What foods are good for gastroesophageal reflux disease?

Written by Si Li Li
Gastroenterology
Updated on January 19, 2025
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For reflux esophagitis, it is recommended to have an easily digestible diet and avoid smoking and drinking. One should not consume strong tea, coffee, fatty, greasy, spicy, fried, grilled, cold, or sweet foods. It is also advised against consuming milk, soy milk, glutinous rice, sweet potatoes, etc., as these foods may promote gastric acid secretion, leading to further irritation of the esophageal mucosa and worsening reflux esophagitis. Some are also difficult to digest, so it is recommended to avoid them. You can consume porridge, such as lean meat porridge, chicken porridge, fish porridge, etc.; or soups, such as chicken soup, pork rib soup, etc.; you can also eat noodles. When eating meat, remember to cook it until it's very soft, and it is also advised to increase physical activity.

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Written by Si Li Li
Gastroenterology
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Does reflux esophagitis cause mucus in stool?

The symptoms of reflux esophagitis mainly manifest as chest pain, acid reflux, as well as upper abdominal bloating, belching, nausea and vomiting, etc. Generally, it does not involve the occurrence of mucus in stools. If mucus in stools occurs, we consider two diseases. The first one is chronic colitis, which can cause abdominal pain and diarrhea, and sometimes mucus in stools. The other is ulcerative colitis, whose main symptoms are abdominal pain, diarrhea, and stools with mucus and pus blood. A colonoscopy can be conducted to determine which specific disease is present, and then targeted treatment can be administered based on the results of the colonoscopy.

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Written by Si Li Li
Gastroenterology
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What are the symptoms of reflux esophagitis?

The main symptoms of gastroesophageal reflux disease include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. A gastroscopy can reveal lesions on the esophageal mucosa, and if such damage is observed, a diagnosis of gastroesophageal reflux disease can be made. The severity of the lesions on the esophageal mucosa can be classified into four grades: A, B, C, and D, with grade A being the mildest and grade D the most severe. Treatment primarily involves acid suppression, promoting gastric motility, and repairing the mucosa. The treatment course usually lasts about six to eight weeks. Moreover, gastroesophageal reflux disease is closely related to poor gastric motility, so regular exercise is recommended. Exercise can enhance gastric motility and promote intestinal peristalsis, which plays a positive role in the treatment of gastroesophageal reflux disease.

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Written by Wang Hui Jie
Gastroenterology
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Reflux gastritis and reflux esophagitis are not the same.

It's different. Gastroesophageal reflux disease (GERD) refers to the abnormal reflux of stomach or duodenal fluids into the esophagus, causing a series of symptoms. Under endoscopy, severe esophageal inflammation and erosion can be seen, along with ulcers, fibrosis, etc. Prolonged episodes can lead to the development of Barrett's esophagus. On the other hand, reflux gastritis generally refers to bile reflux gastritis, which as the name suggests, is caused by the reflux of bile into the stomach. Endoscopically, swelling of the gastric mucosa can typically be seen, along with the presence of residual bile in the stomach, bile staining, and intestinal metaplasia, among others. Both conditions have clinically similar symptoms, including heartburn, acid reflux, and pain.

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Thoracic Surgery
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Reflux esophagitis is divided into several grades.

Reflux esophagitis can be classified into four grades based on the extent of esophageal mucosal damage: Grade A, B, C, and D. Grade A mainly involves damage to the folds of the esophageal mucosa, generally not exceeding 5 millimeters. Grade B refers to damage greater than 5 millimeters. Grade C indicates that the damage to the esophageal mucosa reaches 75% of the entire circumference of the esophagus; any damage below 75% falls into Grade C. Grade D, on the other hand, is quite severe, with extensive damage around the entire circumference of the esophagus, mainly divided into these four grades.

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Written by Wu Hai Wu
Gastroenterology
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What is the cause of ear pain in reflux esophagitis?

Patients with gastroesophageal reflux disease generally do not experience ear pain. If a patient does have ear pain, it is advised to visit an ENT (ear, nose, and throat) doctor at a hospital to determine the cause. The main symptoms of gastroesophageal reflux disease include reflux and a burning sensation in the stomach. These symptoms are the most common and typical, often occurring about an hour after a meal, and some patients may experience reflux during night sleep as well. Additional symptoms can include heartburn, nausea, chronic cough, asthma, etc. However, generally speaking, it does not cause ear pain.