ROSH Gastrointestinal Practice Exam

In terms of dietary recommendations for managing reflux symptoms, which of the following may be beneficial?

1. Increased dairy consumption

2. Increased fiber intake

3. Avoiding spicy foods

4. Increased carbohydrate intake

The correct answer is: Avoiding spicy foods

Avoiding spicy foods is recognized as a beneficial dietary recommendation for managing reflux symptoms. Spices, particularly those that are hot or acidic, can aggravate the esophagus lining and trigger reflux symptoms in many individuals. Many patients report that consuming spicy foods leads to increased heartburn or discomfort related to gastroesophageal reflux disease (GERD). By steering clear of these foods, individuals may experience reduced symptoms and an overall improvement in their quality of life. Increased dairy consumption may not necessarily provide relief and can sometimes exacerbate symptoms for certain individuals, as high-fat dairy products can contribute to reflux. Increased fiber intake generally aids digestive health and can help prevent constipation, but its direct impact on reflux symptoms is not as clear-cut as avoiding spicy foods. Increased carbohydrate intake doesn't specifically address reflux symptoms and could lead to weight gain, which is a risk factor for worsening reflux. Therefore, the focus on avoiding spicy foods stands out as a practical and commonly recommended approach in dietary management for reflux.