Often, patients respond well to a combination of lifestyle changes and a medication regimen. Here are 18 healthy ways to sweeten oatmeal without sugar: Oatmeal is an incredibly popular breakfast food staple, and it is a very healthy one. Learn more here.As an Amazon Associate, I earn from qualifying purchases. Stevia (Stevia rebaudiana) is a bushy shrub native to northeast Paraguay, Brazil, and Argentina. Remember, GERD is an individual disease. It neutralises the acid in the stomach, reducing the reflux. This low-acid root veggie is a great choice for heartburn . ), Are Pastries Acidic? Some of the best snacks you can have on acid reflux or GERD are: Even though these snacks are low in sugars and fats, they should still be consumed in small quantities and rarely. Healthline Media does not provide medical advice, diagnosis, or treatment. Top with a small amount of whipped topping to add flavor and sweetness. However, broccoli is very rich in fiber and can cause gas and indigestion in some people with digestive issues." she says. Incorporating these foods into your diet may help your overall acid reflux pain : High fiber foods like oatmeal, brown rice, sweet potatoes, carrots, beets, and green vegetables make you feel more full and help keep your meals small. (Better Than Raw Foods? Glycemic Index - How is the sweetener affecting my blood sugar levels? The content on IAmGoingVegan.com is intended only for informational and educational purposes. Theyre all still forms of sugar and are high in calories, so use no more than 1 to 2 teaspoons per day, Taylor says. 6. Individuals with GERD should be mindful of choosing recipes with low-fat ingredients, says Bailey Flora, RD, a registered dietitian with Cleveland Clinic's Center for Human Nutrition. Stevia is a natural, zero-calorie sweetener that may help lower both your blood pressure and blood sugar levels. It's got plenty of fiber, will fill you . And everyone eats chocolate. Let's take a look at six of the best snacks for heartburn sufferers; we'll also take a look at some foods to avoid if you are suffering from GERD. Because spending your day tethered to the toilet isn't so sweet after all. Artificial sweeteners may be associated with changes in gut bacteria and lead to increased fat storage, which no one wants. "One of the reasons we're symptomatic with acid reflux is because it causes damage to the lining of the esophagus," says Nipaporn Pichetshote, M.D., a gastroenterology specialist at UCLA Medical Center. You can also make your own applesauce. And if used in moderation, artificial sweeteners can be part of a healthy diet. This showed that artificial sweeteners altered gut microbes significantly, and resulted in glucose intolerence in consumers. They stimulate your appetite, encourage your sweet tooth and pack on the pounds while also placing you at risk for obesity, type 2 diabetes, heart disease and fatty liver. Health.com recommends a . The Complete Idiots Guide to Vegan Cooking states: Although many people think of honey as a terrific pure and natural sweetener, the fact that it comes from bees, who work hard to collect nectar and regurgitate it as food for their colony, makes it a nonvegan product.. Gastroenterology Gastric Surgery. Cleveland Clinic is a non-profit academic medical center. However, powdered erythritol available for purchase is most likely made via an industrial process. For example, a strawberry banana smoothie with low-fat yogurt is a delicious snack to help you get geared up for your next task. But if you divorce philosophical or moral opinions from consideration and focus purely on physiology, you'll see that the human body was designed to absorb sugar quickly, easily and completely. The bad news? The main symptoms of acid reflux are: heartburn - a burning sensation in the middle of your chest. Best Continuing Care Retirement Community (CCRC), Best Medicare Advantage Plan Companies 2023, Best Medicare Part D Prescription Drug Plan Companies 2023, These Healthy Seasonings Are Tasty Substitutes for Sugar and Salt, Center for Science in the Public Interest, What to Eat, Drink and Do to Relieve Constipation, Find Continuing Care Retirement Communites, Sucrose (white sugar, table sugar, cane syrup, maple syrup), Fructose (including high-fructose corn syrup, agave nectar and honey). Symptoms are often worse after eating, when lying down and when . Its also a good idea to avoid snacking and eating in general for about two hours before bed or even longer. Artificial sweeteners like aspartame have received a lot of negative publicity. It's a powerful anti-inflammatory that can help relieve gastroesophageal irritation from exposure to acids and soothe the stomach in general. Its also best to stay away from ice cream and chocolate, which are two known acid reflux culprits. angel food cake. The fruit contains mogrosides: compounds that are 200 to 300 times sweeter than table sugar. Heartburn sufferers, however, have to be careful what toppings they put on crackers. You can continue running your avoidance strategies, picking and choosing what you eat and drink at every meal this strategy works well for many of our patients. There is absolutely nothing about water that will trigger acid reflux. It could become quite expensive to try out all of the sweetener for acid reflux available to find what fits your needs. This is thebest vegan multivitamin Ive foundin my 14 years of being vegan. These butters contain protein, healthy fats, fiber, many vitamins and minerals, and phytochemicals. Glucose. Try sweetening oatmeal by mixing in banana or applesauce, adding berries to plain Greek yogurt and sweetening smoothies with frozen fruit. Improves digestive health; includes complex carbohydrates to help manage diabetes; includes energy-boosting nutrients; aids in bone health; increases circulation. Even though snacks might seem unhealthy, no matter what they are, there are several foods that you can snack on if you get hungry in between the meals without worsening your acid reflux or GERD symptoms. A number of traditional holiday flavors can fit in perfectly with a GERD-friendly diet. Many are sweet enough to satisfy a craving, but are less likely to irritate your GERD and make you uncomfortable. However, like other sugar alcohols, it can cause digestive side effects, including abdominal gas and diarrhea, at high doses (13). Monk fruit also contains antioxidant compounds known as mogrosides, which studies have shown may reduce markers of inflammation (19, 20). Uncomfortable symptoms like heartburn, chest pain, and regurgitation can be brought on by a number of foods, according to the Cleveland Clinic. A dietitian provides the real facts on banana nutrition. They're low . As an added benefit, yogurt and banana can help quell an acid reflux flare-up. Here are 5 natural sweeteners that could be healthier alternatives to refined sugar. Coming in at the number one way to sweeten your food and drinks is by using fresh or frozen fruit. Gastroesophageal reflux disease (GERD for short) causes daily persistent heartburn, also called acid reflux, in nearly 1 in 5 American adults. Grenache. But if you have acid reflux and are struggling to manage it, then chocolate is definitely something you'll want to cut out of your diet. If you are experiencing serious medical symptoms, please see the Ginger is one of the best home remedies for acid reflux. You don't have to skip a sweet treat at the end of a meal, but choosing those that are easier on your GERD will reduce symptoms. My patients are often surprised when I tell them that white ("refined" or "table") sugar makes this list. These protein powders are all derived from plants, so they are suitable for a vegan diet. The publisher of this content does not take responsibility for possible health consequences of any persons applying the information in this educational content. Watermelon. But, were all human and cutting all sweeteners tomorrow isnt realistic. What about other natural sugar substitutes like honey? Daily Intake of Sugar How Much Sugar Should You Eat Per Day? As long as you stay away from jams and jellies flavored with or made entirely of citrus, this is a safe snack. Alkaline foods like bananas, melons, cauliflower, fennel, and nuts have a higher pH and can . Despite being one of the priciest wines in the world, Grenache wines are also one of the best choices for people with acid reflux and heartburn. These scrumptious pistachio cranberry oatmeal cookies from Joyful Healthy Eats are free of common GERD triggers like chocolate, mint, and citrus, and instead are heavy on oats and nuts, both of which are safe for frequent heartburn sufferers, Kennedy says. Helps to manage diabetes; controls cholesterol levels; increases weight loss; improves digestion with prebiotic oligosaccharides; improves liver health. Erythritol is a so-called "sugar alcohol" that's somewhat better absorbed than its cousins whose names also end with "ol," though it can still provoke gas and diarrhea in people who are fructose intolerant. 3. How can you break your habit? To prepare, fill a popsicle maker with your favorite yogurt flavor. Not only is it a good source of whole grains, but it includes a starch called beta-glucan that helps to lower cholesterol, protect the heart, and reduce the risk of certain cancers. If you tend to snack late at night, though, you might experience night terrors, nightmares, and poor sleep quality. 2. Plus, youll get a bit of protein from this snack, too! Save Collection. Rich in potassium and fiber; can help to prevent asthma, cancer, high blood pressure, diabetes, heart disease, and digestive issues; a source of many vitamins and minerals, such as vitamin B6, vitamin C, and folate. Monk fruit is free of carbs and calories and may help support better blood sugar management. . Lower or no calorie sweeteners are substances used instead of sugar to sweeten foods and drinks. Any of the teas outlined above can help with acid reflux. Opt for teas without caffeine. Erythritol is another low calorie sweetener. For sugar and sweeteners, consider the following factors: 1. Spotty ripe bananas are one of the sweetest fruits, so a little goes a long way toward sweetening your oatmeal. So, as you can see, snacking may have very negative effects. Its entirely possible to enjoy your favorite sweet foods on occasion without harming your overall health, as long as your diet mostly comprises nutrient-dense, whole foods. In fact, consuming high amounts of natural sugars or sugar substitutes over the long term could increase cravings for sweets and may contribute to issues like weight gain and type 2 diabetes (22, 23, 24). low-fat cookies. The ones we like the best are ginger tea, chamomile tea, licorice tea, marshmallow root tea, turmeric tea, fennel tea, and slippery elm tea. Dates are one of the sweetest fruits, and date syrup gives you that natural sweetness in syrup form! Muesli-Style Oatmeal. Simmer the sauce for about 25 minutes to see if it still tastes sour or sharp. It has vitamin B12, vitamin D, omega-3and nothing else. The texture ends up better for some reason, in my opinion. The best drink for anyone with acid reflux is good old-fashioned water. And apple is also a non-citrus fruit, making it safe for people with GERD. At this point in your acid reflux journey, you probably know well enough to stay away from citrus fruits. Furthermore, research shows that xylitol can increase levels of several compounds in the digestive tract to help support your gut microbiome (12). Apple juice is generally well-tolerated, as well as a good substitute for oil or butter in baked goods. Theyre low in calories, low in fructose, and taste very sweet. The truth about sweeteners. 2. Despite being one of the priciest wines in the world, Grenache wines are also one of the best choices for people with acid reflux and heartburn. When you're standing, or even sitting, gravity alone helps keeps acid in the stomach, where it belongs. This nutrient tends to cause digestive system issues and acid reflux symptoms, such as heartburn. While not all snacks might be acidic, studies found that consuming snacks and drinks between meals may make your acid reflux and GERD symptoms worse. Thats true whether its in soda, sweet tea, fruit drinks, packs of sugar or sugar substitute for coffee or tea, or artificially sweetened flavor packets for water, Taylor says. 2. When I cut down on added sugars and sweeteners, I started enjoying the natural sweetness of fresh berries and melon, Taylor says. Ginger is perhaps one of the strongest foods for acid reflux prevention. 2005-2023 Healthline Media a Red Ventures Company. Its typically described as a pain or burning sensation in the . You can add more baking soda as you deem fit. Erythritol is a very sweet and low calorie sugar alcohol. If you dont like the cocoa powder, just the bananas and cinnamon are great by themselves, too. Xylitol appears to have some benefits for dental health, including reducing the risk of cavities and dental decay (10). No content on this website is intended to diagnose, cure, treat, or prevent any disease or health condition. Xylitol is a very popular sweetener. Ginger is one of the best digestive aids because of its medicinal . Watch the Food for Health Masterclasscompletely freeand discover the 10 surprising nutrition breakthroughs everyone should know. Drink flat water instead of sparkling water. Because of that, its important to choose the ones that have alkaline-forming properties or the ones that are the least acidic. Learn about 10 possible benefits of drinking hot water. Its free of calories and carbs, and some research suggests it may help support better blood sugar management. Grenache. Challenge yourself your foods and beverages dont always need to taste sweet, Taylor notes. especially artichoke, leafy greens, carrots, squash, sweet potatoes, asparagus, green beans, peas, cucumber and fennel (just be careful of tomatoes . Also avoid coffee and alcohol, as they increase gastric acid and can lead to reflux, Culbertson advises. How to Bake Brownies in a Convection Oven, Dr. Gourmet: GERD/Acid Reflux Safe Recipes: Desserts, NIDDK: Gastroesophageal Reflux (GER) and Gastroesophageal Reflux Disease (GERD) in Adults, Jackson Siegelbaum Gastroenterology; Gastroesophageal Reflux Disease; Frank W. Jackson, MD. Read more about the reasons you should eat mushrooms and how to cook with this versatile food. These foods may help keep heartburn at bay. . . It is a good alternative for those who are lactose intolerant or have a milk allergy. Like milk, yogurt acts as a temporary buffer, soothing heartburn symptoms. A snack labeled low sugar or no sugar may not be the most nutritious choice. For many of these people, occasional heartburn or regurgitation is an unpleasant experience, but doesn't progress to anything more serious. Ingredients of Monster Zero Ultra. If you have prediabetes or diabetes, artificial sweeteners and stevia are preferable to real sugar. Sweet Peppers. This article contains scientific references. You can elevate your head in a couple of ways: Place bricks, blocks, or something sturdy and secure under the legs at the head of your bed. Agave nectar provides fewer nutrients than raw honey or pure maple syrup. Below, Ill share one of my favorite combos. Fruit-based desserts are often a great choice for individuals with GERD, Flora says. Nutrition per serving (serves 24; 1 cookie per serving): 115 calories, 5 grams (g) total fat (3g saturated fat), 2g protein, 16g carbohydrates, 1g fiber, 9g sugar, 36 milligrams (mg) sodium. 7. Finally, their bite-size nature is essentially built-in portion control, making it easier not to overindulge. But fear not! Heartburn Cured makes a strong argument that the consumption of excess carbohydrates is the root cause and real trigger for acid reux and the resulting complications like Barrett's and esophageal cancer. Rizza actively participates in community initiatives to prevent illness and promote the health of parents and their children. Last medically reviewed on September 23, 2021. Many sugary drinks contain about 40 grams of added sugar per serving.. Additionally, a few human-based studies suggest stevia may have health benefits, including for the following health parameters: Many people greatly dislike the taste of stevia. What matters more is making sure sweeteners of any kind aren't such a big part of your diet that your overall health suffers. Spoon small balls of the batter on a cookie sheet leaving 2 inches between each ball. This guide to the best eating plans for people with diabetes can help you decide on a plan. Luckily, you can sweeten oatmeal in many ways using fruits and berries, nut and seed butters, syrups and nectars, some artificial sweeteners, and protein powders. Cinnamon is one of those comfy ingredients that make you feel warm insidebut its healthy, too! Not only does it contain zero calories, but stevia-based sweeteners are herbal as opposed to artificial. Experts believe its because snacking between meals causes your stomach to overproduce gastric acid, which then rises up your esophagus and causes heartburn and other issues. Furthermore, while these natural sugar substitutes may be a better alternative to regular sugar if used in moderation, they should not be considered a quick fix for your health concerns. The most relevant research was conducted in 2014 in a study in Nature. "It's high on the pH scale, meaning that it's alkaline and not acidic. This is the best free video training Ive found on plant-based nutrition. Nut and seed butters. Therefore, stevia is very sweet but has virtually no calories. Eat + Run is here to help, with expert advice served up daily. Celery. Citrus-flavored yogurts may cause your GERD symptoms to flare, so stick to those that don't contain oranges, pineapples, limes or lemons. Research in rats suggests it may improve bone density and lower the risk of osteoporosis. In addition, you should keep track of any of your personal triggers; some patients find that they have some triggers that others do not. Mushrooms are trending, both inside and outside of the food world. Has a low glycemic index value, which makes it a good choice for diabetics; a natural sweetener that is much sweeter than sugar. Thats when my sugar cravings started to fade.. Food isnt the only place where added sugar hides. Saccharin. Oatmeal is a better choice. Yet, this same research concluded that theres not enough evidence to determine the safety of monk fruit extract as a food additive (18). 1. You don't need to use much, since monk fruit extract is 250-300 times sweeter than sugar. The best alcohol for acid reflux are as I mentioned vodka and gin whereas most of the other alcohols like bear, wine etc all tend to be very acidic. Remove the pan from the heat source when the sauce is ready. It contains 140 mg of caffeine per 16 oz. Helps reduce cholesterol; contains antioxidants that promote healing; reduces inflammation; promotes healthy digestion. 13. We do not endorse non-Cleveland Clinic products or services. That's because these sweeteners are very easily absorbed in our digestive tracts. At the very least, drink unflavored tea, coffee, bubbly water or water with fruit infused in it.. Erythritol. Yogurt is not considered a common trigger of GERD and using it to create dessert allows you to enjoy a treat without experiencing discomfort. Choosing nutritious, naturally sweet options like fruit and nut butter is a good choice when craving something sweet. There are four approaches for gastroesophageal reflux disease (GERD) treatment, including medication and surgery. The Most GI-Friendly. However, there are foods . 4. Think no cheesecake, chocolate cake, mint ice cream, and so on, she says. Mix and match your favorites to create a refreshing dessert. Coconut nectar is taken from the sap of the flowers on the coconut tree. Nutrition per serving (serves 30; 1 pastry per serving): 120 calories, 3g total fat (1g saturated fat), 1g protein, 4g carbohydrates, 0g fiber, 1g sugar, 55mg sodium. Its very high in fructooligosaccharides, which function as soluble fibers that feed the good bacteria in your intestine (15). 2. Xylitol is a sugar alcohol with a sweetness similar to that of sugar. Artificial sweeteners will not immediately raise your blood sugar like real sugar, Taylor says. You can find a full list of all food additives, including all sweeteners, authorised for use in Great Britain on the . Some foods are common triggers of the disease and you should avoid them whenever possible. If youve reached that point, it might be time to speak to a reflux specialist; we do have some surgical options that will eliminate your heartburn woes for good. Finish eating three hours before you go to bed. The good news is that natural sweeteners provide a few more nutrients than table sugar. Maple syrup, the most popular way to sweeten pancakesits made from tree sap! Ginger - Often used for upset stomachs, it is a powerful plant that seems to alleviate the effects of acid reflux as well. The flavor depends on the brand, though, so you may need to experiment to find a type of stevia you like. Stevia blended with a sugar alcohol called erythritol (Truvia) works well in low-carb baked desserts, too. What salty snacks can you eat on acid reflux? These foods are known as . Figs contain natural sugars, minerals, potassium, calcium and iron. Contains many nutrients, vitamins, and minerals, such as fiber, protein, potassium, and magnesium; has disease-fighting antioxidants; can improve brain function; aids in bone health and blood-sugar control. Navigating the wide world of eating plans can be a challenge, especially for people who have been diagnosed with diabetes. Get creative with these snack foods; sprinkle them on peanut butter toast or add them to your oatmeal, too! Coconut flesh and flakes. Let sit for 5 minutes before stirring in extra-virgin olive oil. This could translate into gut issues, including increased gas levels and acid reflux, but it's not been proven. And yes, they're good for you! Plain yogurt with diced bananas or peaches is also a good option for dessert. They may still lead to weight gain and increased hunger. How to Make Healthy and Delicious Smoothies, Quick Snacks To Help Kick Your Sugar Craving, 6 Sore Throat Remedies That Actually Work. If you want to make mealtime and snacktime much easier, it can be helpful to keep a list of heartburn-safe snacks (and the ingredients to make them) right in your kitchen. Nutrient Quality - How "empty" is my sweetener? As you can imagine, the healthiest snacks for acid reflux are fruits. You can purchase saccharin from the sugar aisle in any supermarket and it comes in little 'tablets.'. Best artificial sweetener overall: Whole Earth Erythritol. FREE SHIPPING ON Orders OVER $59+ Call Us:1-866-531-0466 My Cart ( 0 ) Angel Food Cake. Nutrition per serving (serves 4; 1 cup apples plus crisp topping per serving): 275 calories, 15g total fat (7g saturated fat), 4g protein, 36g carbohydrates, 6g fiber, 17g sugar, 3mg sodium. They may contain slightly smaller amounts of fructose and a tiny amount of nutrients, but your body really wont be able to tell the difference. Add the crushed tomatoes and tsp baking soda and stir. Movement and exercise guidelines can sound overwhelming and complicated. Its harvested from the yacon plant, which grows natively in the Andes in South America. However, other vegans feel that eating honey is acceptable because bees may not even experience pain in the same way other animals do. Sprinkle raisins on each cookie. This article explores if artificial. Refined sugar can take a detrimental toll on your healthpotentially contributing to issues like obesity, diabetes, heart disease, depression, and some forms of cancer. bad breath. A sugar/sweetener that works for some people may not work for you. Snacking just before heading to bed may also lead to weight gain as youre not using the calories that youve just consumed. Contains cinnamaldehyde, which has great effects on health and metabolism; loaded with antioxidants; has anti-inflammatory properties; helps with heart health and the bodys response to insulin; has a powerful anti-diabetic effect; provides beneficial effects for neurodegenerative diseases like Alzheimers; helps fight bacterial and fungal infections. Contains antioxidants to prevent oxidative stress on your cells, helping to reduce the risk of sickness; improves blood sugar levels and insulin response; helps to fight inflammation; full of nutrients like vitamin C, manganese, and folate; considered a heart-healthy food; can help lower cholesterol. Firstly, its best to choose foods to snack on that dont contain too much fat. It is also thought to help the body to cope with . You may be hungry all the time for several reasons, including diet, stress, or medical conditions. Whole foods, such as fruits and vegetables, usually have the best mix of nutrients for the body. However, its important to check the ingredient label when purchasing monk fruit extract, as many products are combined with sugar or other sweeteners, which could negate its potential health benefits. Agave nectar has the same number of carbohydrates and calories as table sugar, but you get a lot of flavor from a small amount, Taylor says. As a result, fried foods, cakes, pies, and similar should be limited as much as possible on a low-acid, stomach-friendly diet. But there are many other snack choices that can help you satisfy your craving for salty snacks. Unfortunately, some of the most common triggers are present in large quantities in traditional sweet holiday favorites. The 56 Most Common Names for Sugar (Some Are Tricky), 9 Evidence-Based Health Benefits of Almonds, Glycemic Index: What It Is and How to Use It. However, at a certain point, this strategy goes from being what you have to do to frustrating and time-consuming. Be careful: some vanilla powder has been mixed with sugar for sweetness. Also, be aware of which sweeteners are used to sweeten your protein powder. a hoarse voice. Crisps are a great alternative to pies, which are often high in fat, meaning theyre off-limits if you want to keep GERD symptoms from flaring. 4. What Are the Benefits of Drinking Hot Water. Fruits, syrups, and more can be Use a true measuring spoon (not just what you think is a teaspoon that you grabbed out of your silverware drawer) to gauge how much added sugar youre using daily. Here's how to get all the protein you need, minus the meat, with these protein-rich foods. Best artificial sweetener for weight loss: Swerve Sweetener. Your food triggers may differ from others, so be sure to avoid any dessert with an ingredient that exacerbates your condition. Green vegetables such as asparagus, broccoli and green beans. Meanwhile, there is no strong evidence that diet drinks are a cause of cancer in humans. Oatmeal with fruit or other high-fiber cereal. A lot of people dont realize you can buy protein powder with food stamps online. Cooking seafood might seem daunting, but these tips will help you gain confidence in the kitchen so you can prepare more seafood at home. Lactose is a natural sugar found in dairy products, and most lactose intolerant people know to be careful when consuming certain types of dairy. It is a dairy- free milk alternative that is made by soaking oats in water and then blending them into a milk-like consistency. Adjust your sleep position. February 25, 2023 by Pao. The harmful effects of sugar depend completely on the context. Youll learn how to reduce your risk of cancer, heart disease, type 2 diabetes, Alzheimers, and obesityall with plant-based food. Several sweet compounds are found in stevia leaves. Video of the Day. 4. In the end, its best to follow a balanced approach to your diet, which involves enjoying your favorite foods on occasion. Among the estimated 30 percent of people with dietary fructose intolerance a benign condition in which your gut's ability to absorb a type of sugar called fructose is limited consuming foods that contain excess amounts of fructose will cause gas, bloating, diarrhea or all three. Cleveland Clinic 1995-2023. Non-fat Greek yogurt. Its also important to control how many snacks you consume, even if theyre relatively healthy. Agave nectar is high in calories, carbohydrates and sugar, with about 21 calories per teaspoon or approximately 60 calories per tablespoon. ). Looking for a sign that its time to take charge of your diet? This blog is reader supported. By subscribing you agree to the Terms of Use and Privacy Policy. COVID-19 updates, including vaccine information, for our patients and visitors Learn More 8 /12. of signs you need emergency medical attention or call 911. Generally, snacks have a bad reputation for being unhealthy and bad for you. 1996-2023 Everyday Health, Inc., a Ziff Davis company. 1. Drink plain water! Drinking hot water is a great way to stay hydrated, and it might have extra health benefits. Elevating your head and chest higher than your feet as you sleep can help prevent and ease acid reflux and heartburn. For example, if you experience symptoms of acid reflux or GERD, you may find that most common snacks have acid-forming properties, which means they may aggravate your symptoms.