In case you’re wondering, GERD is essentially a chronic form of acid reflux. Symptoms of acid reflux and GERD include:

• Heartburn (burning sensation behind your breastbone, especially when lying down).
• Regurgitation (bringing swallowed food up again to your throat or mouth)
• Burping and bloating
• Gagging after eating
• Nausea
• Dry heaving
• Trouble swallowing

You may also notice that you feel full quickly and are losing weight as a result of the changes in your digestive tract with GERD.

Treatment will depend on your symptoms, age and general health. It will also depend on how severe your condition is. In many cases, making dietary changes can reduce your GERD symptoms.

“Changing how you eat and what you eat can reduce the number of GERD events that you have and help the esophagus clear itself,” says Bethany M. Doerfler, MS, RDN, a clinical research dietitian at Northwestern Medicine Digestive Health Institute.

How You Eat Matters for Managing GERD

You can change your eating habits to help reduce your GERD symptoms:

• Reduce your meal size. Large meals cause the stomach to expand, which prevents the sphincter at the top of your stomach from closing completely, resulting in your stomach content washing back up into to your esophagus.
• Stop eating when you feel 75% full. This allows your stomach to empty faster, reducing the chance of a GERD event.
• Slow down. Put down your eating utensil between bites to allow time for the sensory receptors in your stomach to tell your brain that you are full.
• Use smaller plates and bowls. This will help you feel more satisfied eating smaller amounts of food.
• Avoid getting too hungry. That way, when you are finally able to eat, you can avoid overeating in one sitting. Eating small portions every four to six hours is a good eating pattern for people with GERD.
• Set a cut off time for eating in the evening. Your metabolism is most active earlier in the day, which is why it’s a good idea to set a cutoff time for yourself in the evening to stop eating. Doerfler recommends 7:00 pm or 7:30 pm as your eating curfew to give your stomach time to empty completely before going to sleep. She says most overeating happens closer to bedtime. It may also be helpful to elevate the head of your bed when you sleep so that your gastrointestinal juices can’t wash up into your esophagus.

What You Eat Matters for Managing GERD

“You may have heard that you have to give up acidic or spicy food to help reduce your GERD events,” says Doerfler. “However, there are no universal food triggers for GERD. You don’t have to eliminate these foods if they don’t directly drive your symptoms.”

What triggers GERD is unique to each individual, and it’s important to pay attention to the foods that cause GERD symptoms for you and to eat them in moderation.

There are also certain foods that can help your gut work better, protect your esophageal tissues and help promote healthy bowel movements and the proper emptying of your esophagus and stomach.

These include:

• Foods that are mostly plant-based
• Foods rich in soluble fiber, which contain antioxidants and phytonutrients that foster the growth of anti-inflammatory gut bacteria and protect tissue that may be inflamed from GERD irritation.
• Foods rich in soluble fiber:
• Fruits and vegetables, like berries, melons, carrots, sweet potatoes and green vegetables
• Whole grains, like oats
• Beans, peas and lentils

Drinking more water also helps rinse the esophagus and aid in digestion.

Red meat and processed foods take longer to empty from the stomach, and they also promote gut bacteria that can cause inflammation.

Your Lifestyle Matters for Managing GERD

You can also reduce GERD symptoms by maintaining a healthy weight. If you have excess weight, it can put pressure on the base of your esophagus, worsening GERD symptoms.

There is no one-size-fits-all approach to managing GERD. A combination of changes to your eating habits, the foods you eat, lifestyle, over-the-counter and prescription medications, and even surgery can help you manage your symptoms and disease.