The client attends two sessions with the dietitian to learn about diet modifications to minimize gastroesophageal reflux. The te
aching would be considered successful if the client decreases the intake of which foods? A. Fats.
B. High-sodium foods.
C. Carbohydrates.
D. High-calcium foods.
Fats which are associated with low esophageal sphincter tone, causing increase reflux. Fatty foods can cause the lower esophageal sphincter to lighten, and allowing more stomach acid to backflow into the esophagus.
Eating fatty foods can cause a greater risk for reflux symptoms and these types of foods also delaying in the stomach empty. Carbohydrates and food containing high sodium and calcium do not affect gastroesophageal reflux.
The biggest breakthrough came in 1921 when Frederick Banting and Charles Best conducted a series of experiments one summer in the laboratory of J.J. R. Macleod at the University of Toronto. Like Minkowski and von Mering, they showed that removing the pancreas from dogs made them diabetic.
She is being honest and direct in this response to a difficult situation. By responding in this way she is letting her friends know exactly how she feels about the situation without being angry or harsh or mean, just direct. With any luck her friends will now understand and stop pressurizing her.