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Kathrynne Holden and others: On the neuro-chief-mgh-Harvard site there is a section dealing with PD and stomach/intestinal conditions affecting treatment which raises a diet/nutrition question. It says that there have been a few instances where Sinemet and dopamine agonists "open the valve between the gullet and the stomach resulting in gastric juices flowing back into the gullet and causing an inflamation of the gullet. ... Patients who have a Hiatus Hernia are especially vulnerable to this complication. ... Patients who have a Hiatus hernia, and take antiparkinson drugs, should follow an appropriate diet. In addition, such patients may require antacids or other measures to decrease the inflamation." My question is: what is "an appropriate diet" for a PWP with both reflux and a Hiatus hernia? Are there foods that should be avoided? TIA! -------------------- Sid Roberts 67/dx3 [log in to unmask] Youngstown, Ohio