Gastritis Friendly Restaurants: What Are My Options

Living with gastritis can be difficult. For people with acute gastritis, they only have to wait a couple of days or weeks before resuming normal eating patterns. This isn’t the case for patients suffering from chronic gastritis. 

Can I still eat out with chronic gastritis? Of course. The key is knowing your trigger foods and understanding which delicious cuisines are gastritis-friendly. Various tools on the internet, such as apps, can be used to find diet-specific restaurants. Eating out with gastritis may be more challenging, but it doesn’t have to be impossible. 

Understanding Gastritis

Gastritis is a condition wherein the stomach lining is inflamed. Both lifestyle choices and physiological factors can contribute to the development of gastritis. These include: 

• Bacterial infection: The bacteria Helicobacter Pylori (H. pylori) is responsible for inflammations along the stomach lining and small intestine. This bacteria is the most common cause of ulcers and gastritis. 
• Caused by medication overuse: Nonsteroidal anti-inflammatory drugs (NSAIDs) interferes with the mucosal production, which makes the stomach more susceptible to damage caused by gastric acid and pepsin. 
• Alcohol abuse: Consistent alcohol use can erode parts of the stomach lining, leading to irritation and inflammation. 
• Autoimmune response: Autoimmune gastritis is a rare condition. This type of gastritis occurs when the immune system targets parietal cells found in the stomach and attacks them. 

Food and Gastritis: How Are They Related

Certain eating patterns, or a lack thereof, may increase a person’s risk of developing gastritis. A study published in the International Scholarly Research Notices suggests that individuals who practice irregular meal timing over a long period of time have an increased risk of developing gastritis. 

The body secretes digestive juices according to regular meal timing. When no food is present during the digestive period, the stomach lining becomes more vulnerable to infections. Over the course of time, H.pylori can exist in the interim between food digestion and juice secretion, and develop in the host’s body for many years. 

Continuous consumption of certain foods may irritate the stomach lining, leading to gastritis. Note that the effects of food are variable and dependent on a person’s tolerance for these kinds of foods. 

Alcohol is one of the known triggers of gastritis. The presence of alcohol encourages the stomach to produce more acid. When done continuously, the stomach lining may erode, causing inflammation. Spicy and sour foods are believed to have the same effect on the stomach. 

Contrary to popular belief, food alone can’t treat gastritis. However, dietary modifications are prescribed to help alleviate the symptoms of chronic gastritis. Patients who take a more conscientious approach to eating report significant improvements to gastritis symptoms. 

Can Eating Out Trigger Gastritis? 

Acute gastritis is a common complaint among travelers. During vacations, people tend to eat out frequently, consuming large amounts of alcohol alongside fatty and oily foods — foods that may not be a part of their daily meals. 

As a result, the digestive system reacts to the overwhelming amount of unhealthy food by ramping up its digestive power in order to meet the body’s constant supply of food. The real reason behind acute gastritis among travels isn’t eating out, but the consistent consumption of unhealthy foods in restaurants. 

In truth, eating out doesn’t have to lead to gastritis. Consuming unhealthy foods in moderation is one way to prevent gastritis from occurring when on vacation. Splitting meals and desserts, swapping out carbohydrates for vegetables, and drinking water instead of sugar-heavy drinks are just some ways to keep the digestive system balanced during travel.

Eating the Right Foods

Patients suffering from gastritis don’t have to skip dinner invites indefinitely. Below are approved foods for individuals with gastritis, and are easily available in restaurants:

1. Yogurt

A study published in The American Journal of Clinical Nutrition showed that consuming yogurt containing Lactobacillus and Bifidobacterium helps treat H.pylori in patients with gastritis. Researchers studied patients infected with H.pylori who were undergoing triple therapy (a treatment involving two antibiotics and one proton pump inhibitor). 

86% of patients in a group were able to fight off their H.pylori infection. On the other hand, there was only a 71% reduction of H.pylori infection in the group that didn’t involve routine yogurt consumption. Filling your gut with healthy bacteria helps fight off other bacterial invasions, making the stomach lining less susceptible to gastritis. 

2. Fermented Milk 

A study published in the World Journal of Gastroenterology illustrates how fermented milk can increase the production of the gastric mucus gel layer in mice. This gel layer reduces the vulnerability of the stomach, specifically against gastritis caused by acetyl-salicylic acid. 

3. Sauerkraut 

Another type of fermented food, sauerkraut, can also be helpful in managing gastritis. Lactobacillus plantarum, the dominant bacteria species in sauerkraut, shows anti-Helicobacter properties. Incorporating sauerkraut in a patient’s diet can help prevent H.pylori activity from spreading. 

4. Broccoli

Broccoli, along with brussels sprouts, contains a nutrient called sulforaphane. Studies prove that these two vegetables contain an interactive strain that can fight off H.pylori infection, including those that are resistant to antibiotic treatment. These two vegetables can also be incorporated in diets of patients with stomach tumors caused by benzo a pyrene. 

5. Garlic 

Garlic has always been known for its antibacterial properties. They provide an extensive antibiotic spectrum, powerful enough to combat H. pylori. A study confirms that the regular consumption of allium vegetables (the group of foods including shallots, leeks, scallions, and chives) shows a much lower incidence rate of H.pylori. 

Aside from curing the common diarrhea, garlic is also effective in treating bacteria that have become immune to antibiotics. Toxin production can be prevented altogether with garlic alone.  

6. Apple Cider Vinegar

Long-term use of NSAIDs can lead to gastrointestinal imbalance. Drinking apple cider vinegar, the liquid derived from pressed apples, can reverse the damage from NSAID abuse by restoring balance into the gastrointestinal system. 

The malic acid present in apple cider vinegar alters the acidity in the body. By stabilizing pH levels, beneficial bacteria are able to thrive and protect the body once again.

Cuisines Recommended for Gastritis Patients

Indian Cuisine

Indian food uses numerous spices and ingredients that are known to help fight inflammation. These include ginger, turmeric, cumin, and curry. Indian cuisine also uses yogurt, which is useful in reintroducing good bacteria in the gut. However, indian cuisine can also go heavy on red chilies. Make sure you request your dishes to be less spicy, or just avoid spicy dishes altogether. 

What to try: Matar paneer, chicken curry, tikka masala, saag paneer

Greek Cuisine

Mediterranean cuisine is famous for using fresh ingredients, from leafy vegetables to whole grains. Mediterranean cuisine can be high on fats due to olive oil use so make sure to eat dishes that heavily feature olive oil and butter in moderation. Traditional greek cuisine is served as small plates, similar to tapas in Spain, which are meant to be shared with friends. Smaller plate sizes encourage groups to split up their food instead of eating large amounts of one dish. 

What to try: Hummus, avgolemono, baked sardines, spanakorizo, tabouli

Chinese Cuisine

Chinese cuisine is incredibly variable thanks to the many culinary-rich provinces in China. Not all Chinese food has to be spicy and oily. Steamed dumplings, warm wonton soup, and stir-fried rice are all chinese specialties that won’t upset the stomach. These dishes feature copious amounts of garlic and ginger, as well as vegetables like bok choy and broccoli. Similar to Indian foods, make sure to steer clear of dishes that incorporate large amounts of spices and acid, like the hot and sour soup. 

What to try: Meat with garlic sauce, steamed veggies in oyster sauce, egg drop soup, xiao long bao

Vietnamese Cuisine

Vietnamese cuisine is one of the cleanest, freshest cuisines in the world. Instead of oil, soups are made out of broth. Their spices are composed primarily of cilantro, mint, and basil, which aid in digestion and help ward off inflammation. Vietnamese food is generally lower in calories because of their technique: instead of using oil and frying for flavor and texture, Vietnamese cuisine relies on herbs for natural, “clean” flavor. 

What to try: Goi cuon, pho, goi ngo sen, steamed fish, banh mi

Specialty Restaurants for Gastritis Sufferers: Do They Exist?

Finding the right restaurant when dining with someone suffering from gastritis can seem impossible.. Thankfully, there are applications available to help gastritis patients find a suitable dining place. Yelp and OpenTable may provide some insight on a restaurant’s menu, but it’s apps like FindMyMacros that really make a difference.

FindMyMacros allows users to discover meals based on nutritional value. The data is collected from other users who log information based on their previous dining experience. With apps like this, people with gastritis can filter through dishes and restaurants that may trigger stomach discomfort. 

Apps like these are crucial in locating specialty restaurants that can accommodate special diets. An example of which is The Warren, a gastropub in New York City that offers food friendly enough for patients suffering from gastroenterologists. 

The restaurant is owned by gastroenterologist Dr. Prem Chattoo. In an interview, he mentions that spicy condiments are limited in his menu in order to prevent gastric flare-ups. Although indulgent foods like poutine are present on the menu, Dr. Chattoo gives a healthier twist to hearty dishes by presenting them in smaller plates instead of traditionally big servings. 

Tips On Eating Out With Gastritis

1. Keep a food diary: Different foods produce varying reactions in different people. Knowing which specific foods cause gastric flare up can help you in the long-run. Take note of foods that irritate your stomach and avoid those in the future. 

2. Eat smaller meals: Instead of ordering big meals, consider ordering smaller plates to avoid eating too much in one sitting. You can also share food with your friends to make sure you don’t upset your stomach by eating too much. 

Eating less more frequently is the secret to managing gastritis. By regulating your food intake, you’re able to control your stomach’s acid production, which can help prevent gastric flare-ups. 

3. Avoid alcohol: Whether your gastritis is caused by alcohol, NSAIDs, or H.pylori, it’s crucial to avoid alcohol altogether. Alcohol encourages stomach lining irritation and erosion, leading to worse symptoms of gastritis. 

4. Use antacids when eating: If you want to be able to enjoy your food while being completely symptom-free, take an antacid before and after meals. This helps keep acid production in check so you can enjoy a night out with friends and family. 

5. Stay away from spicy and sour food: As discussed, even the healthiest cuisines use spices and acids to some degree. Navigate around the menu to ensure that you avoid these ingredients. Various alternatives are available without having to sacrifice taste. 

6. Look up a restaurant’s menu in advance: The best way to prepare for a restaurant is to anticipate the food in advance. Do your research and look up menu items to pre-select your options. If you’re concerned about a specific dish, you can call the restaurant, learn about the ingredients, and ask for possible alternatives. 

Find Better Ways to Manage Your Gastritis

At the Gastro Center NJ, we believe that your gastrointestinal problems shouldn’t dictate your lifestyle. We’re here to help you understand gastritis and the state of your gastrointestinal health.

Book an appointment with us today and let’s start finding solutions together. 

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Why Do I Have a Stabbing Pain In My Upper Stomach?

Everyone experiences stomach pain at least once. The good thing about stomach pain is that it disappears on its own and usually requires no further medical intervention. On the other hand, severe cases of stomach ache pertaining to infections and disorders require immediate medical assistance.

So, what are the causes of upper stomach pain? It can be anything from a ruptured spleen to excess gas in the intestine. Knowing the location, trigger, and kind of pain will help doctors accurately identify the cause of upper stomach pain. 

Understanding the Upper Abdomen 

Stomach pain is usually caused by gas, indigestion, and excessive stomach acid. Various home remedies can be applied to alleviate discomfort in this area. 

On the other hand, this common discomfort can also be attributed to reasons not concerning the stomach. The upper stomach, or more accurately the upper abdomen, houses numerous organs that could easily be the real reason for stomach pain. 

These organs include:

• The actual stomach
• Pancreas: Converts food into energy. Also helps regulate blood sugar and digestion. 
• Gallbladder: Stores bile, a liquid enzyme that aids in digestion. 
• Liver: Filters out blood before distributing it throughout the body. 
• Adrenal gland: Produces cortisol and aldosterone, two of the body’s most important hormones
• Kidneys: Regulates fluids throughout the body and filters out toxins
• Spleen: Wards off infection and helps filter blood

These vital organs can be subjected to infections, inflammation, and other disorders that could result to pain. Understanding the different parts of the upper abdomen makes it easier to diagnose the real cause behind stomach pain. 

Causes of Upper Abdominal Pain

Muscle Pain

Muscle pain is one of the most common sources of abdominal pain. Also known as muscle soreness, this type of pain is caused by strenuous or sudden activities that may result in a sore or pulled muscle.

Stiffness, cramps, weakness, and limited mobility are signs of muscle soreness. Pain heals naturally in a matter of days or weeks, depending on the severity of the trauma. 

Dyspepsia

Dyspepsia, more commonly known as indigestion, is characterized as a burning sensation in the upper stomach. This pain can radiate to the chest, typically described as a lingering “fullness”. Dyspepsia is triggered by highly acidic and spicy foods, as well as stomach ulcer. Overeating is also a known cause of acute indigestion. 

Dyspepsia is a common condition and isn’t considered a disease. On the other hand, chronic indigestion is typically caused by other gastrointestinal conditions such as infection, liver diseases, peptic ulcer, gastric cancer, and inflammatory bowel disease, to name a few. 

Gas

Pain that is accompanied by burping, passing gas, and bloating are all common signs of excess gas in the intestine. Gassiness can also result to pain that feels like something is moving in the stomach. Episodes are sporadic and heal over time. 

However, persistent gassiness can point to more serious problems relating to a virus or infection in the digestive tract. In this case, immediate medical intervention is recommended. 

Gallstones

Gallstones are one of the most common causes of upper stomach pain for patients thirty years old and above. There are two types of gallstones: cholesterol stones caused by high levels of cholesterol in the bile; and pigment stones caused by excessive levels of bilirubin in the bile. 

Gallstones may pass on their own, but blockage caused by the build-up may result in strong intense pain in the upper right part of the abdomen. 

Fatigue, exhaustion, vomiting, and jaundice are telling signs of gallstone blockage. In minor cases, doctors will recommend medication that will help break down the gallstones. Gallbladder removal may be prescribed to completely alleviate a patient’s pain and discomfort. 

Peptic Ulcer

Stomach acids and bacterial infection can result in the development of sores along the stomach lining, known as peptic ulcer. There are three known types of peptic ulcers:

• Duodenal ulcers: Develops in the upper part of the small intestine
• Esophageal ulcers: Develops inside the esophagus
• Gastric ulcers: Develops inside the stomach

Pain from peptic ulcer is characterized as pain that travels from the chest to the bottom of the abdomen. Pain can also be caused by hyperactive stomach acids, which is why patients suffering from peptic ulcer are recommended to always have a full stomach. Changes in appetite, indigestion, and vomiting are common signs of peptic ulcer. 

Spleen Problems

The two most common spleen problems are splenomegaly and a ruptured spleen. Splenomegaly, known as an enlarged spleen, is caused by liver diseases and infections. On the other hand, a ruptured spleen is caused by trauma on the abdomen, usually through sports or a car accident. 

An enlarged spleen can press on the stomach, resulting in a “heavy” pain in the abdomen that often radiates through the shoulders. Discomfort on the ribs is also characteristic of splenomegaly. 

Abdominal pain is not a common symptom of a ruptured spleen and only occurs in rare cases. When experienced, alongside pain in the left shoulder, patients are recommended to immediately seek medical help. 

GERD

Gastroesophageal reflux disease (GERD) is a chronic condition caused by a faulty lower esophageal sphincter (LES). The LES serves as a valve between the esophagus and stomach. When it relaxes, stomach juices are regurgitated up the esophagus, creating a burning sensation accompanied by a sour or bitter taste. 

Pain from GERD is described as a sharp, acidic pain that radiates from the stomach to the esophagus. Bad breath is a common symptom of GERD. Other symptoms include chest pain and heartburn. 

Gastritis

Excessive alcohol use and the presence of bacteria are leading causes of an inflamed stomach lining, leading to gastritis. Other causes include the body’s natural interaction with medication, long periods of stress, and inflammatory problems concerning the immune system. 

Chronic gastritis has been characterized into three distinct types:

• Type A: Caused by immune system reacting with stomach cells
• Type B: Caused by bacteria Helicobater pylori
• Type C: Caused by chemical interactions with drugs (specifically nonsteroidal anti-inflammatory drugs), excessive bile production, and alcohol abuse

Pain that can be described as a gnawing sensation, one that typically worsens after meals or at night, is a telling sign of gastritis. Nausea, loss of appetite, and bloating are other symptoms of gastritis. Pain is usually located in the upper left area of the stomach or the center of the abdomen. 

Pancreatitis

Pain from pancreatitis is often situated in the middle or upper left side of the abdomen, and is described by patients as a pain that radiates towards the back. Eating excessive amounts of food, especially foods with high-fat content, and alcohol abuse are known triggers of pancreatitis. Excessive alcohol consumption and the presence of gallstones cause 80% of pancreatitis cases. 

Pancreatitis occurs when digestive juices are activated in the pancreas. The small intestine is responsible for breaking down fat with the use of digestive enzymes. However, these enzymes can be activated while in the pancreas, leading to inflammation and possibly infection. 

Hepatitis

Hepatitis describes five types of liver inflammation caused by different viruses. Hepatitis is a viral disease that can be transmitted through blood transmission, sexual contact, and hereditation. 

The five different types of hepatitis are:

• Hepatitis A: Contracted through the consumption of unclean food and water. Hepatitis A is curable through medication and immunization, which helps prevent the spread of hepatitis A. Poor sanitation is the primary cause of hepatitis A.

• Hepatitis B: Contracted through infective bodily fluids including blood and semen. Can also be acquired through hereditation, from mother to child during birth. Blood products contaminated with Hepatitis B, from needles to blood samples, can spread the virus. 

• Hepatitis C: Commonly contracted through faulty blood transmission. Needles, blood samples, and injections can spread the virus. There are no known vaccines for Hepatitis C. 

• Hepatitis D: Can only be contracted by patients with Hepatitis B. The simultaneous infection of HDV and HBV result in symptoms similar to hepatitis B. Considered a super-infection, patients with hepatitis B are recommended to get vaccinated for HDV. 

• Hepatitis E: Contracted through the consumption of unclean food and water, particularly organs such as the liver. Like hepatitis A, hepatitis E can be treated through medical intervention. 

Pain caused by hepatitis is often described as a stretching, likely associated with the expanding of the liver due to inflammation. This discomfort is more characteristic of hepatitis C and is rarely experienced in other types of hepatitis. 

Upper Stomach Pain: When Is It Serious?

Stomach pain passes on its own in a matter of days. However, persistent pain or additional symptoms may signal something serious and urgent. Seek immediate medical attention if the patient is experiencing the following: 

• Stools are bloody, pale, black and tarry, or white
• Persistent vomiting, with blood
• Difficulty breathing
• Change in appetite
• Unexplained weight loss
• Pain so severe that the patient can’t move
• Abdominal pain is accompanied by fever 
• Pain is severe in the upper right abdomen 
• Signs of dehydration (dry skin, sunken eyes, migraines) are apparent
• Pain that occurs frequently in short, sharp bursts

Treat Stomach Pain For Good

Learn more about the various causes of abdominal pain in general by getting in touch with us. At the Gastro Center in New Jersey, we are always ready to help patients learn more about their concerns.

Book an appointment today and let us diagnose and treat your pain. 

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What Is the Best Breakfast for Acid Reflux Sufferers?

Breakfast has always been hailed as the most important meal of the day. Turns out this old adage is nothing short of true, especially for acid reflux sufferers. Filling up the stomach with good food can prevent acid attacks throughout the day and alleviate symptoms of acid reflux.

What kind of breakfast foods are suitable for people with acid reflux? The idea is to eat alkaline foods that won’t contribute to or trigger reflux symptoms. This includes oatmeals, select fruits and vegetables, as well as lean protein.

Distinguishing good and bad food for acid reflux is the key ingredient to starting your day right.

Signs You Have Acid Reflux

Burping? Constipation? Stomach cramps? You might think you’re just experiencing morning hunger pangs when you’re actually experiencing acid reflux.

Acid reflux is a common disorder that happens when a muscle called the lower esophageal sphincter (LES) fails to seal in stomach juices. When the LES relaxes or malfunctions, stomach acid can move back up the esophagus, causing burning in the throat accompanied by a sour taste.

Other signs of acid reflux include:

• Nausea
• Burping and hiccups
• Bloating
• Regurgitation; tasting bitter or sour-tasting acid with every burp
• Bad breath
• Chest pain
• Burning sensation on chest

How Can Food Trigger Acid Reflux?

Although there is no clear proof that certain food groups can cause acid reflux, it is known that specific foods can trigger or aggravate existing symptoms.

Food can be used to minimize the acidity of stomach contents by adjusting the diet accordingly. Some foods can even cause the LES to relax, which could worsen the regurgitation of stomach acids.

6 Breakfast No-Nos: What to Avoid

1. Foods with high fat content

Studies show that people who consume food with high levels of cholesterol and saturated fat are likelier to experience acid reflux symptoms. Fatty foods take longer to break down than their healthier counterparts. The stomach is forced to produce more acid in order to properly digest these foods, leading to heartburn.

Foods considered high in fat include anything deep fried. Ham, bacon, french fries, onion rings, and just about anything dripping with oil are clear examples of foods to avoid when experiencing acid reflux.

2. Caffeine

Caffeine, both in coffee and energy drinks, should be avoided by acid reflux sufferers. Caffeine is known to relax the LES, causing acid reflux, but this varies depending on a person’s digestive tract. High amounts of caffeine also translate to higher acidity, which can further aggravate an already irritated digestive system.

However, it’s still possible to enjoy a cup of coffee in the morning without inducing heartburn. For starters, you could look into coffee options that have a lower caffeine content such as decaffeinated coffee and a latte.

Opting for low-caffeine drink alternatives such as tea is also a viable breakfast option. Note that some teas are actually acidic in nature. Mint-based may exacerbate reflux symptoms.

3. Spicy foods

Spicy foods are included on the National Institute of Diabetes and Digestive and Kidney Diseases list of foods that worsen acid reflux. Spicy foods are known to act as irritants that may decrease LES functionality, leading to heartburn. These also encourage the production of stomach acid, which doesn’t help an already passive LES.

4. Chocolate

Chocolate contains certain components that irritate the stomach such as caffeine, theobromine, and methylxanthine. Its primary ingredient, cocoa powder, is also acidic in nature. On the other hand, some chocolates may be more accommodating to a sensitive stomach; dark chocolate has a lower acidity level than full-fat chocolate.

5. Acidic fruits, vegetables, and condiments

While fruits and vegetables are generally recommended to any diet, acid reflux sufferers should be wary about consuming too much of certain foods. These include oranges, grapefruits, lemons, limes, tomatoes, pineapple, and any other food that is high in acidity.

By-products of these fruits and vegetables, including lemoned, pure fruit juices, and salsa, should be consumed in moderation or avoided altogether.

The Most Important Meal Of The Day

The act of eating breakfast alone is known to help manage chronic acid reflux. By eating something in the morning, acid reflux sufferers give their empty stomachs something to digest. Instead of travelling up the esophagus, the acids can work on healthy breakfast food, reducing feelings of constipation and stomach cramps.

Eating early in the morning can also calm the stomach and prevent symptoms throughout the day. On the other hand, skipping breakfast is known to both induce and worsen acid reflux symptoms.

Top Breakfast Foods For Fighting Acid Reflux

Planning meals may feel more challenging when eating with acid reflux sufferers. However, there are still food options available for people with even the most sensitive of stomachs:

Alkaline Fruits and Vegetables

Apples, bananas, coconuts, apricots, avocados, pears, and blueberries are examples of alkaline fruits. Swap out acidic fruits for these and add them as toppers for your cereal, oatmeal, or pancake.

Potato, squash, and zucchini are among the breakfast-friendly, alkaline vegetables. Mash and bake these vegetables together to make healthy tater tots.

Oatmeal

Oatmeal is an amazing powerfood with little to no acidic content. Oatmeal keeps you fuller for longer, is easy to digest, and is incredibly nutritious. Mix in a cup of almond milk or half a cup of skim milk for added flavor. Add in low-acid fruits such as apples and bananas to make your oatmeal a little more special.

Ginger

Ginger boasts of anti-inflammatory properties that can improve food digestion and prevent post-meal acid reflux. Swap out your morning coffee and tea for steeped ginger tea. Top off with a spoon of honey.

Leafy Greens

Vegetables such as spinach, lettuce, and kale can be transformed into a healthy breakfast meal. Toss a boiled egg and some chicken bits with some shredded lettuce to make a delicious breakfast salad. Spinach and kale can be chopped, along with mushrooms and peas, for a yummy morning omelette. Leafy greens are low-acid, high-volume foods that will help neutralize acid in the stomach.

Chicken and turkey

Lean protein such as chicken and turkey make great breakfast meals. Use ground pork or turkey to make breakfast meatballs, nuggets, and strips to enjoy every morning. To keep lean meat safe for acid reflux sufferers, consider baking them in an oven instead of tossing them in a frying pan.

Almond or Soy Milk

Cereal, oatmeal, and breakfast muffins don’t have to be boring. Adding a splash of almond milk or soy milk can take breakfast to a whole new level. Take note that not all nut-based milk have the same pH. Cashew milk, for instance, is considered an acid-forming food, and may induce acid reflux at breakfast.

Breakfast Ideas For Acid Reflux

Day 1	Day 2	Day 3	Day 4	Day 5	Day 6	Day 7
1 plain bagel	1 ripe banana	1 boiled egg	1 serving of omelette with mushrooms and spinach	Bowl of smoothie consisting of blended apricot, pear, and banana	1 slice of toasted bread, unbuttered	1 piece of apple
1 tablespoon of low-fat cream cheese	Bowl of cereal with almond milk	5 pieces medium-sized homemade chicken nuggets	1 cup of ginger tea with 2 tsp honey	1 granola bar	1 serving of omelette with mushroom and spinach	Bowl of hot oatmeal with almond milk and 2 tsp honey
Glass of almond milk	Bowl of peeled pears and apricots	Bowl of white or brown rice	1 piece of apple	Glass of almond milk	1 cup of ginger tea	Glass of chocolate soy milk

Breakfast Recipes for Acid Reflux

Dairy-Free Pancake

Ingredients:

1 cup of all-purpose flour

2 teaspoons baking powder

1 cup unsweetened almond milk

1 large egg

1 large egg yolk

1 ½ teaspoons canola oil

2 tablespoons sugar

1 can spray cooking oil

Instructions:

1. Add wet ingredients and dry ingredients alternately. Keep mixing until all contents are incorporated

2. Spray pan with oil then pour mix

3. Cook until soft brown or no bubbles are showing

Omelette

Ingredients:

2 large eggs

Minced mushrooms (or any other alkaline vegetable)

Diced spinach (or any other leafy green)

Salt and pepper to taste

Instructions

1. Whisk both eggs onto a bowl, then add vegetables. You may also choose to brown the vegetables for 5 minutes before adding them to the egg mixture

2. Heat oil in a pan

3. Pour mix and wait for the omelette to form

No-Bake Faux Banana Bread

Ingredients:

4 large ripe bananas

1 large egg

2 tsp honey (optional)

1 can spray oil

1 tbsp cinnamon powder

Instructions:

1. Mash ripe bananas onto a bowl, then add egg. Whisk together. Add cinnamon powder and honey

2. Spray pan with oil

3. Pour mix onto the pan and wait for it to form

Tater Tots

Ingredients:

¼ cup carrots

¼ cup sweet potato

¼ squash

1 tablespoon flour

Salt and pepper to taste

1. Preheat oven to 450 degrees Fahrenheit

2. Peel and boil carrots, sweet potato, and squash. When soft, drain, and shred

3. Mix vegetables with flour, salt, and pepper

4. Form into small balls and bake for 20 minutes or until golden brown

Making Breakfast Easy: Tips For Acid Reflux Sufferers

1. Keep A Food Diary: Not all foods create the same reactions in people. Experiment with certain foods and see which ones aggravate your symptoms. Knowing how certain breakfast foods interact with your stomach makes it easier to plan meals in the future.

2. Don’t Lie Down Immediately After Eating: Go for a walk or sit up and use the computer. Lying down can cause indigestion, which can make acid reflux worse.

3. Take Antacids. Over-the-counter antacids are available to help keep acid attacks at bay. Take a recommended dose after eating breakfast to prevent stomach contents from travelling up the esophagus.

4. Eat Less, More Frequently. Overeating is a trigger of acid reflux. Eating less more frequently can prevent a sensitive digestive system from producing too much stomach acid at a time. Eat small snacks in-between meals or divide a big breakfast into two smaller servings/

5. Look For Alternatives. Are there certain breakfast staples you can’t do without? It’s still possible to enjoy them by identifying key ingredients that make the food acidic. Craving for french toast? Swap full-fat milk with skim milk or soy milk. Skip the butter and use coconut oil instead.

Eating the right kind of breakfast is just one way patients can keep acid reflux under control. Get in touch with us to learn more about acid reflux, both chronic and short-term, and how to deal with these accordingly.

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Acid Reflux and Bad Breath

GERD and bad breath usually go hand-in-hand, but that doesn’t mean you have to live with bad breath forever. In this article, we discuss the cause of acid reflux, as well as some immediate remedies you can apply right now to improve your breath.

So, how do you treat bad breath from acid reflux? Medicinal intervention is usually applied to more advanced cases, but making lifestyle changes are great for getting long-term results. Quitting smoking, limiting alcohol and caffeine consumption, and taking antacids are all great ways to alleviate acid reflux and prevent bad breath.

What Is Acid Reflux

Acid reflux, also known as heartburn, is a common condition characterized by pain in the lower chest. This usually happens when stomach acids bubble up to the esophagus, the tube moving food from the mouth down to the stomach.

A muscle called the gastroesophageal sphincter is responsible for keeping stomach acid right where it belongs. However, certain triggers can cause the “valve” to malfunction, and the acid is brought back up to the esophagus. Other contents including bile and undigested food particles can also make their way to the esophagus.

Although common, acid reflux can develop into a chronic condition. Persistent acid reflux symptoms that manifest more than twice a week will be characterized as GERD or gastroesophageal reflux disease. At this point, physicians may recommend medical intervention to manage the disease.

Can acid reflux give you bad breath?

Aside from heartburn, the most common complaint of patients experiencing acid reflux is bad breath. Stomach contents may regurgitate back to the esophagus, including any stomach acids, bile, and undigested food that will linger in your esophagus and creep up your pharynx, causing bad breath.

Can acid reflux cause you to smell your own bad breath?

Acids attaching to the walls of your esophagus can be smelled by other people. This is because gas particles can also attach to the tongue, which can aggravate the bad smell. Patients with acid reflux often report burping, which can also intensify the smell of the stomach acid.

On the other hand, acid reflux breath may also be smelled by the patient. In some cases, patients report smelling their own breath even without opening their mouth. Bile wafts from the stomach up to the nose, which produces a pungent, often acidic smell.

What does acid reflux breath smell like?

Acid reflux on its own smells like bile. Anything sulfuric, pungent, strong, and acidic can be characterized as acid reflux smell. Patients also report different smells based on the medicine they are taking to manage GERD.

Any sort of smell present in the mouth can be symptomatic of ulcers and other gastrointestinal problems. We recommend getting checked by a physician to rule out acid reflux and other possible diseases.

Signs Your Bad Breath Is Caused By Acid Reflux

Bad breath is typically managed by flossing, brushing the teeth, and using mouthwash. However, more persistent cases of bad breath could point to problems that don’t have anything to do with the mouth.

Here are some signs that bad breath is being caused by acid reflux:

1. It’s related to food. When bad breath seems to follow any eating pattern, it may be because of gastrointestinal problems. Whether it’s eating too much or too little, eating spicy or sour food, the point is that the bad breath is triggered by a feeding pattern.

When you observe that the bad breath comes after drinking coffee, it could be that the acid in the coffee is triggering stomach acids, leading to bad reflux. Test out your breath after eating certain foods and see if any feeding habits trigger bad breath.

2. It coincides with other digestive symptoms. Constipation, bloating, burping, and pain can all be signs of acid reflux. This is especially true when digestive symptoms come right after a feeding pattern.

After drinking coffee, do you experience cramps in your lower abdomen? Do you start burping and experience a strong metallic taste in your mouth? Paying attention to your body’s physical reactions to food is an effective way of ruling out the cause of bad breath.

3. Your breath smells sour or acidic. Bile is commonly described as sourness accompanied by a burning sensation. Stomach acid backflow into the esophagus usually comes in the form of bile, which is a distinct sign of acid reflux and indigestion.

4. It gets worse with caffeine, alcohol, and tobacco use. Acid reflux is caused by the gastroesophageal sphincter weakening, leading to regurgitation of stomach contents back to the esophagus.

Ingredients in caffeinated and alcoholic products are known to weaken the gastroesophageal sphincter. Other foods such as chocolate, foods high in fat and acid, as well as mint, onions, and garlic may produce the same reaction.

5. You feel discomfort in your throat. Acid backflow is usually accompanied with a strong acidic sensation in the throat, precisely because the acid is not meant to occur outside the stomach.

If your throat feels scratchy, itchy, or tingly after burping, these are clear signs of acid reflux. A burning sensation in the throat accompanied by bad smell is a telling sign you have stomach problems.

6. Your tonsils are affected. Some patients may instinctively visit their dentist for a consultation after discovering that they have bad breath. Dentists can provide a preliminary diagnosis by ruling out the cause of bad breath.

Inflammation around the throat, together with acid erosion on the teeth, are signs to watch out for. Your dentist may recommend a visit to a physician after the dental exam once signs of irritation are found.

The Causes of Bad Breath From Acid Reflux

Acid reflux itself isn’t the reason behind bad breath. There are two ways this situation could aggravate the smelly symptoms, and cause longer episodes of foul oral breath:

1. Tooth Decay: The stomach may be exposed to these strong acids, but it is also lined with a protective barrier that keeps the acid from “burning” the stomach. However, other parts of the body don’t have this lining and will be susceptible to acid damage, given prolonged exposure.

Over time, acid wafting up through the esophagus and to the mouth can cause teeth to slowly erode and rot. The build up of decaying matter around the teeth could contribute to the bad smell, especially after the teeth rots. Maintain proper oral hygiene to prevent plaque and bacteria accumulation on and between your teeth.

2. Bacteria In Mouth and Throat: The esophagus is designed to be a highway for the food from the mouth to the stomach. With acid reflux, there is a backward flow or particles that are not meant to stay in the esophagus.

When left untreated, bacteria can grow on the walls of the esophagus, leading to bad breath. Irritation, itchiness, and a tingling sensation are signs of bacteria presence in the throat.

Home Remedies For Acid Reflux Breath

• Observe good oral hygiene
• Drink pineapple juice
• Consume a lot of water
• Have some healthy yogurt to promote good bacteria growth
• Drink milk to counteract bad breath
• Eat a slice of orange or lemon after meals
• Use products with zinc to keep bad breath at bay
• Drink green tea
• Snack with apples
• Make a homemade mouthwash with vinegar or baking soda

Treating Bad Breath From Acid Reflux

Getting Rid Of Bad Breath From Acid Reflux

One definitive way to treat bad breath is to treat the cause of acid reflux. Triggers can be anything from simple lifestyle choices to treatable gastrointestinal problems. Common causes include:

Lifestyle

• Being obese or overweight
• Putting pressure on the stomach valve by eating too much food at once
• Lying down immediately after meals
• Snacking close to bedtime
• Eating foods that are highly acidic
• Consuming large amounts of fatty, fried, or spicy foods

Medical

• Patients with hiatal hernia are known to experience acid reflux. This occurs when the upper part of the stomach bulges and moves above the diaphragm.
• Pregnant women commonly experience acid reflux during pregnancy. Symptoms worsen over the course of the third trimester, but immediately go away after delivery
• Taking medication such as ibuprofen, muscle relaxers, and blood pressure regulators

Treating Acid Reflux: When Will It Go Away?

Acid reflux usually goes away on its own. On the other hand, those with chronic acid reflux or GERD may be prescribed with medication to help with acid reflux. Not all GERD medication are compatible with one patient, so it may take a while to find the right treatment.

Bad breath can go away in as little as a week up to three weeks, depending on your treatment plan.

Quick Fixes

The best way to get rid of bad breath caused by acid reflux is to treat acid reflux itself. On the other hand, knowing some quick fixes can help you get through an entire day without having to worry about acid reflux breath:

• Stay hydrated. Always have a glass of water next to you. Dilute the stomach acid as much as possible by drinking large amounts of water.
• Consider mint and parsley. Both are known to help with bad breath so keep an eye out for these garnishes when dining with people.
• Use raw lemon. Lemon is said to help keep the gastroesophageal sphincter close. A slice or two is fine; consuming acid more than necessary may worsen acid reflux.
• Use antacids to neutralize stomach acidity. Some antacids are best used 20-30 minutes before or after a meal. Follow clear instructions to make the most out of the medicine.
• Take some deglycyrrhizinated licorice (DGL) chews. DGL chews are known to increase mucus production, which helps protect the esophagus and stomach from acid exposure. These are also typically prescribed to help with ulcer, although not to the extent that they replace antacids.
• Don’t drink coffee on an empty stomach. Make sure to grab something to eat before consuming anything caffeinated or carbonated.
• Refrain from overeating. Similarly, eating too much can put a lot of load on the gastroesophageal sphincter, which can worsen acid reflux. Eat moderately and stay away from spicy and acidic food until symptoms improve.

Do you think your bad breath is a sign of a stomach problem? Book a consultation with us today to get a proper diagnosis on your stomach health.

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Does Working Out Make Acid Reflux Worse?

When you feel like the contents of your stomach can make an appearance at any moment, the last thing you want to do is exercise. But just because you have acid reflux doesn’t mean you have to skip the gym and stay at home.

So, does working out actually make acid reflux worse? This all depends on the kind of exercise you do and the precautions you take before working out. Low-impact exercises such as yoga and swimming won’t make your acid reflux worse. Adopting better feeding habits before going to the gym can also save you the trouble of burping bile throughout the day.

Acid reflux and working out don’t always have to go hand in hand. There are plenty of things you can do to improve your symptoms while staying in shape.

Understanding Acid Reflux

Acid reflux refers to the “backflow” movement of gastrointestinal contents from the stomach up to the esophagus. A small muscle called the lower esophageal sphincter (LES) serves as a barrier between the stomach and the esophagus. This part of the stomach serves as a one-way valve, ensuring that no acid ever goes back up to the esophagus.

But sometimes, certain triggers can weaken the LES, causing stomach contents to be regurgitated upwards. This results in acidic, pungent bile wafting onto the throat, typically accompanied by a burning sensation.

The Relation of Exercise With Acid Reflux

Can exercise induce acid reflux?

Getting a good workout is a crucial part of any healthy lifestyle, but sometimes too much working out can be the very cause of heartburn. Exercise-induced heartburn is a common occurrence that can happen to anyone, at any age.

Working out triggers acid reflux under certain conditions. These include:

• Your LMS is weak or too relaxed. Smoking is a known trigger of acid reflux. Nicotine relaxes the LMS and prevents the muscle from securing stomach acid right where it should be.
• Your energy drink contains ingredients that trigger acid reflux. Caffeine is the main ingredient in all energy drinks, and is a primary cause of acid reflux. Concentrated doses of caffeine can prove too much for the digestive tract, leading to the overproduction of stomach acids. Similarly, working out after drinking a carbonated energy drink can trigger the gases in your stomach, leading to heartburn.
• Your previous meal induces acid reflux. Like drinks, certain foods may be more of a heartburn fuel than others. This includes spicy and acidic foods, as well as alcohol and chocolate.

Can exercise make existing acid reflux worse?

Physical activity alone won’t make acid reflux worse, but certain movements will certainly do the trick. As explained by Dr. Eitan Rubinstein, an affiliated gastroenterologist with the Harvard Medical School, “Anytime you do anything strenuous, your stomach can tighten up, making contents flow upward, [so] anything can give you reflux if you strain yourself hard enough.”

She also explains how rapid breathing, something that is unavoidable in aerobic exercises, can cause the lungs to expand which “can draw reflux material into your esophagus”.

Specific activities are more prone to disturbing the stomach than others. She identifies any activity that involves bobbing up and down to be the main culprits for aggravating pre-existing acid reflux.

List of Exercises That Aggravate Acid Reflux

Not all physical activities are created equally, with some more harmful to your stomach than others. For example, a study suggests that weightlifters had higher instances of acid reflux during an 80-minute rest period than marathoners and cyclists (source).

Certain exercises are likelier to put pressure on the stomach, impede blood flow around the gastrointestinal area, both of which are considered triggers for acid reflux.

Introducing huge amounts of air to the esophagus through gulping or breathing may also affect the LES. Some athletic mechanics involving bending the waist and hanging upside down may also cause heartburn.

These exercises include:

• Sprinting and running. These aerobic exercises may be great for the heart, but they aren’t exactly accommodating with heartburn. The up and down motion can jostle contents in your stomach and irritate your digestive tract, while the sharp inhalations of air can relax the LMS and force acid into the esophagus.
• Weightlifting. The motion of weightlifters alone may strongly aggravate acid reflux. Lifting heavy weights causes the stomach to tighten, which can force the organ to regurgitate some of its contents upwards. It’s not uncommon to see powerlifters regurgitate stomach contents or vomit when they’re pushing their bodies to the limit since this exercise typically involves diaphragm contraction, which can push stomach acid upwards. More advanced lifters secure belts around their weights to maintain their form; this added restriction on the abdomen can add further stress to the gastrointestinal area.
• Gymnastics. Movements in gymnastics involve a lot of tumbling, spinning, and hanging down — all of which can irritate the stomach and cause heartburn.
• Cycling and Jump Rope. Pressing the knees close to the abdomen and consistently jumping down are two actions that have a higher chance of inducing heartburn than others. These activities are both aerobic in nature and also introduce pressure to the stomach. When the stomach exceeds the amount of pressure it can take, acid can travel upward into the esophagus because of acid reflux.

Tips on Managing Acid Reflux Before Exercise

1. Adjust Your Diet. If you’re the kind of person who always needs to fuel up before going on a run or lifting some weights, the food you eat before working out may play an important role in acid reflux. Troubleshoot your feeding habits by observing which types of food give you acid reflux, and try to stay away from those before you exercise.
2. East Slower. It’s tempting to shove food down your mouth while you’re rushing to head to the gym, but doctors say that’s not a good idea. The pace of your eating can be as influential as the food that you eat, so watch out for signs of heartburn during your morning rush to the gym.
3. Eat Nothing At All. Acid reflux is triggered when stomach contents are irritated by jostling motion. Sometimes the solution is to eat nothing at all. Or if you really can’t go without eating anything, grab a bite of something small and substantial like a banana or a cracker.
4. Eat At Least Two To Three Hours Before. Test out different meal intervals to see which one works best for you. Eating a big meal two hours before your workout may produce the same energy boost as a carbohydrate-heavy snack 1 hour before the gym. Experiment with different eating times to get the best results, but ensure that you eat at least 45 minutes before a sweat session.
5. Drink Antacids. Over-the-counter reliefs are available to help neutralize stomach acid. Antacids are considered perfectly safe and can be used as a preventative measure every time you plan to exercise.
6. Find A Better Routine. If you’re doing a routine with a lot of jumping motions, try and swap out some of the exercises with something more low-impact. There are plenty of exercises that don’t require jumping and running which can still improve cardiovascular and muscular strength and endurance; do those instead.
7. Stay hydrated. Bringing a water jug to the gym may have more benefits than you realize. Aside from keeping you cool in-between exercises, drinking water can help calm your stomach and wash away stomach content. It cleanses the esophagus and can help relieve symptoms when they start acting up.

Approved Exercises for Patients With Acid Reflux

Yoga

Yoga promotes flexibility, stability, and strength, without putting a strain on the abdomen. Although this low-impact exercise is generally considered one of the best ways to stay active for patients with acid reflux, be wary of inverted poses. Poses like downward dog and handstands may irritate the stomach and push the acid forward. Instead, stick to poses that don’t defy gravity.

Swimming

Swimming is the ultimate aerobic exercise for patients suffering from acid reflux. Muscle strength and cardiovascular endurance are still tested, without putting unnecessary strain on your gastrointestinal area.

Walking

Swap out running and jogging for something a little more low-impact. In a recent study, going on a 10-minute walk every week can reduce the chances of early death (source). Walking is a great way to stay active without stressing the digestive tract. The best part is that you can do this exercise outside the gym and make it a part of your lifestyle.

FAQ – Acid Reflux and Working Out

Is it safe to exercise when I have acid reflux?

You’ll be fine as long as you stick to exercises that are approved for patients with acid reflux. In fact, some doctors even suggest gradually moving towards medium- to -high-intensity exercises, for as long as the body doesn’t exhibit aversion to these types of exercises.

We recommend getting a physical trainer to learn more about exercises suitable for your situation.

Is there a way to prevent acid reflux altogether?

Acid reflux can be caused by medical complications such as a hiatal hernia or poor lifestyle choices. Staying away from working out won’t fix acid reflux, although it may temporarily alleviate symptoms. The best way to cure acid reflux is to get to the root of the matter and implement any dietary, lifestyle, or medical changes necessary.

Choose Wellness, Choose Pleasantdale

Understanding what’s causing your acid reflux is the only way you can prevent the symptoms from appearing. Book an appointment with us to learn more about your gastrointestinal health. Let’s get in better shape, together.

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Colonoscopy Prep Drink: A Complete Guide for a Joyous Colonoscopy Preparation

The colonoscopy is the golden standard for catching polyps and preventing colon cancer altogether. So if it’s so effective, why are patients so averse to undergoing a colonoscopy, even if it means saving their lives?

There’s only one reason: the dreaded prep drink. Colon preps are infamous for being extremely uncomfortable and arduous. In the article below, we explain everything you need to know about these drinks, and how you can manage through yours to ensure you have comfortable colon prep.

Breaking Down Colonoscopy Preparation

What Is In a Colonoscopy Prep Drink?

Colon prep drinks are oral laxatives formulated to flush out the colon. Some brands come in powder form and should be mixed in with water before they are digested. Even liquid prep drinks have to be diluted with water as per the label’s instructions.

Different bowel prep kits have various ingredients that work together to induce bowel movement for colon cleansing. One of the leading brands, SUPREP, has sodium sulfate as its primary ingredient. A 6-ounce bottle also contains 3.13 grams of potassium sulfate and 1.6 grams of magnesium sulfate.

Another leading brand, PREPOPIK, has sodium picosulfate as its primary ingredient. This active ingredient is known as a stimulant laxative, which induces bowel movement for a successful preparation.

Specific ingredients for each colonoscopy prep drink are available online. Regardless of what is in the drink, these kits are specifically designed to fully purge your colon so you can have a successful colonoscopy.

How Long Does Colonoscopy Prep Take to Work?

Bowel prep medicine should be taken at least 24 hours before the procedure to ensure that the colon is clean prior to the exam. On average, preps take an hour to three hours to work, depending on the brand.

A follow-up taken at a much weaker dose is commonly recommended to patients who don’t experience anything after drinking the medicine. Keep in mind that not all patients will respond in the same way as others; give the medicine some time before drinking more of the recommended dose.

Diarrhea is a clear indication that the prep is working. Patients can tell their colon is empty when clear yellow liquid comes after passing waste. This means that the colon has been thoroughly cleaned and that the prep was successful.

If nothing happens five hours after drinking the prep, it’s best to get in touch with a primary physician to get advice on what to do.

Do You Have to Drink All the Colonoscopy Prep?

Not necessarily. Depending on the time of your exam, the full solution can be ingested throughout a 2 hour period or twice in between 12 hour intervals. Below are our recommended steps for a successful colonoscopy preparation:

Split Preparation: Involves drinking the first half of the solution in the evening and the other half in the morning. This is ideal for patients with colonoscopies scheduled later in the day.

1. Drink the solution at a chosen time. We recommend starting no later than 6 PM.

2. To make the prep more manageable, consume the drink slowly over the course of two hours. Drink the solution in 10 to 20 minute intervals.

3. Be careful not to consume the entire half of the solution in under an hour. Likewise, it won’t be as effective when taken for more than 2 hours.

4. Drink recommended liquids until the colonoscopy to stay hydrated.

Full Day Preparation: Best done for patients with colonoscopies scheduled early in the day. Drink the entire solution over three hours one day before the colonoscopy.

1. Drink the solution at an early time. We recommend starting before 6 PM.

2. Consume the solution slowly in 10 to 20 minute intervals over the course of three hours.

3. Be careful not to drink the solution for more than 4 hours. Finish the preparation and drink clear liquids to stay hydrated.

Types of Colon Prep Drinks

Various prep drinks are available on the market. Below are our recommended brands for colonoscopy preparation:

	CLENPIQ2	SUPREP Bowel Prep Kit	NULTELY	PREPOPIK
Preparation	Ready to drink, no mixing required	Dilution in 16-ounce container that comes with the kit	Dissolve powder in provided bottle and shake	2 packets soluble in 5 ounces of cold water
Flavored?	Cranberry	No	Cherry, orange, pineapple, lemon-lime	Orange, cranberry
Cost (average retail price)	$151.30	$110	$29.99	$171.85
Drug interaction	May interfere with painkillers with acetaminophen, ibuprofen, and various multivitamins	May interfere with heart/blood pressure medication, nonsteroidal anti-inflammatory drugs, diuretics	May interfere with aspirin, amoxicillin, and fish oil	May interfere with tylenol, vitamin C, and anxiety medication with alprazolam such as Xanax and Niravam

Plenvu: New One-Liter Colon Prep Drink

High volume prep drinks have always been the norm. However, a brand new liquid drug called Plenvu is posing to replace traditional prep drinks. Uncomfortable preparation is the number one deterrent of colonoscopy screening.

Plenvu, on the other hand, is a “lower-volume, one liter bowel preparation”.  With lower-volume alternatives such as Plenvu rising on the market, patients can have a more comfortable preparation, which could encourage more patients to get screened for colon cancer.  

Things to Do Before Your Colon Prep

5 Days Before Colon Prep: Change Your Diet

Swap foods for a low-fiber, low-fat diet. Suitable foods include:

• White bread
• Pasta
• White Rice
• Plain crackers
• Low-fiber cereal such as corn flakes, cream of wheat
• Lean meats like fish and chicken. Turkey, lamb, lean pork are also allowed
• Fruits and veggies without the skin or seeds
• Eggs
• Dairy products such as milk, cheese, and yogurt

The idea is to only eat foods that are easily digestible by the stomach. Whole grains, raw vegetables, and other stuff should be avoided days before the colon prep. Other foods to avoid include:

• Fatty food
• Tough red meats such beef and pork
• Whole grains, nuts, and seeds
• Corns, beans, peas
• Brown, wild rice, and other whole grains including bread and pasta
• Any sort of legumes
• Thick soups

3 Days Before Colon Prep: Switching To Liquid Diet

Alternate between liquid and solid meals every day leading up to three days before your colon prep. At this point, start increasing your liquid intake while decreasing solid foods. This means incorporating more soup in your diet to help your body get accustomed to a purely liquid diet in the coming days.

1 Day Before Colon Prep: Liquid Diet

Patients are not allowed to eat any solid food one day before the diet prep. Have drinks, juices, and clear soups ready to keep yourself full. Stock up on medication, wipes, and any other necessities you think will make the colon prep manageable.

Your body will not find the strength to go out after a colon prep which is why it’s important to have everything ready a day before you take the prep drink. Clear your schedule for the next day and follow prep instructions as described on the label.

What to Expect During Your Preparation

Prep periods aren’t a walk in the park. However, knowing what to expect can help you prepare for the process and improve your experience.

• Expect diarrhea. Liquid stools are an inevitable part of the process. Colon prep drinks are designed to encourage the colon to draw liquid from the body, turning waste from the upper part of the colon into expendable liquid waste. This results in frequent bowel movement in the form of liquid stools.

• Take a day off. Colon preps require a lot of time and energy. Physicians typically recommend patients to stay at home during the preparation. Bathroom visits will be frequent, which is why it’s best to stay at home during the process.

• Stock up on anti-nausea medication. Nausea is a common side-effect of colon prep. Increased stomach irritability and an active gag reflex can cause you to vomit. Taking an anti-nausea medication or simply drinking a cold glass of water can help you from feeling sick. Breaks from drinking the prep no longer than an hour long are also effective.

• Hunger and dehydration. Stick to recommended foods and liquids. During the prep, the body will expel large amounts of water in a short period of time. Prioritize rehydration as you are going through the prep. Drink large amounts of liquids to stay hydrated during the process. This will also help your colon get rid of any residual waste long after the prep drink has been consumed.

Making Sure Your Prep Is Effective

Colonoscopy preparations can be tedious, which is why we recommend doing it right the first time to avoid repetition. Not following the recommended dosage, drinking the solution too fast or too slow, and interference with medication or food are the common reasons why colon preps don’t work. Here are some tips on how to avoid the common pitfalls of colon preps:

1. Vomiting During the Preparation

Throwing up during the preparation is one of the top reasons why these kits don’t work. Vomiting the solution prevents the colon from fully absorbing the drink. This means that the colon won’t effectively expel waste in preparation for the exam, preventing the examiner to clearly see the lining of the colon.

Tip: Drinking the colon prep without throwing up is completely achievable. Take an anti-nausea medicine to ease queasiness. Drink the solution slowly, preferably with a straw, to keep yourself from feeling sick. Take short but frequent breaks in between sips. Following up with a glass of cold water can also help keep the stomach under control.

What Happens When I Throw Up During Prep?

The solution has to make its way down to the colon to work. Without the full dosage, the colon will not be efficient in expelling waste, making it impossible for the colonoscope to properly observe the colon.

Signs of the prep working usually manifest an hour after drinking a suitable amount of liquid. When feeling sick, it’s crucial to prevent the liquid from being expelled orally. Stop consuming the drink until nausea and vomiting have subsided. We recommend taking a break for 30 minutes before drinking any more of the liquid prep.

2. Drinking the Solution Too Fast/ Too Slow

Not consuming the recommended dosage can lead to inaccurate results and a stressful prep. All preparation kits, no matter what the brand, include an instruction guide to ensure that patients go through the process as closely as possible.

By adhering to the instructions, patients can maximize their comfort while ensuring that their colon is effectively clean for the examination.

Can You Drink Colonoscopy Prep Too Fast?

Drinking too much of the solution in one go can shock your body. When this happens, too much water is pulled into the colon, leading to very watery stools. Stomach cramps can also come as a result of drinking your prep too fast.

Rushing the prep may trigger the gag reflex and induce vomiting. As discussed, most preps are best taken in 10 to 20 minute intervals, over the hours of two hours, or whichever the recommended time is on a chosen brand.

3. Not Drinking Enough Of The Solution

Some patients are convinced that clear stools are a sign of a successful preparation, leading them to abandon the rest of the colon prep drink.

In reality, clear stools don’t guarantee that the procedure is foolproof. Because of this understanding, patients fail to follow the recommended dosage, at the expense of having an efficient colonoscopy.

Can You Stop Drinking Colon Prep When Stools Are Clear?

No. Prep is only considered done once all of the prep drink is consumed. Passing clear liquid stools could only reflect the cleansing of the lower part of the colon. It takes a while for the liquid to expel waste from the entire colon, which is why it’s important to finish the entire colon prep drink.

Consume the rest of the liquid even if you are already passing clear liquid stool. Drink other clear liquids to stay hydrated throughout the process. Not only does it prevent dehydration, but it also helps clean out cloudiness in the colon.

Making The Drink More Manageable

Keeping the drink down is one of the most important parts of the prep. Lucky for patients, there are different ways to make colon prep drinks more palatable. Here’s how:

Can You Add Flavoring To Colonoscopy Prep? Definitely. In fact, some preps already come with various optional flavorings that can be added to make the drink easier to swallow. However, for mixes that don’t include any flavoring, low-calorie and sugar-free beverages can be added for extra help.

Choose a powdered beverage mix that is colorless and easily soluble in cold water. Common options include a Crystal Light packet and apple juice. Ask your physician before adding in any sugar or sugar substitutes.

On the other hand, any form of dairy can’t be added to the prep. Avoid anything with red or purple color since these may be interpreted as blood on the colon lining.

What Can You Mix With Colonoscopy Prep? Dissolving the prep in chilled water is a common practice. However, it’s also possible to dissolve the colon prep powder in a sports drink or clear juice.

When mixing with liquids other than water, take into consideration sugar level and electrolyte presence. Constant bowel movements are bound to make any patient weak, so it’s important to ensure that the liquid and electrolytes lost are restored through drinking liquids in large amounts.

Drinks like Gatorade G2 are a perfect vessel for a prep drink. When in doubt, contact your primary physician and make sure that your mixer won’t interfere with the preparations.

Signs The Colon Prep Drink Is Working

1. Progression In Bowel Movements

The bowels are meant to change after drinking the solution. Expect initial bowel movements to be composed of firm to semi-firm stools. As the colon takes up more liquid and expels more waste, the stools will be liquid in consistency and clear in color. Keep drinking water or other clear liquids to aid in the cleansing.

2. Bloating and Cramping

Although uncomfortable, bloating and cramping are both good signs that the prep is working. As the colon pulls in water to expel waste, your stomach can get triggered, causing irritation and pain. This results in bloating and cramping in the abdominal area.

3. Clear brown liquid

As more and more fecal matter is expelled from the colon, your colon will start expelling waste in the form of clear brown liquid. Don’t be alarmed: at this point, the bowel movement will start slowing to a halt until no waste is present in the colon.

4. Yellow clear liquid

Expelling yellow clear liquid is a clear sign that the prep has worked successfully, and that the colon is clear from majority of the waste.

This can happen before all the liquid prep has been consumed. When it does, keep drinking the solution until the entire prep kit has been consumed. Otherwise, the cleanse would not be as effective.

Reducing Discomfort During Preparation

Why Is It Uncomfortable In The First Place?

It’s not just the process of drinking the actual solution that makes the prep so uncomfortable. Physical pain is often reported by patients as a result of frequent bowel movement. Here are the two most common complaints when it comes to colon preparations:

• Diarrhea: Diarrhea on its own is already inconvenient. The volume alone can make the anus raw and irritated. A rash ointment usually helps. Applying vaseline around the hole, using wet wipes, and spraying water on your anus during the movement can all increase lubrication and help with  irritation.

• Stomach Cramps: Replenish your body’s water source by drinking large amounts of liquid. When the stomach cramps start, drink warm water to help ease up your stomach. Take a break when you’re consuming the drink if needed.

Helpful Tips For An Easier Colon Prep

1. Keep the solution cold. Keep the drink above room temperature to make it easier to swallow. Freeze the container the night before the colon prep or simply refrigerate the mix. Adding ice cubes after mixing the prep powder in water will dilute the drink and lessen its effectivity.

2. Set your pace. Some patients prefer to chug their prep while others prefer to use a straw. Take your time and drink depending on your comfort level. The important thing is to drink each and every drop of the liquid, regardless of how you do it.

3. Make dietary modifications. As discussed, make changes to your diet days before the colon prep. This adjustment allows for an easier colon cleansing and a more comfortable colon preparation.

4. Hold out on the spice. Spices can irritate your anus during consistent bowel movements. Avoid spicy foods up to 3 days before your colon prep.

5. Keep medicine in hand. Nausea medicine is a necessity for patients who have trouble keeping the drink down. Ask your physician in advance regarding drug interactions between your chosen prep drink and the anti-nausea medicine.

6. Get some clear juices and soup. Refuel your body with approved drinks and food. This includes clear juices like apple juice and broth and bone-based soups. When picking out drinks, choose those with electrolyte to keep your systems in balance.

7. Plan your first meal. Hunger, fatigue, and nausea can make any colonoscopy preparation challenging. Set your first meal in mind as a goal to keep yourself focused throughout the preparation.

8. Keep entertainment ready. Preps can feel long and arduous so make sure to keep entertainment ready. Use this time to catch up on a show, watch a new movie, or finish an old book.

9. Use flavorful juices as mouthwash. When the flavor of the prep gets too overwhelming, use clear juices to fight the flavor by using it as mouthwash. Swish the juice around your mouth for a couple of seconds and spit it out. Repeat frequently to prevent vomiting during the process.

10. Ask around for alternatives. Aware of certain complications? You may request a different kind of bowel prep if you think the one prescribed to you won’t work. There are dozens available on the market, from powder to pill form, to generic to branded.

Liquids and Colonoscopy: Diet, Hydration, and What To Avoid

What Is A Clear Liquid Diet?

Patients are kept on a clear liquid diet to ensure that the colon doesn’t have any residue or waste. Normal foods leave particles and residue that may affect colonoscopy reports.

The rule of thumb for this diet is making sure the food is clear; as long as you’re able to see through the food, it is considered a clear liquid diet. These foods include:

• Icicle pops without dairy, fruit or nuts
• Fat-free broth or soup
• Sports drinks without red or purple dye
• Tea and coffee without milk or cream
• Colorless gelatin
• Beverages such as lemonade and fruit punch
• Apple, white grape, lychee juice, or any other clear juice without the pulp
• Water (it doesn’t matter if it’s carbonated or flavored)

Liquid diets are limited precisely because they are not meant to be palatable. The purpose of the diet is to maximize the prep drink, while keeping the body hydrated. Liquids limit the strain on the intestine and keep the body up and running even without significant nutrients.

Liquid diets are only recommended for tests and should not be extended beyond the necessary timeframe. Patients will be allowed to resume regular meals once the colonoscopy has been completed.

Liquid Diet Sample

Listed below are some ideas on what a clear liquid diet looks like:

Breakfast	Lunch	Dinner
Gelatin bowl, with optional sugar or honey	Bowl of broth, without spices, oil, and any fat	Bowl of broth, without spices, oil, and any fat
Cup of coffee or tea, without dairy products	Cup of coffee or tea, without dairy products	Glass of clear juice without pulp
Glass of clear juice without pulp	Glass of clear juice without pulp	Soft drink or sports drink
Frozen icicle pop without dairy products and coloring	Gelatin bowl, with optional sugar or honey	Frozen icicle pop without dairy products and coloring

Frequently Asked Questions

What do you drink before and after a colonoscopy?

• Drinks with electrolyte are the most ideal drink before a colonoscopy, but just about any clear liquid will do. The digestive system needs to adjust after a colonoscopy, so don’t consume tough meats, alcoholic beverages, and raw vegetables and fruits just yet. All kinds of fruit juice are allowed then. Stick to soft foods such as peanut butter, mashed potato, and scrambled eggs until the body settles.

Can you drink alcohol before a colonoscopy?

• Alcoholic beverages are not allowed before a colonoscopy. After the exam, fill your body with substantial food and give it time to readjust before consuming alcohol.

Can I drink coffee before a colonoscopy?

• Yes, coffee and tea are fine. Sugar and other sweeteners are optional as long as you don’t add dairy products.

What juices are allowed before a colonoscopy?

• Clear, pulp-free apple juice is the go-to fruit drink for colonoscopy prep. White cranberry, white grape, and lemon juice are all good options as well.

Are all kinds of gatorade allowed before a colonoscopy?

• Sports drinks are an amazing source of electrolytes and should be a part of anyone’s colon prep. However, avoid gatorade drinks that have red and purple coloring. To be safe, stick to ones that are colorless or very lightly colored.

Are There Alternatives To Colonoscopy Prep Drink?

There are no other ways to clean out the colon except by drinking a colon prep drink. With many options available, you are bound to find one that works best for you.

For example, the process of drinking the prep drink Pico-Salax only involves drinking two glasses of water instead of the usual three to four liters. For anyone who is scheduled for a screening, this seems like a much better option compared to the others.

However, doctors say that patients should be wary with low-volume preps. While convenient, there is no recognized study stating that low-volume options are just as good as high-volume ones. As gastroenterologist Dr. Michael Bernstein said in a report, “The downside is that it doesn’t tend to be quite as good at cleaning out the colon.”

Colonoscopy preparations may be inconvenient, but they are nothing compared to having to fight actual colon cancer. Get in touch with us today to learn how we can make your colon prep comfortable.

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