Peppermint, chocolate, and caffeine are avoided during treatment for hiatal hernia because:
  1. These foods increase esophageal sphincter pressure.
  2. These foods decrease esophageal sphincter pressure.
  3. These foods cause gastric distension.
  4. These foods stimulate the gallbladder to release bile.
Explanation
Answer: B - Peppermint, chocolate, and caffeine are avoided during treatment for hiatal hernia because these foods decrease esophageal sphincter pressure, which causes reflux and irritation of the mucosa of the esophagus. Prolonged decreased esophageal sphincter pressure can lead to permanent damage to the mucosa.
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