Acidity, reflux & GERD diet support · Greater Kailash-1

Acidity after meals? Let’s look at the pattern.

Personalised food and meal-timing support with Karishma Saxena, Dietitian & Nutritionist, for recurring acidity and reflux.

Dietitian-led support, alongside medical assessment and treatment when needed.

Festive meals coming up? Plan for the dinners, mithai and late evenings.

Illustration: a man at an evening meal, with the food pipe and stomach drawn to show reflux

What happens around your meals?

After certain meals

Burning behind the breastbone, or sour fluid coming back up, after particular meals or dishes.

Late dinners and lying down

Symptoms that arrive at night, after a late or large dinner, and disturb sleep.

Advice that is hard to apply

The list of foods to avoid is long, the family eats together, and you are not sure what is causing the trouble.

“Acidity” can mean reflux, GERD (gastro-oesophageal reflux disease), indigestion, or gas and bloating. Each calls for a different response, so working out which you have comes first.

Some symptoms need a doctor, not a diet appointment

  • New or severe chest pain, especially with breathlessness or sweating: seek urgent medical care now (call 112 or go to the nearest emergency department). Do not wait for a dietary booking.
  • Vomiting blood, or black, tarry stools: urgent medical assessment.
  • Difficulty swallowing, persistent vomiting, or unexplained weight loss: prompt review by a doctor.

We look at your routine, not just a list of foods.

The consultation covers four practical areas.

Meal patterns and timing

When you eat, the gap between dinner and bed, and which meals your symptoms follow.

Portions and your own food associations

Meal sizes, tea, coffee and other drinks, and the foods you have noticed trouble with.

Routines that make changes difficult

Work hours, what the household cooks, late dinners, and prescriptions timed around meals.

A practical plan with agreed next steps

The changes to start with, when to review, and what would prompt a medical assessment.

A diet consultation does not diagnose GERD or rule out other conditions. When the pattern points to something a doctor should assess, we say so and help you arrange it.

What you leave with

  • A clearer picture of your pattern: which meals, timings and habits your symptoms tend to follow.
  • A short list of changes to start with: the few that matter most and fit the way you live.
  • The next step: when to review, and what would mean seeing a doctor.
Request a callback

The clinic team calls you to explain the consultation and the available appointments. Nothing is booked until you confirm.

A plan for the meals on your calendar.

Real calendars have late family dinners, party menus and days of fasting. The plan takes them into account.

Family dinners that run late

What to eat earlier, which dishes to have in full, and what to do before bed.

Rich party menus

Choosing between dishes, how much of the fried course, and where the mithai fits.

Repeated rounds of tea or coffee

How many cups, when, and what goes with them.

Fasting, then a large evening meal

How to break the fast, and how to size and pace the evening meal.

Illustrative example — not a patient result

Someone already on treatment, with late family dinners

A person in their forties takes a medicine their doctor prescribed for reflux. Symptoms are better, but the dietary advice is hard to keep when family dinners start after nine.

What the dietitian would explore

  • Which meals are followed by symptoms
  • What is eaten at the late dinners, and how much
  • The time between dinner and lying down

Decisions that could follow

  • A light, early meal on dinner nights
  • Which dishes to have in full and which to taste
  • A short food-and-symptom record, then a review

The medicine stays as prescribed. The review looks at the person’s experience; it does not promise a result.

What if the symptoms keep returning?

  • The follow-up looks again at what preceded the bad days and what was hard to apply, and changes the plan.
  • Persistent or worsening symptoms lead to medical assessment. The clinic arranges it with a doctor at the clinic or a visiting consultant, and refers you for investigations such as endoscopy where needed. Endoscopy is not done at the clinic.
  • Prescribed medicines are not stopped or changed without the doctor who prescribed them.
Karishma Saxena

Karishma Saxena

Dietitian & Nutritionist · M.Sc. Food and Nutrition, B.Sc. (Home Science), Certified National Diabetes Educator

Karishma plans meals around what a household actually eats: the size and timing of meals, the drinks, and the evening routine. She does not diagnose reflux disease and does not prescribe medicines.

If a symptom needs a doctor, the clinic arranges that as a separate appointment.

Read Karishma’s profile →

Questions people ask before enquiring

What happens after I request a callback?

A member of the office team calls the number you gave, 9 am to 8 pm, except Wednesdays. They explain the consultation and the available appointments, and answer your questions. A callback request is an enquiry: nothing is booked until you confirm, and the call is not a medical consultation.

Is this a dietitian or a doctor appointment?

A dietitian appointment with Karishma Saxena. It looks at your meals, routine and symptom pattern. It is not a doctor’s consultation and does not replace one. If your symptoms need a doctor, the team arranges that as a separate step.

Can dietary support go alongside my prescribed treatment?

Yes. Many people come with a GERD diagnosis and a medicine their doctor has prescribed. Bring the prescription. The plan works around it, and any change to the medicine stays with the doctor who prescribed it.

Does everyone need to avoid the same foods?

No. Triggers differ from person to person, and meal size and timing often matter more than any single food.

What should I bring?

Any prescriptions you take, reports of tests you have had (such as an endoscopy or blood tests), and a rough note of what you ate and how you felt over the past few days. If you have nothing written down, that is fine.

What happens if the symptoms persist?

A follow-up reviews what was hard to apply and adjusts the plan. If symptoms persist or get worse, the team arranges a medical assessment rather than tightening the diet further.

Get a clearer plan for your meals and symptoms.

Leave your name and mobile number and our office team will call you. Nothing is booked until you confirm.

VinayakM
3rd floor, B-23, N Block Market, Greater Kailash-1, New Delhi 110048

Open 9 am to 8 pm, closed on Wednesdays
+91 92171 75397

Directions on Google Maps →

Understanding acidity and reflux

Between the food pipe and the stomach is a ring of muscle that works as a one-way valve. Reflux happens when stomach contents pass back up through it. Acid touching the lining of the food pipe causes the burning called heartburn; sometimes fluid rises far enough to leave a sour taste, cause burping, or provoke a cough or throat-clearing, especially at night.

Occasional reflux after a heavy meal is very common. When symptoms are frequent or troublesome, a doctor may diagnose gastro-oesophageal reflux disease (GERD). That diagnosis is made by a doctor, sometimes with tests; it is not something a questionnaire or a diet consultation establishes, and recurring “acidity” does not automatically mean GERD.

What makes reflux more likely

  • Large meals, late meals, and lying down soon after eating
  • Extra weight, particularly around the abdomen
  • Smoking and alcohol
  • Certain foods and drinks, which vary from person to person: often fatty or fried food, very spicy dishes, tomato and citrus, chocolate, mint, tea, coffee and colas
  • Pregnancy, a hiatus hernia, and some medicines

What generally helps

  • Smaller and earlier evening meals, with two to three hours between finishing dinner and lying down
  • Identifying your own triggers with a short food-and-symptom record, rather than avoiding everything on a list
  • Gradual weight reduction where extra weight is contributing
  • Raising the head of the bed if night symptoms are a problem
  • Stopping smoking and keeping alcohol modest

These measures reduce symptoms for many people. They do not guarantee that reflux never returns, and they are not a reason to stop a treatment your doctor has prescribed.

Medicines

Antacids can help occasional symptoms. Acid-suppressing medicines are prescribed by a doctor for persistent symptoms and are reviewed by the doctor, including any change in dose. Needing over-the-counter remedies most days is a reason to see a doctor, not a reason to keep buying them.

References

  1. National Institute for Health and Care Excellence (NICE). Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management. Clinical guideline CG184. nice.org.uk/guidance/cg184
  2. National Health Service (NHS). Heartburn and acid reflux. nhs.uk/conditions/heartburn-and-acid-reflux
  3. ICMR–National Institute of Nutrition. Dietary Guidelines for Indians, 2024. nin.res.in

This page is for general information and education only. It is not a substitute for a consultation, diagnosis or treatment from a qualified clinician. If you have any of the warning symptoms above, seek medical care promptly.

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