Ms. L. has recently been diagnosed with GERD. During her clinic visit she complained of gastric discomfort and burning. The nurse reviewed her usual daily diet and was able to identify several items that could contribute to her symptoms including:
1. Ice cream. 2. Rice. 3. Alcohol. 4. Pasta.
3
Rationale: Symptoms of GERD can be exacerbated by foods/drinks that contribute to increase gastric acid or decrease the competence of the lower gastric sphincter when consumed. Ice cream, rice, and pasta are bland foods that should not cause irritation in the gastrointestinal tract. Alcohol causes increased gastric acid production, decreased lower esophageal sphincter pressure, and also delays gastric emptying, all factors that contribute to symptoms.
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