I’m supposed to avoid acidic fruits like oranges, lemons, grapefruit, pineapple, and tomatoes because I have acid reflux. I see no mention of grapes. Are they acidic?
There is a great overview here that has information about acid reflux diets, prevention and what to avoid.
Grapes are on the list of foods to watch because aparently the level of acidity is dependant on where the grapes are grown. For instance grapes grown in warmer climates tend to have lower acidity than grapes grown in cooler climates. Similarly the sugar content is the opposite. Warmer climates make for sweeter grapes. Now this information is only good if you are planning to make wine, but it is an interesting factoid.
One of the best ways to determine how your acid reflux responds to a particular food is to do an elimination diet. If you start by removing all of the acidic fruits and vegetables you'll then be able to add grapes back in to see if they cause you pain. In the meantime, bananas have a great reputation for helping to ease reflux pain, so you're more than welcome to add those into your diet.
Avoid: citrus fruits, cranberry juice, tomatoes and tomato-based foods, peppers, onions, spicy foods, most dairy products, caffeine, high-fat foods, deli meat, cheese, fatty cuts of meat, alcohol, and chocolate.
Be Careful: berries, grapes, garlic, lean meats, yogurt, non-alcoholic beers and wines, sodas, reduced-fat cookies.
Enjoy: apples, bananas, broccoli, carrots, peas, green beans, chicken breast, fish, fat-free or low-fat cheeses, whole-grain bread, brown rice.
What examination is necessary to check recurrence of acid reflux disease? How can it best be prevented from recurring?
Hello! Most likely your primary care doctor will monitor your reflux treatment plan. If you are on reflux medication, this may occur every 6 months (more or less, depending on the severity of your reflux). Periodically, your primary care doctor may refer you to a gastroenterologist for an endoscopy. This test will examine the lining of the esophagus and stomach for signs of irritation and esophagitis. .
Have you had an endoscopy before? Did the doctor tell you when to come back for a follow up endoscopy? Sometimes the GI doctor will repeat the endoscopy in 1-2 years but again, it can be more or less depending on your symptoms and the severity of the irritation/esophagitis.
Take care, Jan