Aim to maintain normal weight!Determine BMI (body mass index, body mass index) or body composition using electrical impedance analysis.
Falling below the BMI lower limit (from the age of 45: 22; from the age of 55: 23; from the age of 65: 24) → Participation in a medically supervised program for the underweight.
Notes on sleep:
Avoid lying down immediately after eating. When lying down, the stomach contents flow back into the esophagus more easily.
If necessary, sleep with a slightly raised headboard by raising the head end of the bed by a wedge (ca.10-20 cm; alternatively by a wedge under the mattress).
Become a “left sleeper” and sleep preferably on the left side of the body. In the left position, your stomach and its contents – relative to the floor – is lower than the esophagus. The acidic gastric juice then flows due to gravity less often into the esophagus (reflux) and thus triggers heartburn less often.
Tight-fitting pajamas can increase the pressure on the stomach and thus the risk of heartburn.
Conventional non-surgical therapy methods
Pneumatic balloon dilatation (dilatation of the narrowed gastric inlet using a liquid- or air-fillable balloon catheter)
The procedure is performed as part of a gastroscopy (gastroscopy).
Success rate is about 60%
May require recurrence dilatations (after 1-5 years).
Complications: Perforation (puncture of the tissue) (1-5%).
Regular checkups
Regular medical checkups
Nutritional medicine
Nutritional counseling based on nutritional analysis
Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
In cases of dysphagia, functional measures can reduce the risk of solid or liquid food entering the airways below the glottis level (vocal fold apparatus with associated actuating cartilages, with associated glottis). In this process, the following posture contributes to lowering pressure on the upper esophageal sphincter (esophageal sphincter): Head flexion and flexion (bending) of the neck.
Observance of the following specific dietary recommendations:
The food must be well chewed.
Puree solid foods with a blender, possibly adding a light sauce. To puree cooked vegetables, it is recommended to use milk instead of a broth. By adding cooked potatoes, the pureed meal can be varied in firmness. The pureed meal can be supplemented with protein-rich foods such as egg, grated or soft cheese, tofu, pureed chicken or pureed fish and finished with cream or a little butter.
Prefer mushy and liquid food such as soups, mashed potatoes and vegetable purees.
Frequently drink small amounts (herbal tea, mineral water, buttermilk or kefir), especially at mealtimes.
Avoid late meals. Between the last meal in the evening and bedtime should be at least 3 hours.
