal Extra virgin olive oil 15g, 135kcal