Essential Nutritional Strategies to Better Manage Pulmonary Arterial Hypertension

Pulmonary arterial hypertension (PAH) is a condition characterized by elevated blood pressure in the lung arteries. It impacts small pulmonary vessels, obstructing blood flow and causing symptoms similar to COPD and asthma. Although rare, affecting approximately one to two per million people, dietary adjustments alongside medication can help alleviate symptoms. Incorporating specific nutrients and lifestyle changes may improve quality of life for individuals living with PAH.

Increase Garlic Intake
Supporting healthy blood flow is vital in PAH management. Garlic contains allicin, which promotes vasodilation and helps reduce pulmonary pressure. Consuming raw garlic shortly after chopping maximizes its benefits, but cooked garlic also offers positive effects.

You can include garlic in your diet either raw or cooked, with raw garlic providing the most benefits when eaten within an hour of preparation.

Avoid Stimulants
Be cautious of beverages and substances that may worsen PAH symptoms. Caffeinated drinks, alcohol, and carbonated beverages can constrict blood vessels and aggravate pulmonary hypertension. Replacing coffee with fresh fruit juices and opting for mocktails instead of alcoholic drinks may help improve sleep quality and symptom control.

Boost Iron Levels
Low iron levels have been linked to increased severity of PAH. Iron plays a critical role in regulating pulmonary blood vessel constriction. Consuming iron-rich foods such as lean meats, legumes, and leafy greens can help prevent deficiency. Pairing these foods with vitamin C sources like citrus, tomatoes, and bell peppers enhances iron absorption.

Monitor Fluid Intake
Since the heart’s pumping capacity is compromised in PAH, excess fluid can worsen symptoms by increasing water retention. Limiting daily fluid intake to around two liters is advisable, but always consult your healthcare provider before making changes.

For optimal management of PAH, lifestyle modifications should be combined with prescribed medications like Adempas® riociguat, which can improve exercise capacity and prevent symptom progression. Always follow your doctor’s guidance regarding dosage and precautions to ensure safe and effective treatment.