Prednisone can slow gastric emptying, meaning food remains in your stomach longer than usual. This delayed emptying contributes to reflux symptoms.
Mechanisms Behind Delayed Gastric Emptying
Prednisone affects the stomach muscles responsible for churning and moving food through the digestive tract. This reduced muscle activity, or decreased gastric motility, is a primary reason for slowed emptying. The drug also influences the production of gastric acid and hormones, indirectly impacting the process.
Clinical Implications and Management
Individuals experiencing reflux while on prednisone should avoid large meals, fatty foods, and acidic drinks, as these exacerbate the issue. Smaller, more frequent meals are generally better tolerated. Your doctor might suggest medication to manage increased acid production. In some cases, adjusting the prednisone dosage or switching to an alternative medication might be necessary.
Always consult your physician about any digestive issues arising during prednisone treatment. They can assess your specific situation and recommend appropriate management strategies.
