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If you have to go with cow’s milk products, choose the ones that are lowest in fat. For people who are lactose intolerant or just experience an increase of acid reflux symptoms from dairy, plant-based milks are a good solution. Today, there are a variety of these products available, including: soy milk almond milk flax milk cashew milk coconut milk.

Almond milk, for example, has an alkaline composition, which can help neutralize stomach acidity and relieve acid reflux symptoms. Soy milk contains less fat than most dairy products, making it a safer choice for people with GERD. Carrageenan is a common additive in nondairy beverages and may contribute to digestive symptoms. Check your labels and avoid this additive if you have GERD. Citrus drinks and other drinks such as pineapple juice and apple juice are very acidic and may cause acid reflux. Other types of juices are less acidic and thus are less likely to trigger GERD symptoms in most people. Good options include: carrot juice aloe vera juice cabbage juice freshly juiced drinks made with less acidic foods, such as beet, watermelon, spinach, cucumber, or pear. Because tomato-based foods can trigger reflux symptoms, avoiding tomato juice may also reduce GERD symptoms.

Smoothies are a great way for nearly everyone to incorporate more vitamins and minerals into their diets. They’re an exceptionally good (and tasty!) option for people with GERD. When making a smoothie, look for the same low-acid fruits as you would for juices, such as pear or watermelon. Also, try adding green vegetables such as spinach or kale. Try this simple, low-carb smoothie that incorporates spinach and avocado. Another option is this vegan green tea smoothie with green grapes. Sometimes the simplest solutions make the most sense. The pH of most water is neutral, or 7.0, which can help raise the pH of an acidic meal. Although this is very uncommon, keep in mind that too much water can disrupt the mineral balance in your body, which would increase the likelihood of acid reflux. Unsweetened coconut water can be another great option for people with acid reflux. This beverage is a good source of helpful electrolytes such as potassium. These electrolytes promote pH balance in the body, which is crucial for controlling acid reflux. Some drinks can aggravate reflux symptoms and should be avoided. Examples include fruit juices, caffeinated beverages, and carbonated beverages. Citrus juices are naturally highly acidic and thus can aggravate acid reflux. Examples of citrus juices include: lemon juice orange juice tangerine juice lime juice grapefruit juice. The citric acid that’s naturally present in citrus fruit can irritate the esophagus. While the stomach is made to withstand more acidic foods, the esophagus is not. When buying juice drinks, check for and avoid citric acid. Morning coffee is a daily habit for many, but people with acid reflux should avoid it when possible. Coffee can stimulate excess gastric acid secretions that may rise up to your esophagus, particularly when you drink a lot of it. Other caffeinated beverages, such as sodas or teas, can have similar effects and should be avoided as much as possible. Alcohol can negatively affect acid reflux, regardless of whether you’re drinking a glass of wine or downing a margarita. Hard liquor is more likely to aggravate reflux conditions quickly, though a glass of wine with a large or acidic meal can cause discomfort, too. Heavy consumption of alcohol may be a risk factor for developing GERD, and it could cause mucosal damage in the stomach and esophagus.

Some women who have never had acid reflux before develop acid reflux or heartburn symptoms for the duration of their pregnancy. This is normal, and many women have decreased or no symptoms after the pregnancy is over. In addition to following the guidelines discussed above, try sipping liquids instead of drinking them quickly to help prevent acid reflux symptoms. Keeping a food diary to help track what aggravates your symptoms can help you prevent symptoms throughout your pregnancy. If your GERD or acid reflux hasn’t responded to purely dietary changes, other remedies and medications may offer relief. Over-the-counter (OTC) treatments include: Prescription medications include: prescription-strength proton pump inhibitors prescription-strength H2 receptor blockers.

Surgery can reinforce or strengthen the lower esophageal sphincter. As with eating, when and how you drink beverages can make a difference in GERD symptoms. The following tips can help keep symptoms at bay: Avoid skipping breakfast or lunch, which can lead to overeating — and overdrinking — late in the day.

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