UNAIR NEWS – Fasting can be particularly challenging for individuals with Gastroesophageal Reflux (GER), a condition where stomach acid flows back into the esophagus, causing heartburn and other digestive discomforts. If left untreated, GER may develop into Gastroesophageal Reflux Disease (GERD), a more chronic and severe condition often associated with weight loss and anemia. Consequently, it is essential for GERD sufferers to carefully manage their diet and lifestyle while fasting during Ramadan.
Safe fasting practices
Dr. Kurnia Alisaputri, SpPD, a lecturer at UNAIR’s Faculty of Medicine, Nursing, and Health Sciences (FIKKIA), explains that GERD results from recurrent episodes of stomach acid reflux into the esophagus, a condition known as Gastroesophageal Reflux (GER). While GER can occur in anyone, frequent episodes can interfere with daily life and eventually lead to GERD. However, individuals with GERD can still fast safely if they take the necessary precautions to prevent symptom flare-ups.
“Fasting can help regulate stress hormones like cortisol, which otherwise contributes to increased stomach acid production. Additionally, elevated levels of endorphins and serotonin support digestive balance,” she explained.
Maintaining proper rest and eating habits while fasting
Dr. Alisaputri further notes that fasting naturally alters daily routines, particularly in terms of dietary habits and sleep schedules. Maintaining sufficient energy throughout the fasting period can help GERD sufferers manage stress and avoid triggering symptoms. She suggests delaying the pre-dawn meal until just before imsak to help sustain energy levels for a longer duration.
“Changes in sleep schedules can also contribute to stress. If there are no late-night commitments, it is advisable to rest immediately after the Taraweeh prayer to ensure adequate sleep,” she advised.
Choosing right foods and beverages
Dr. Alisaputri emphasizes that certain foods and drinks can trigger excessive acid production. Spicy dishes, coconut milk-based meals, acidic foods, and high-calorie options should be avoided. Instead, GERD sufferers should increase their intake of vegetables, fruits, and lean meats. Vegetables and fruits are high in fiber, which aids digestion and sustains satiety, while properly cooked lean meats provide essential proteins that support immunity.
“Avoid consuming large meals immediately when breaking the fast. Eating dates and drinking water is sufficient to regulate hunger before transitioning to a complete meal,” she recommended.
Dr. Alisaputri, a specialist at Blambangan Regional General Hospital in Banyuwangi, also highlights the importance of staying hydrated. GERD patients should aim to drink at least two liters of water daily during pre-dawn meal and iftar. Carbonated and caffeinated beverages should be avoided due to their diuretic effects, which can lead to increased urination and a higher risk of dehydration throughout the day.
“For individuals working outdoors, fluid intake may need to be increased to prevent dehydration, as dehydration can stimulate excess stomach acid production,” she added.
By following these strategies, GERD sufferers can fast with minimal discomfort and digestive issues. Those undergoing GERD treatment should continue taking their prescribed medications during suhur and iftar as directed by their healthcare providers. If symptoms persist or worsen, it is important to consult a doctor for appropriate medical care.
Author: Azhar Burhanuddin
Editor: Ragil Kukuh Imanto
