Question

Nutrition for Patients with Upper Gastrointestinal Disorders: Chapter 17 Learning objectives: Dudek's Nutrition essentials for nursing practice:

5 Describe nutrition therapy recommendations for someone with gastroesophageal reflux disease (GERD).

6 Teach a patient about the role of nutrition therapy in the treatment of peptic ulcer disease.(Describe what you would teach the patient)

7 List possible nutrition strategies for patients with gastroparesis.

8 Give examples of nutrition therapy recommendations for people experiencing dumping syndrome.

Answer 1

5.Gastroesophageal reflux disease (GERD) also known as acid reflux, is a long-term condition in which stomach contents rise up into the esophagus, which results in taste of acid in the back of the mouth, heartburn, bad breath, chest pain, regurgitation, breathing problems, and wearing away of the teeth  ,esophagitis, esophageal stricture.

There is no proven diet for GERD but following foods helps in reducing the symptoms of GERD

• Fruits like bananas, melons, apples, and pears and Vegetables
• Lean Proteins like Eggs and lean meat
• Complex Carbohydrates like Oatmeal, whole grain bread, rice, and couscous. Potatoes and other root vegetables.
• Chewing can recuce acid reflux.

6.Peptic ulcer diet:

• Take a healthy diet full of fruits, with vitamins A and C, vegetables, and whole grains.
• Foods containing probiotics such as yogurt, aged cheeses.
• Avoid drinking milk .
• Limit or avoid foods such as alcohol -regular and decaffeinated coffee ,strong tea or soft drinks.These can cause a large increase in stomach acid.
• Limit or avoid intake of foods such as Black pepper, red pepper and chili pepper as these may directly irritate the ulcer.

7.Diet for gastroparesis

• Take small and frequent meals
• Tale less fatty foods
• Avoid fiber
• Avoid foods that cannot be chewed well
• Foods that can be taken are
  • Breads, cereals, crackers, ground or pureed meats
  • cooked vegetables and fruits.
  • Juices,beverages,milk products.

8.Diet that can reduce dumping syndrome.

• Eat small and frequent meals .

• Avoid foods that are too hot or very cold
• Try to drink a small glass of water 45 minutes before taking food
• Chew food well and eat slowly,
• Avoid sugar rich foods such as, syrup, sweets and non-diet fizzy drinks cause symptoms.