Getting a deep breath..

  In an earlier response to my question (Can't get a deep breath!), you suggesting "adhering to anti-reflux measures."  Exactly what are those "measures"?
Dear Chip,
The lifestyle modifications that are considered helpful in patients with hiatal hernia and gastroesophageal reflux are called
anti-reflux measures. Foods that can decrease lower esophageal sphincter pressure should be avoided. Those foods include:
coffee, tea, cola beverages (with and without caffeine), citrus drinks, fatty foods, spicy foods, onions, peppermint and chocolate.
Medications such as aspirin or non-steroidal inflammatory agents (for example: ibuprofen, naproxen etc.) can be irritating to the
stomach or esophagus. Other medications that decrease lower esophageal sphincter pressure are theophylline and albuterol
(medicine for asthma) and calcium channel blockers (such as dilitiazem, nifedipine for high blood pressure and angina). It is
important for you to review the list of your medications with your doctor. Other helpful lifestyle changes include: elevating the
head of your bed on 4-6 inch cinderblocks or using a wedge under the mattress; not eating at least 3-4 hours before bedtime;
eating smaller, more frequent meals and avoiding smoking and alcohol. I hope you find this information helpful.
This response is being provided for general informational purposes only and should not be considered medical advice or
consultation. Always check with your personal physician when you have a question pertaining to your health.
If you wish to be seen at our institution please call 1-800-653-6568, our Referring Physicians