File of the category: Nutrition and diseases

I suffer of acidity in the stomach What I must do?

The acidity in the stomach or Reflujo Gastroesofágico (RGE) is the process through which, part of the stomach content happens of stomach to the esophagus, through sphincter superior of this one last one, call cardia. It is by this, that a symptom that usually presents the people who suffer this affection is quemazón in the part of subsequent to the breastbone. Although it is necessary to comment that it is not necessary to feel this annoyance to present RGE, since a third of the diagnosed patients of RGE only presents heartburn or ardor.

The RGE not only bothers the person who undergoes it, but also causes injuries that are recommendable to avoid. The stomach ulcers, as well as the esofagitis (inflammation of the part inferior of the esophagus) is more common in patients with RGE; as well as a greater incidence of cancer of esophagus or stomach, by the affectation of weaves of these organs, and even of the weave of the own cardia.

Next, a decalogue of eating habits sets out to consider to avoid the RGE as far as possible.

1. To chew foods very well, since the work that is not realised in the mouth, will be realised in the stomach, to turn foods into a homogenous pap. It is recommended, that a main food (eaten or it has dinner) is due to carry out in about 30 minutes.

2. To avoid very greasy foods, since the fat causes that the foods remain more time in the stomach.

3. To use bakings that are not aggressive for the mucosa of the stomach, such as the boiled one, the steaming, or the stew. This way, it will be tried to avoid cooking techniques as they are to sauté ones, the fryings or the plate, since by means of these, substances form that are irritating for the stomach.

4. To diminish the very acid food ingestion, especially in dinner or during the night. Foods as the vinegar, the citruses or yogurt, favor the appearance of the RGE, indeed by their high acid content, that increases the secretion of acid on the part of the stomach.

5. To restrict sharp foods, since they also are irritating of the gastric mucosa.

6. It is necessary to pay attention to certain foods, as they are the onion or garlic, the spices, the chocolate or the coffee (with or without caffein). All of them do not accentuate the RGE in all the patients, but it is possible to be conscious if some of these it has this effect, to suppress it of the diet.

7. To prioritize the ingestion of small volumes, being preferable to eat more times in the day, but smaller quantities. A clear example is the ardor that usually appears after abundant meals or banquets, in which it can arrive to be surpassed the capacity of the stomach, being inevitable that leaves from the content of this one pass for the esophagus.

8. To diminish the carbonated drink consumption, since due to the gas presence in these and to their effervescence, to part to occupy more volume in the stomach, usually they irritate the stomach mucosa easily.

9. To limit the ingestion of spirits. Wine, beer and distillates have a double potenciador effect of the RGE: the relaxation of the cardia and the increase of the acid secretion.

10. Not to ingest foods minimum two hours before lying down, since the close relation between the knocked down position of the body and the RGE is undeniable, for that reason recommends some patients not to sleep absolutely lhelp down, but slightly reclined.

Refrencias:

  1. Aalykke C, Havelund T. Non-pharmacological therapeutic possibilities in gastroesophgeal reflux diasese. Nutr Clin Pract; 2008. 
  2. Anand G, Katz PO. Gastroesophageal reflux disease an obesity. Rev Gastroenterol Disord; 2008.
  3. Festi D, Scaioli and, Baldi F, Vestito To, Pasqui F, I gave Base AR, Colecchia A. Body weight lifestyle, dietary habits and gastroesophageal reflux disease. World J Gastroenterol; 2009. 
  4. Kaltenbach T, Corckett S, Gerson Frees. Plow does lifestyle measures effective in patients with gastroesophageal reflux disease? An evidence-based approach. Arch Intern Med; 2006.
  5. Meining To, Classen M. The role of diet and lifestyle measures in the gastroesophageal pathogenesis and treatment of reflux disease. A.m. J Gastroenterol; 2000. 
  6. Morozov SV. Role of alimentary factor in gastroesophageal reflux disease pathogenesis and treatment. Vopr Pitan; 2012. 
  7. Muñoz M, Garcia I, Aranceta J. applied Nutrition and dietotherapy. Navarre: EUNSA; 2004.
  8. Requejo A.M., Ortega RM. Nutriguía. Manual of clinical nutrition in primary care. Madrid: Complutensian editorial; 2009.
  9. Vemulapalli R. gastroesophageal Diet and lifestyle modifications in the management of reflux disease. Nutr Clin Pract; 2008. 

What can eat a diagnosed person of Diverticulosis?

The diverticulosis is a process by which throughout the gastrodigestivo tract small cavities form or “bags”. These, mainly, form in the part of colon or heavy intestine.

The reasons by which these cavities take place are very diverse and they are not absolutely clear, although if certain factors have been identified, eg: the changes or difficulties that undergo the movements of the internal (intestinal motilidad), the aging of the internal, the increase of the pressure within the colon or a little fiber ingestion through the diet.

Once these cavities or “bags” form, they last in the time, that is to say, the intestine does not return to its original state and in these cavities they are possible to be accumulated faecal material. This accumulated material is susceptible to be fermented by the bacteria of the colon, giving rise thus to the inflammation of the diverticulosis, and causing an diverticulitis, which can derive in serious cases of intestinal perforation.

It is by this, that the prevention of the formation of diverticula sets out as basic; habiéndose identified as main protective factor carrying out a sufficient fiber feeding, with a minimum ingestion of 25 g of fiber to the day.

On the other hand, once the diverticulum has formed, is necessary to pay attention to certain factors:

- To reduce the pressure within the colon.

- To increase the intestinal transit.

- To avoid the accumulation of nondigestible material in the diverticulum.

For it, the majority of consulted studies proposes the increase of the fiber consumption, which increases the size of lees and accelerates the intestinal transit. With this reason, about would be due to ingest approximately 35 g of fiber to the day, being tried to avoid those especially filamentous or ligneous fibers (leek, cabbage, thistle) or those foods with seeds, as the tomato, or the whole maize.

However, he is interesting to include foods with significant quantities of insoluble fiber, which can be crushed and be consumed in the form of creams or purees, since of this form they are much more digestible.

Rations - Vegetables and vegetables - Fresh - Pumpkin Rations - Vegetables and vegetables - Fresh - Carrot
Rations - Vegetables and vegetables - Fresh - Marrow Rations - Vegetables and vegetables - Fresh - Eggplant
CIMG4455-1024x768 Rations - Vegetables and vegetables - Fresh - Chapiñones

 Rations of nonfilamentous vegetables

 Also, a reduction of the consumption of red meats and greasy products is recommended generally, including oils and butters. As also a correct hydration is affected the necessity of the habitual practice of physical exercise and, to improve of this form the intestinal transit.

References:

  1. Angós R. Diverticulosis and diverticulitis. Clinical University of Navarre; 2012.
  2. Regional Medicine library (TURN to ME). Health sciences descriptors. Virtual library of health; 2013. 
  3. Dugdale DC, A.D.A.M. Health Solutions. Low diet in fibers and residues. Medline Extra – U.S. National Library of Medicine & National Institutes of Health; 2012.
  4. Eglash To, Lane CH, Schneider DM. Clinical inquiries. Beneficial What is the most diet for patients with diverticulosis? J Farm Pract; 2006.
  5. Korzenik Jr CASE closed? Diverticulitis: epidemiology and to fiber. J Clin Gastroenterol; 2006. 
  6. Longstreth GF, A.D.A.M. Health Solutions. Discharge after diverticulitis and diverticulosis. Medline Extra – U.S. National Health Library of Medicine & National Institutes of Health; 2012. 
  7. Did Marcason W. What is the latest research regarding the avoidance of nuts, seeds, corn and popcorn in diverticular disease? J a.m. Diet Assoc; 2008. 
  8. Requejo A.M., Ortega RM. Nutriguía. Manual of clinical Nutrition in primary care. Madrid: Complutensian editorial; 2009.
  9. Tursi To, Brandimarte G, Elisei W, Picchio M, Forti G, Pianese G, ET to. Trial clinical Randomised: meslazine and/or probiotics maintaining remisison of symptomatic uncomplicated diverticular disease – to doubled-blind, randomised, placebo-controlled study. Aliment Pharmacol Ther; 2013. 
  10. Tursi To, Papagridoriadis S. Review article: the current and envolving treatment of colonic diverticular disease. Aliment Pharmacol Ther; 2009.