Gastric Reflux Explained Clearly
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- Опубліковано 30 чер 2024
- Roger Seheult, MD of MedCram untangles common misconceptions and provides general information for treating GERD. See all Dr. Seheult's videos at: www.medcram.com/
(This video was recorded on June 30th, 2024)
Roger Seheult, MD is the co-founder and lead professor at www.medcram.com/
He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine.
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#gerd #acidreflux #gastrichealth
No eating after 5pm helped me a lot!
Thank you from a SLP who has seen an explosion of GERD related dysphagia in the last 10 years. More than 75% of my outpatient MBSS now carry this diagnosis compared to less than 5% 20 years ago. What happened? Our diets? This is exactly the recommendations I give. So glad I can offer this video now as well.
I recently developed dysphagia after reflux .. are you saying decades ago people had no dysphagia with reflux or? Thanks
@@theancientsancients1769 I'm saying 10 years ago, GERD was rarely the cause of the complaints of dysphagia. Now it's usually the cause of the dysphagia. I don't know why. Is it doctors recognize dysphagia of any cause so are referring more often or more and more people are getting dysphagia. Or some other reason.
I found that cutting out caffeine made a big difference.
Coffee in general, even decaf will trigger heartburn for me.
I've ditched coffee and always sleep on my side, the left side helps keep everything im the stomach
Very interesting and useful! Before Christmas, I got quite big reflux and I was taking pepcid ac for about 2 months every day before that. At this point, pepcid ac didn't work anymore. What worked for me was to not eat for 3 hours before bed, take less water before bed and also to stop completely pepcid ac. It was difficult for a few day, but I endured the reflux and then it got away 90% better. What I read is that is needs to be as acid as possible in the stomach to command the brain to close the upper valve, so that there is no reflux. This is why pepcid ac, by reducing the acidity, it made me have more reflux.
What a timely video. I am currently fighting aspiration pneumonia due to gastric acid flooding my mouth in the night 10 days ago. Literally burned my whole mouth / lungs / and nasal passage. Really having problems healing.
Aww, I hope you get well soon!
In my case, I stopped my gastrig reflux in the nights after some experimenting:
1 - Last meal 3-4 hours before going to sleep
2 - Last meal must have little volume and no fat
3 - Before going to sleep I am hungry again, so I eat 5 or six biscuits (no fat, just flour and sugar) with no drinks, or very, very little.
I never take any pills, and I don´t normally have spicy meals. I don´t smoke, nor alcohol.
In my case this solves the problem 100%
Trial and error until you get results
Best wishes for you.
I would encourage you to try acupuncture. Plan on 6-8 treatments, initially. Be well.
The problem with PPIs and H2 blockers is that they become ineffective after a period of time and aren’t supposed to be taken for extended periods anyway. I found myself switching back and forth and then finally giving up on both of them. There is also an issue with the drugs contributing to osteoporosis, which I have and am taking Fosamax for. GERD has been an issue with me for decades and I do have Barrett’s esophagus and a hoarse voice.
Yes 😢 I have all of that plus pulmonary fibrosis, which is terminal
@@tonyagarcia4871i am truly very sorry
I use 3 pillows that work great…I don’t eat large meals or before bed…don’t eat fried foods or spicy foods, no sugar on empty stomach…it all helps… do core exercises to strengthen my abdominal muscles
Thank you. I have a Hiatal Hernia, but no one has ever explained so clearly what that really means.
Excellent presentation, as expected. Thank you doc!!
I used the raised bed thing 30 years ago. I think I will try it again. Thanks for the reminder and explanation. Good job and this will help many people. People avoid chocolate also.
Anything with a lot of oil, really & also tomatoes.
In my case, I stopped my gastrig reflux in the nights after some experimenting:
1 - Last meal 3-4 hours before going to sleep
2 - Last meal must have little volume and no fat
3 - Before going to sleep I am hungry again, so I eat 5 or six biscuits (no fat, just flour and sugar) with no drinks, or very, very little.
I never take any pills, and I don´t normally have spicy meals. I don´t smoke, nor alcohol.
In my case this solves the problem 100%
Trial and error until you get results
Sleeping on the left side helps also.
Very helpful from one who suffers from hiartus hernia. You have given me hope.
Stress ulcers since a car accident at 15. At 66 burst my appendix & the surgeon said it was an esophageal hernia not stress ulcers for 50 years.
Thank you
Yet another excellent explainer video Doc! Another topic of interest would be esophageal stricture. When I was practicing (D.C.), I had a few patients with that condition. Medical treatment for that condition was palliative rather than corrective. Anyway, thanks for these interesting videos and hope that all is well. 👍👍
Yes. Doing well!
Fantastic! I really appreciate the work that goes in to these videos.
Another, rarer thing that reflux can cause is patulous eustacian tube, where the valve is damaged and does not close properly, then you hear your own voice conducted through your head when you talk.
Very insightful explanation. REQUEST: Could you please make a VDO on the different surgical procedures to correct this?
Yes please.
Zinc carnosine mixture has helped me a bit. However the root cause is different for each person and sometimes it's stress related. The more stress the more out of balance the stomach goes. For some SIBO or H pylori infection is the cause.
SIBO is tested through a breath test and h Pylori through endoscopy biopsy or stool test .
Incredibly helpful. ❤
Glad it was helpful!
@@Medcram
Please do another video after you've studied lowering PH and sphincter leakage.
In this video you say reducing the acid doesn't fix the leakage.
We need more acidity.
Do you measure stomach PH before prescribing acid blockers?
Cutting out carbs solved my acid reflux in a week. Have heard same from many others.
Very very interesting information ❤❤❤❤❤❤❤
As a GERD patient with a hiatal hernia taking Metformin for diabetes, I have great trouble with carb fermentation in the colon, which generates a tremendous volume of gas, which in turn inflates the colon, which then pushes up on the stomach and propels its contents up the oesophagus. I am also a cyclist, so sports drinks & energy bars are practically unavoidable. A cycling acquaintance tried converting to fat as the preferred fuel and made himself very ill indeed.
It's not all bad: our parrot has learnt to imitate the sound of flatus to perfection. "♫The hills are alive....".
As always Doctor S you are top notch. I have a hiatal hernia and can get short of breath with lots of coughing, so I am aware of foods that exacerbate my system. They can be quite individual because for me, it’s gluten and dairy. I adopted a four hour timing for no food at night, which is even better for me. I do not elevate the upper part of my body yet because I have a hard time sleeping in that position. The other thing I have tried actually is to exercise my throat by humming and singing and breath control. I did this as I have quite a dry throat problem in my old age and I found that it helped but it also seems to help the Gerd and asthmatic reactions. not sure if anyone else has tried this, but give it a try anyone who has troubles and see if it helps a little🇨🇦🙏
Go to medcram.com for more CME/CE videos!
Thank you!
Thank you ! That is very informative. I’m going to share your video with friends that suffer from GORD
I eventually cured my LPR (laryngopharyngeal reflux) after years of suffering.Here’s what I did.
No food after 5pm (16/8 fasting) and cut out tomatoes from my diet, it was my number 1 trigger food.
And that did it for me.
Thanks for posting Dr.
Tomatoes are a trigger for me as well although I would be very reluctant to give up ethnic foods, especially Mexican and Italian.
@@Patrick_Ross I hear you, I’m married to an Italian and she makes some great lasagna. :)
Yeah, tomatoes are a trigger for me too, so I eat them sparingly.
Same for cooked carrots unless I drain off the oily water & rinsing them before adding them to whatever I'm cooking.
Thank you so much! Even most GI Dr's don't understand this. I was born with GERD and now have pulmonary fibrosis and Barrett disease. Lost four upper back molars 😢
Sorry, Doctor. I suffered from acid reflux for a year and a half about 8-9 years ago, could hardly eat and lost much weight. I was diagnosed with the disease after Gastroscopy test and was given the usual medications. Apple cider vinegar cured me in a week. I took a teaspoon in a glass of water in the morning (drink with a straw as to not cause teeth damage). The effect was immedate. I stopped taking it after a few days and I was cured. Nowadays when heartburn occurs (about once in three months) I drink it once and it's gone.
ACV also causes me problems & will intensify any heartburn that's going on, but it works wonders for the hubby & his heartburn.
So drinking a dilute acid cures acid reflux? You should publish this anecdotal evidence.
@@buckbenelli8 There are endless videos on youtube, some by medical doctors, about it.
It's a matter of whether you have enough stomach acid to digest your food. Many do not. Therefore, the food sits and rots, causing gas which puts pressure on the valves. Not the same thing as valve disfunction. Now can years of low acid cause problems with the valve? I'll bet it can.
@@MeanOldLadyApple cider vinegar helps only if it's caused by low stomach acid , if not it makes things worse! Glutamine helped me to improve stomach lining and Carnosine and Zinc mixture which can be purchased. The root cause could be H Pylori infection or SIBO infection which needs a breath test . SIBO is behind most IBS research shows .
Great content, thanks for sharing.
Thank you for the information..
Thanks!
Your advices are lifesavers! Thank u, Doc!
This info is SUPER helpful. I will share it with others for sure! 🙏Thank you for all the great info on this channel!
Best information around during Covid.
I have Scleroderma and am on Nexium for life. I got a Sleep Number bed. Huge improvement from a wedge. I slid down the wedge while sleeping and ended up flat anyway, so it was useless.
Trying to sleep on a wedge was ridiculous because of the sliding.
Thank you. Very informative and helpful
Excellent!!!
I’ve been struggling with this. Had an emergency upper endoscopy back in November for food impaction. My twin sister is an endoscopy nurse and gratefully recognized the peril I was in. The doctor she works/worked with took care of me. I’ve been on40 mags of Omeprazole since, I’ve struggled with eating small meals, eating the last meal early and staying away from foods that induce GERD. My sister had told me about caffeine and chocolate, specifically opening and loosening the esophageal sphincter. I get home from work and am hungry for chips and crunchy things and we don’t get supper on the table till about 6:30 or 7. It’s all me making poor choices. Despite this I’m not grossly overweight and intermittently make good dietary choices. I think I’ve suffered with chronic mostly silent reflux for a while. I know staying on the PPI is both good and bad in that it’s necessary to prevent damage to the esophagus with this condition yet it can lead to absorption problems. I do have asthma and have had “colds” in the last 2 years that loss of voice has happened. I had never had that problem before. Oh yah and I’m 54 yr and don’t smoke or drink.
Love the content here!
Is it possible that PPIs and other drigs to reduce acidity could actually increase reflux, by delaying emptying of the stomach? I heard that the sphincter into the intestines opens in response to a certain level of acidity. Apologies if that's incorrect. Also, does reduced acidity mean higher risk of gut dysbiosis?
You are correct according to my functional medicine Dr. 😊
I don't know the answer to your question, but 'reduced acidity' also means your stomach is less able in making Vit B12, plus killing bacteria & viruses
I had gastric reflux for so long that my esophagus is scared. And because I had violent hiccups when triggered by small grains (coocuse, dry bread on a sandwich, even rice without a sauce) that i got an esophageal balloon. But wait there's more... my esophagus ripped and needed 3 staples to heal. But now I can again eat mostly what I want a year later I have only 3 times had a minor cases since. These hiccups problems progressed to just about every meal. Found my own ways to address a 2hr to 6hr calming session during the meal. Tips I found that heled were: have a room temp full glass of water at onset, cool creamie vanilla icecream, or having something on the bread or sauce on the grain.
Thank you for sharing this video.
Hi Dr. Seheult, you know I was just thinking about my sleep number bed with the adjustable base when you explained how that wouldn't be a good idea. I don't have reflux problems, but good to know!
I was hoping you would point out the esophageal plexus as one of PNS irritation causing symptoms related to vagus nerve malfunction. Unfortunately, it wasn't in this excellent citing of the patient notes.
Noted thanks! It’s why I encourage comments to add to the presentation
I will wake up chocking even if completely sitting down if I fall asleep to close after eating...
What's the role of melatonin in lower esophageal sphincter tone? Is that pituitary or locally synthesized? Does light or IR affect that level?
This is excellent information and advice. To add to this, it’s recommended to eat small portions. I look to the advice of the Prophet (peace be to him) who recommended eating a third of the stomach’s capacity. It does wonders to prevent reflux and indigestion. Same applies to when drink tea. A full mug gives me reflux. But if I have only a third of a mug, I have no problem. Portion size is extremely important when it comes to disease prevention. It is also important for insulin resistance and diabetes. And of course it will ward off a protruding stomach and weight gain. God is Great!
I had reflux for maybe 15 years. And not just a simple one, i had severe esophagus pain all suddenly, not just some acidity, and so on. I have taken ppi or over 10 years to prevent it. Could not leave it, as soons as i quit those pain came back. Then i had cryoablation or my atriall fibriallation (arythmia) almost 2 years ago. After that i was able to leave PPI completely. No acidity, or chest pain ever since. Whatever the corellation is?
Thank you, very informative (as always). I would be interested in more information on Barretts and possible treatment s for this.
www.ncbi.nlm.nih.gov/pmc/articles/PMC9495642/
Really great info. I may be one of these examples
I try and do all the things you suggested, and it works well for me. Back when I was diagnosed with berets esophagus I also changed jobs because I think the environment inside a foundry was affecting my lungs and esophagus, I haven't been scoped for a while but had it done a couple times and was ok. Thanks
I have Barretts Esophagus. I will have my third biopsy coming up in September as my Gastroenterologist is "monitoring for malignancy". I don't look forward to it as I have to be put under and every time I do that it seems to take longer for my memory to get back to normal (montfs). I'm already a breast cancer survivor since 2016. I do take panto for my reflux. I took pepcid for many years and my doc said "well it didn't work did it". If I had honestly believed i would be facing a second cancer diagnosis before the age of 60 I would have done things differently. Please listen to the doctor here on his advice. It may save you a cancer diagnosis.
When you have Barretts, they can scrape the cells. Ask for it and remove those cells of the inner wall to prevent cancer!
Panto terrible drug. Gave me severe anxiety and headaches and stomach pain. Snd nearly had a seizure stopping it. Always taper slowly off any drug.
www.ncbi.nlm.nih.gov/pmc/articles/PMC9495642/
Prayers for you. Thank you for your post.
To semi quote Star Wars, This is not the doctor you are looking for.
Sleeping on the left side might help.
I had hiatal hernia and esophageal reflux. I give up caffeine for a while and took for a period Aple Cider Vinegar ,a spoon in a glass of water, 3 times a day 20 min. before eating. No more problems !!! Even if I am eating tomatoes 😊 !
7:56 I have seen many beds like that. They are all because they were not assembled properly. It was mostly the legs that stayed low and the head that raised. Standard home medical beds can do this if you carefully don’t follow instructions.
I never thought this might be an advantage.
Please make an in depth video on hiatus hernia - what causes it? If it is a mechanical problem, are there any non-surgical mechanical methods that can help or cure it? (yoga stretches, chiropractors, self massage of diaphragm, etc.). When is surgery considered, what options are there, how does it work, what is the probability of a permanent cure? What is the surgery like? I have many dozens of questions about this, you barely scratched the surface. Thank you
Really appreciate this.
I had reflux was thin, didn’t eat much, no idea why but I also had IBS. Spent years on H2 then PPIs. Then a friend got me to take HCL Guard by healthy gut. I also did some months of Aura products to target H Pylori. 95-100% better. Lately I have had some return of IBS, tested and HP so back to aura. Evan Brand does a lot on naturopath gastric issues. Thanks for the work you do!
Thank You for the lecture. What do You think about prokinetic agent like Itoprid?
Diagnosed with early Barrett's 8 years ago along with hiatal hernia. Gastro put me on PPI but never discussed the REAL CAUSE of WHY the LES was no longer staying closed! I knew PPIs were bad for the kidneys so I was motivated to get off them. A few folks above mentioned Apple Cider Vinegar... This WORKED Soo well! These reasoning is that the LES will CLOSE if the acidity (level of HCL) in the stomach is correct. The level of HCL naturally decreases with age, and ACV simply encourages the stomach to produce hydrochloric acid (HCL) Which helps the LES function correctly! Problem solved, no meds. ACV also has numerous other metabolic benefits. I've been taking it daily for 8 years with FANTASTIC results! Research this online to see how many people tout this as a great solution.
great video; however, the red marker was hard to follow which graphic you were drawing on. Try another color.
Noted!
@@Medcram
I would prefer the while page to be color inverted, to make the whole page black with white lettering.
(also less blue light eye damage)
If you have hiatal hernia consider seeing a good chiropractor or osteopath who is experienced doing the simple adjustment for it. It really helps. And acupuncture helps improve gastrointestinal function. 😊
Many of the gastrointestinal issues are caused by the body's production of weak stomach acid. This is particularly common as one gets older. To be able to digest the food and compensate for the weaker acid, the body secretes more acid. The excessive digestive acid is what causes the acid reflux. Taking antacid and proton pump inhibitors will exacerbate and ultimately make this problem worse even while it may offer temporary relief.
The solution is straight forward but counter-intuitive. Get the body to produce less digestive acid by making the digestive acid stronger which will then make it unnecessary for the body to produce more. This will very quickly reduce GERD. To this end and for severe cases, taking digestive enzymes is the fastest and quickest way to resolve the issue. For others, just adding vinegar to one’s meal will already achieve the effect of resolving GERD.
This approach can be combined with common sense approach such as taking one's meal earlier and reclining the bed and before long, GERD will be a thing of the past.
Correct
Digestive enzymes work for me.
thanks for the great info. repeated pneumonia and enamel issues make sense now. hiatal hernia on cat scan is something I need to check out. does rem sleeping disorder factor in?
Definitely gave me some items to look at as I am getting better health insurance and looking at a primary care physician, items to look at. An area that seems to not get enough attention and I think I need to be screened for is achalasia, so a partner video to this on achalasia would certainly benefit me.
Intolerance testing solved mine. One was basil not tomato, for my daughter it was glutin not tomato. Also whey was a huge problem for both of us. Gotta find your own. Basically, I've found if you burp it hours later it's suspect.
So, why do so many people resolve their GERD on low carb diets? And what about the folks who swear it went away with taking cider vinegar? Do we really understand WHY it happens in the first place?
If the stomach gets pushed up, how about getting on a trampoline or rebounder to pull the stomach back into it's proper place?
A local Chiropractor can usually adjust you to put you back into place... very easy!
@@allison471
Home self care is easier and repeatable.
@@mballer my point was, if you truly have a hernia, a Chiropractor can adjust you and if he/she knows what they are doing the adjustment should & will hold... that is all. 😊
I use squishmallows to elevate my head. Much more comfortable!
Wow! I had no idea that PPIs and H2 blockers worked in that way… I thought they were stopping the reflux material from coming up all together- but they aren’t!!! Do products like tums also just reduce the acid but continue to allow contents to move up the esophagus? Thank you for sharing!
Thanks for that, I was aware of the Barrett's issue and PPI ineffectiveness but the rest was very new. I've had problems with reflux since being put on beta blockers after a couple of stent operations and a bypass operation. I've tried slowly weaning myself off the PPI in the hope that was part of the sphincter issue (was told that the sphincter relaxes more in the absence of acid stimulation) but that didn't work for me, and supposedly the beta blockers are for life 😞. BTW, I discovered that steroids cause hiccups if you're on beta blockers (at least the ones ones I am on).
Interesting video! I recently started with medication. I have got long covid and increasingly suffer from reflux problems. Do have an explanation why this happens? It is worse when I am tired of when I during walking/cycling when tired. Is this related to the diaphragm or other cause? And what is the best treatment?
the diaphragm being skeletal muscle can be trained and strengthened......I once with a respiratory virus coughed for 3 days...so much so that my abdominal muscles were very sore....no reflux for a few days....
What about the thought that acid reducers inhibit the closing of the acid dependent sphincter of the esophagus? Is that true?
For the last decade plus iv'e been on PPI, raised bead and no food 3hr before bed... also suck on a couple of Gaviscon tablets as i fall asleep. Need to lose more weight though. Such is life.
Doctors are not supposed to prescribe a PPI long term.
It causes other problems.
They go for an H2 blocker instead, but even that is not a health minded solution.
Have you seen a gastroenterologist?
Ranitidine isn’t on the market anymore doc. Pepcid is famotidine
After 15 years of having to have several antacids during the night, I discovered apple Cider Vinegar. One tablespoon in a glass of water sorted me out for 6months - and it was alway a very rich food that triggered reflux. Stomach acid needs to have a ph of between 1.5 - 3, otherwise the valve between the oesophagus and stomach stays open allowing stomach acid to reach the delicate wall of the oesophagus. In 4 years I've probably had to have 4 lots of apple cider vinegar. Just add vinegar or lemon juice to your salads etc if you don't like the drink. It really really works - but as the antacid business is worth over 5 billion pa, your GP or medic are not going to tell you this.
I weaned myself off Prilosec. I started taking a probiotic and it seems to have gotten rid of my GERD. Im coughing alot less too. I thought it was allergies. This might not help everyone.
And I do have a hiatal hernia.
Thank you very much!!! I have this since a few years now! Especially also when eating Italian food like spaghetti, macaroni or lasagna. And of course when lying down. But when it is more severe sometimes and I go and sit right up I get trouble breathing and have to hold my head up and backwards!
What I found to be helping instead of medicines is baking soda. (Natrium-Bicarbonate or Na(HCO3)2). I thought about it myself. Bicarbonate is the natural thing that lowers acid in the bloodstream so why not use it to lower the acidity in the esophagus. And it works well. You only have to pay attention with how much to dissolve in a glass of water. Too much and it makes you feel weak in the stomach, too little and it does not help so much. I usually take about 25 cl and about 2 grams of Na(HCO3). Let it dissolve and that helps a lot!
Thank to you I am going to heighten my bed and try whether it improves my situation!
Can Physical therapy bring the stomach below the diaphragm, couple PTs advertised. Will it work for sliding Hiatal hernia. PPIs have bad side effects, need a solution to bring the stomach back in its place, without surgery. Thanks very much, I enjoy your videos, the best.
I have heard people suggest drinking water to fill the stomach then jumping up and down to allow gravity pull out back down into place.
You might ask someone about that.
I suppose the professionals could do an ultrasound to see if something like that was successful.
The question is what is root cause of reflux? Most of people can eat spicy food and drink coffee everyday and they are fine. All those metioned "solutions" only manging the syptoms. Are peopel with acid reflux are attrached to elevated bed for the rest of their life?
Sleeping on left side at night has changed everything, apparently keeping the flap closed on the stomach acids? Not eating right before bed had also been very helpful, as you mentioned.
Are there issues with long-term use of the drugs?
Yes, b12. Magnesium deficiency. Maybe more. research
I have GERD pretty bad. And it's frustrating because I'm in my 30's, slim and healthy and eat very healthy (probably in the 99th percentile). I don't drink or smoke. But yet I still have GERD.
Do you drink coffee?
@@ZzTop-vj5wo No. No caffeine.
I'm the same. Eat nothing spicy or fatty. Stop eating around 6.00. Still get heart burn. Weigh 8 st
Thank you for this!! How does apple cider vinegar help?
Apple cider vinegar has a PH of around 2.
The lower the number the more acid.
The sphincter closes in presence of acid.
@@mballer Thnak you for your reply
@@accountinglavidalaguna2384
You're welcome.
Does using CPAP to treat OSA have a tendency to resolve or decrease symptoms of GERD? I haven't had symptoms of GERD since I began using CPAP of 12 eighteen years ago.
It reduces it since it eliminated the negative pressure ventilation
One day about 15 years ago, I was sitting when a pencil fell to the floor and rolled between my feet and actually rolled a bit behind my feet. I reached straight down to pick it up and felt a sharp pain in my upper abdomen. The pain went away in about five minutes, but I think I damaged my esophageal sphincter. From then on, I would cough when lying flat. A few weeks later I went on and am still on a PPI. I have had no further problems. I wonder if it is possible for the sphincter to have healed somewhat.
Did you have a meal shortly before, perhaps a sizable meal? I'm picturing an upwards strain when bending at the waist, with the upper body acting as a lever.
How does COVID infection lead to reflux and why would ppis make symptoms of chest pain much worse? My personal experience would point towards a fungal infection/allergy facilitated by covid that leads to irritation/inflammation in the chest and impairment of nerve function. The other symptoms being incapacitating exhaustion and the usual long COVID group of symptoms.
I cut out sugars of all kinds. GERD gone, joint pain gone, weight down, trigger finger gone and I sleep better.
Sugar is evil. Years ago the sugar industry convinced
America that fat was evil and was going to kill you.
They reduced the fat in products and upped the sugar.
Or more likely, high fructose corn syrup. In the old days
this country used to drink its corn surplus.
Taking Pantoprazole & Omeprazole tanked my magnesium & sent me to the ER for severe vomiting & diarrhea that wouldn't stop.
While I was recovering from that, I got whammied by covid (before anyone knew what it was & just assumed it was a particularly nasty SARS variant floating around, which it is...
SARS took out my mom in 2016, so the family was familiar with it.)
2 years later I was diagnosed with a hiatal hernia & Barrett's esophagus & had a TIF procedure to fix it. It worked great except that it's easier to bloat & I can't vomit since then, so I always carry around zofran just in case, because retching with no solution is horrible...
Have you looked at the connection from Long Covid?
Pepcid is famotidine, ranitidine is generic name for Zantac
Thank you for your information. I was a bulimia sufferer for many years. However, I find myself having automatic reflux almost after every meal. I was not concerned before but after watching this link, I am. Should I be concerned.? What is my next step to improve my condition? I guess I am in a high risk of stomach cancer?
Not high risk but the esophagus should be checked out with endoscopy.
Trying some or all of these interventions and see if it works.
Thank you.
Thank you for these, but from my own experience these are bandaids, just like the maintenance PPIs treatments we see RXed for pretty much everyone. We're still not addressing the root cause, which in my case was H.Pylori, damage to my stomach, parietal cell antibodies and as a result hypochloridia. Taking Betaine HCl (the opposite of our treatments nowadays) is what put my symptoms in remission, helped me digest my food and healed many conditions I had.This is also coming from someone who lost my mom to stomach cancer.
We need to figure out how to make our stomachs work again, produce enough acid and at the right pH in order to digest all those foods that are upsetting us. There is a also complex process between the acidic pH of the stomach and the release of enzymes from the pancreas. These enzymes are critical in IBD,IBS for example. How many people also suffer with these?
Avoiding foods is only causing deficiencies therefore many health conditions.
I wonder how many people are like me out there? Do we test these people for this or the intrinsic factor antibodies? That's just two that I've discovered researching on my own.
I'm only posting this here because I've followed you, since the pandemic started, and I know you can think outside the box, unlike majority of the doctors out there. I hope you'll look into this because we have so many people suffering with digestive issues. In my opinion if your stomach doesn't work nothing will; it'll only be downhill from there.
The best way is to allow the stomach to rest. One way of doing this is intermittent fasting rather than grazing all day.
I thought this video was going to be about increasing acid to resolve the problem.
People take HCL tablets to increase stomach acid thereby getting the sphincter to close tighter and digest faster.
That is not a treatment for GERD.
@@brackguthrie9470
Yes it is.
@@mballer No. It is not.
@@brackguthrie9470
Who are you to say that?
Which studies are you relying on?
You got nothing, correct?
Zero, zip, nada, zilch.
Why are you bothering?
Do you enjoy living in the past?
Even in this video he says that PPIs didn't fix reflux, it only makes it so the acid is not burning so much.
The stomach needs a low PH for the sphincter to clamp down hard.
@@mballer I am a health care provider. I can tell you the literature does not support what you are saying. I can provide the evidence based guidelines. Can you?
All through childhood into ADULTHOOD
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Thank you for
This
All good stuff but I am left puzzled how a tilt bed (I don't have or use one)--is worse (because it puts pressure on the gut), than sitting in a chair which is even more flexed. 90 degrees versus 30 degrees. I guess the angle to the throat is decreased but it seems unless one is obese there would not be substantial pressure on the stomach.
It’s possible he is referring to those that tend to sleep on their side, or most specifically their stomachs. If only half the bed is tilted, you will be poorly aligned.
I cannot tolerate h2 blockers and Dr Jamie koufman, leading expert says PPIs are very dangerous and should be taken off the market . She also says to find an ENT who knows about LPR and performs TNE instead of a gastro who does endoscopy because it is a dangerous procedure ( look what happened to joan rivers ).
what if loose sphincter is actually hypothyroid, given that it's one of these muscles that is right next to the thyroid so getting biggest thyroid hormone gradient.
The incidence of reflux tipping towards males vs hypothyroid towards females could be partially explained by wrongly accounting for alcohol intake, which directly irritates sphincter muscles: because of size, men drink more for same buzz, so irritation of sphincter is much higher. Also, women have higher esophageal occludin, which protects the sphincter.
Also, gerd defined by heartburn and common symptoms seems to be about even between genders in a european population study, so the higher incidence in men doesn't seem credible, most of those were specifically looking at esophagus injuries not gerd symptoms. In other words, hypothyroid as cause, which is much more prevalent in women, would be compatible with incidence data.
Prevalence of gastro-oesophageal reflux symptoms and the influence of age and sex, 2009