How to Avoid Holiday Heartburn

There are, apparently, 15 million chronic heartburn sufferers in the USA; technically, this condition is called gastroesophageal reflux disease (GERD). The upcoming holiday season offers them many temptations that can set off an attack. A University of Michigan gastroenterologist has some tips on how to avoid this.

1. Don’t overeat. Large amounts of food distend the stomach, causing the muscular ring at the bottom of the esophagus (or gullet) to dilate and allow acid to rise up into the esophagus.

2. Limit caffeine and other ‘irritants’. Caffeine, as well as sodas, ice cream, and chocolate aggravate the symptoms of GERD.

3. Avoid fatty, greasy foods. Fat slows the process of food leaving the stomach, allowing the possibility of acid stomach contents backing up into the esophagus. Fat also relaxes the lower muscle ring of the esophagus, with the same effect.

4. Curb your wine intake. Both red and white wine have been shown to increase GERD symptoms – red more than white.

5. Time you meals. Gravity is an important barrier to acid reflux during the day, so try not to eat just before bedtime - or, if you’ve had a big lunch, before you take that nap.

6. Be prepared to treat symptoms. Over-the-counter antacids can provide immediate relief, as can histamine-2 blockers like Pepcid® and Zantac®. For something stronger, consider a protein pump inhibitor e.g. Prilosec®. Nexium® is stronger, but you need a doctor’s prescription.

7. if you’re facing a big meal, like Thanksgiving dinner, consider taking a protein pump inhibitor before the meal.

Now you can really enjoy pain-free holidays!