Summer Foods: Don't Feel the Heartburn
Just because it's hot outside doesn't mean you have to feel the heat of heartburn when enjoying foods of the season.
By Star Lawrence
Reviewed By Michael W. Smith, MD
Ever chow down at a family picnic, come home, shower, lie down, and feel a burning pain in your chest and acid crawling up your throat like a red-hot snake? These are symptoms of the ever-popular heartburn!
Rodger A. Liddle, MD, professor of medicine and gastroenterologist at Duke University, tells WebMD that many favorite summer foods -- such as tomatoes, barbeque, cocktails or beer, and citrus -- can make acid reflux worse, although they don't "cause" this much-dreaded condition.
More than 50 million adults experience heartburn more than two days a week. Half of those get it daily.
Although it has become the staple of commercials and sitcoms, heartburn can limit activities and productivity. And to those lying there in the dark or burping through a long afternoon meeting, heartburn is far from a joking matter. In its most severe forms it can eat away at the esophagus, which can lead to esophageal cancer.
Better to recognize heartburn and avoid or treat it.
Causes of Heartburn
To digest food, the stomach is flooded with acid. Between the stomach and the esophagus is a sphincter muscle that lets the food get to the stomach but then closes to keep the stomach acid from flowing back up the throat. If this muscle becomes loose or doesn't work properly, the stomach contents can backflow into the esophagus, making it burn.
Or you can eat foods that are acidic themselves that can irritate tiny areas of irritation you already have on the walls of your esophagus.
The body tries to counter this not only with the sphincter, explains Liddle, but with saliva, which is alkaline. But sometimes these mechanisms are overcome by circumstance. Some factors that make heartburn more likely:
Summer Foods That Trigger Heartburn
Elaine Magee, MPH, RD, author of Tell Me What to Eat If I Have Acid Reflux and of a new DVD titled The Heartburn-Friendly Kitchen, tells WebMD that trigger foods vary from person to person.
"People tend to know," Liddle says. "They will say, 'I get heartburn every time I eat pizza.'"
Some real culprits that turn up time and time again are:
Some of these weaken the hold of the sphincter and some scratch at irritation that is already there.
Other foods can bloat your stomach and force the acid back up your throat. These include carbonated beverages.
A good rule of thumb is not to eat greasy meals and foods that are already chockfull of acid.
So What Can You Eat for a Heartburn-Free Summer?
The key to enjoying summer foods is to know what agrees with you, Magee says.
Other Tips for Preventing Heartburn
Both Liddle and Magee agree that when you eat and how much have a real effect on heartburn.
If you're prone to heartburn, Magee recommends eating three to four hours before bedtime. "Often people won't eat all day while they are running around in the heat," she says. Then when they eat at night, they eat too much and then go to bed. This makes stomach contents more likely to splash up."
If you are taking aspirin, pain meds, antibiotics, or iron, be extra cautious. These can set off heartburn.
Other ways to help drench your heartburn include:
If you get heartburn daily, despite lifestyle and eating changes, Liddle suggests consulting a physician.
Published June 20, 2005.
SOURCES: Rodger A. Liddle, MD, professor of medicine and gastroenterologist, Duke University. Elaine Magee, MPH, RD, author, Tell Me What to Eat If I Have Acid Reflux, and the DVD The Heartburn-Friendly Kitchen.
©2005 WebMD Inc. All rights reserved.
Last Editorial Review: 6/28/2005 8:16:45 PM