What foods are good for gastroesophageal reflux disease?

Written by Si Li Li
Gastroenterology
Updated on January 19, 2025
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For reflux esophagitis, it is recommended to have an easily digestible diet and avoid smoking and drinking. One should not consume strong tea, coffee, fatty, greasy, spicy, fried, grilled, cold, or sweet foods. It is also advised against consuming milk, soy milk, glutinous rice, sweet potatoes, etc., as these foods may promote gastric acid secretion, leading to further irritation of the esophageal mucosa and worsening reflux esophagitis. Some are also difficult to digest, so it is recommended to avoid them. You can consume porridge, such as lean meat porridge, chicken porridge, fish porridge, etc.; or soups, such as chicken soup, pork rib soup, etc.; you can also eat noodles. When eating meat, remember to cook it until it's very soft, and it is also advised to increase physical activity.

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Written by Wang Hui Jie
Gastroenterology
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Reflux gastritis and reflux esophagitis are not the same.

It's different. Gastroesophageal reflux disease (GERD) refers to the abnormal reflux of stomach or duodenal fluids into the esophagus, causing a series of symptoms. Under endoscopy, severe esophageal inflammation and erosion can be seen, along with ulcers, fibrosis, etc. Prolonged episodes can lead to the development of Barrett's esophagus. On the other hand, reflux gastritis generally refers to bile reflux gastritis, which as the name suggests, is caused by the reflux of bile into the stomach. Endoscopically, swelling of the gastric mucosa can typically be seen, along with the presence of residual bile in the stomach, bile staining, and intestinal metaplasia, among others. Both conditions have clinically similar symptoms, including heartburn, acid reflux, and pain.

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Written by Si Li Li
Gastroenterology
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What are the symptoms of reflux esophagitis?

The main symptoms of gastroesophageal reflux disease include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. A gastroscopy can reveal lesions on the esophageal mucosa, and if such damage is observed, a diagnosis of gastroesophageal reflux disease can be made. The severity of the lesions on the esophageal mucosa can be classified into four grades: A, B, C, and D, with grade A being the mildest and grade D the most severe. Treatment primarily involves acid suppression, promoting gastric motility, and repairing the mucosa. The treatment course usually lasts about six to eight weeks. Moreover, gastroesophageal reflux disease is closely related to poor gastric motility, so regular exercise is recommended. Exercise can enhance gastric motility and promote intestinal peristalsis, which plays a positive role in the treatment of gastroesophageal reflux disease.

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Written by Zhu Dan Hua
Gastroenterology
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Chronic gastritis and reflux esophagitis symptoms

Chronic gastritis and gastroesophageal reflux disease (GERD) manifest clinically with typical symptoms including abdominal pain, bloating, nausea, heartburn, and acid reflux, generally starting with gastrointestinal symptoms and often with a prolonged history. In cases presenting with abdominal pain, this generally occurs in the upper abdomen and can be characterized as dull, distending, or burning pain. These symptoms are usually related to diet, and some patients may feel better after eating. There is generally no associated nighttime pain, fever, or jaundice. GERD typically presents with heartburn and acid reflux, which are commonly seen in clinical settings. The symptoms are usually more noticeable after eating, especially after a full meal, and do not usually occur at night. The pain, generally a burning sensation, occurs in the precordial and esophageal areas and can be episodic, spontaneously resolving. There may occasionally be nausea, and even a tendency to vomit. Diagnosis of GERD primarily relies on gastroscopic examination.

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Written by Wu Hai Wu
Gastroenterology
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Can you drink sugar water after vomiting from reflux esophagitis?

Patients with gastroesophageal reflux disease can drink sugar water after vomiting, as sugar water is not spicy or irritating. Patients should avoid spicy foods, chocolate, coffee, strong alcohol, and strong tea, and should consume low-fat foods. It's also important for patients to eat frequent small meals rather than large ones, especially during dinner, and to avoid lying down immediately after eating. They should also consistently take their prescribed medication and go for regular check-ups.

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Written by Si Li Li
Gastroenterology
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What are the symptoms of reflux esophagitis?

The common symptoms of reflux esophagitis include chest pain, bloating in the upper abdomen, belching, acid reflux, nausea, vomiting, etc. If these symptoms occur, it is recommended to go to the hospital for a gastroscopy. If the gastroscopy reveals damage or ulcers on the mucous membrane of the esophagus, it can be diagnosed as reflux esophagitis. Reflux esophagitis is classified into four grades based on the size of the mucosal damage. Grade A is the lowest and as the grade increases, it indicates a higher severity of the condition. Once the diagnosis is confirmed, standardized treatment should be administered. The treatment mainly includes acid suppression, promoting gastric motility, and protecting the mucosa. The general course of treatment lasts about eight weeks, after which the symptoms can disappear, and the disease can be cured.