Stomach Nutrition Counseling Built On Your Endoscopy Report

I am Şeyda Ertaş, a dietitian working entirely online with adults diagnosed with gastritis, reflux or ulcer disease. People usually reach me holding an endoscopy report, an acid suppressant they have taken for a few months and the sentence "everything I eat burns". In my experience the same two gaps show up in most applications: medication hours and meal hours have never been matched to each other, and dinner is eaten far too close to bedtime.

Among clients who start keeping a symptom diary, the first 2 weeks usually reveal the same thing: the culprit is not the food blamed for the burning, it is the hour and the portion in which that food was eaten.

Who I Work With, and Who I Do Not

• Adults diagnosed with gastritis, reflux (GERD), peptic ulcer or functional dyspepsia.
• People on an H. pylori eradication course who want meal and medication timing settled.
• People followed with 1 endoscopy a year for hiatal hernia or Barrett's oesophagus.
• Long-term acid suppressant users who want their B12, iron and magnesium tracked.

I do not work with everyone. If there is blood in vomit, black tarry stool, difficulty swallowing or unintentional weight loss, the plan waits; endoscopy and a physician assessment come first. I write no plans without a diagnosis and medical follow-up, because diagnosing is not my job, and I do not start with anyone looking for nutrition instead of medication. People under 18 and pregnancy need separate protocols.

What Changes in the Plan for Gastritis, Reflux and Ulcer

The three are not treated as one. In reflux the real lever is timing and portion volume; the backbone of the plan is the hour of the last meal and a smaller evening plate. Trigger lists differ from person to person, and I gathered the detailed food breakdown in the foods that help acid reflux guide.

In gastritis the work shifts to lowering acid stimulation. Meal temperature, texture, chewing time and daily coffee volume matter more here than portion size. A worked weekly example sits in the gastritis diet and weekly plan guide.

In ulcer disease, closing the lesion is decided by your acid suppressant and, where needed, H. pylori eradication. My part is widening the range you can eat without pain, stopping weight loss and closing micronutrient gaps. A sample menu sits in the ulcer diet and sample menu guide.

The pictures overlap often. H. pylori starts gastritis, gastritis can turn into an ulcer, and ulcer medication makes reflux more noticeable. When two exist in the same person the plan follows a single order, and the endoscopy report and symptom diary together tell which one dominates.

The Process Starts With Your Endoscopy Report

You can send your application through WhatsApp at no charge; our assistant receives your initial request. You send your endoscopy report, your recent blood work (CBC, B12, iron, ferritin, vitamin D) and your prescription list, plus a short one-week symptom diary. Nothing is prescribed and no dose is altered during the intake assessment. We only decide together whether your picture fits this programme. If an alarm symptom comes up the plan does not open and I send you straight to a doctor.

Once the plan starts we hold a voice call every 2 weeks. In between, your meal photographs and symptom notes arrive on WhatsApp, and I run the trigger testing on those records rather than from a desk. A suspected food is removed for 2 weeks, then reintroduced one at a time.

What the Counseling Includes

• A personal nutrition plan whose meal hours are built around your medication hours.
• Photo meal analysis and the trigger map that comes out of it.
• A voice call every 2 weeks, with WhatsApp contact in between.
• Body measurement tracking and recipes that do not strain the stomach.

Packages differ only in length. Call frequency is identical across all of them and so is the scope; the choice comes down to how many weeks we work together. When bloating and bowel habit are in the foreground the process runs under the intestinal heading rather than the stomach one, and we separate that during the intake assessment.

How Medication Hours and Meals Are Matched

• Absorption tracking: Long-term acid suppressant use lowers B12, magnesium and calcium absorption, antacids impair iron absorption, and sucralfate is taken on an empty stomach. I track these values and refer drift back to your doctor; in ulcer disease low iron can call for investigating a bleeding source.
• The dose boundary: Dose decisions belong to your doctor. Do not stop your medication on your own, since abrupt withdrawal causes rebound acid secretion. My job is a meal pattern that does not undercut the drug: proton pump inhibitors work better 30-60 minutes before breakfast on an empty stomach, yet most people take them with the meal.
• The eradication window: The main goal is that the 14 day course is not abandoned halfway. The menu is built to ease nausea, metallic taste and diarrhoea, and probiotic and fermented food hours are set against antibiotic hours.
• Supplement decisions: I do not recommend supplements automatically. The decision is made against your blood values and the drugs you take; curcumin is not advised for people on blood thinners or with gallstones.
• Texture progression: Painful periods start with soft, lukewarm, small portions. As symptoms settle we return to normal texture step by step, and no restriction is made permanent.