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How do meal times affect GERD?

Meal times significantly influence GERD and acid reflux.

1. Consuming large meals increases stomach distension, putting more pressure on the lower esophageal sphincter (LES), which may contribute to acid reflux.

2. Eating close to bedtime can worsen symptoms as lying down hinders the natural gravitational force that helps keep stomach acid in the stomach.

3. Optimal meal spacing, such as having smaller, more frequent meals throughout the day, can prevent excessive stomach distension and reduce the likelihood of acid reflux.

Moreover, avoiding acidic, spicy, and fatty foods closer to bedtime is advisable, as these can trigger reflux. Implementing mindful eating practices, such as chewing food thoroughly and eating slowly, also aids digestion, minimizing the risk of acid regurgitation. A thoughtful approach to meal timing and choices plays a pivotal role in managing GERD symptoms.


  1. Fox, M., & Gyawali, C. P. (2023). Dietary factors involved in GERD management. Best Practice & Research Clinical Gastroenterology, 62–63, 101826. [](

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