Which item should be avoided to help manage GERD symptoms?

• A. Yogurt
• B. Caffeinated coffee
• C. Leafy greens
• D. Water

Answer: (B)

GERD symptoms tend to worsen when anything relaxes the barrier between the stomach and esophagus or increases stomach acid. Caffeinated coffee does both: caffeine can relax the lower esophageal sphincter, making reflux more likely, and coffee can also stimulate more acid production. Because of that, avoiding caffeinated coffee is the most effective way among these options to reduce reflux episodes. Yogurt is often soothing and can be tolerable for many people, leafy greens are generally gentle and low in fat, and water helps dilute stomach acid and supports hydration. Individual responses vary, but caffeine-containing coffee is the item most likely to trigger GERD symptoms.