Stomach acid excess, but not enough to cause reflux !!!
Reflux is very common in our country and all over the world. It is said that at least 20 per cent of people in industrial countries have reflux, and even more than 50 per cent. That's what the drug sales show. Stomach acid-reducing drugs are the first or second best-selling drugs in many countries as a group. These drugs have no cure for the disease, they only save the day. They were not sold so much that was already therapeutic though !!! Contrary to popular belief, the stomach is not acid acid excess, but its scarcity is causing the reflux !!!! Again, the idols are breaking.
A conversation about reflux
My teacher is making great advances in medicine. Discovering a pile of modern stomach medicine. Despite this, reflux is increasing? Why is that?
Once in medicine there is only progress in diagnostic tools (because it saves money). Meanwhile, there is an increase in all chronic diseases (including reflux). How does this progress my lamb ????
I think I stepped on your opposing vein again?
Yes it is. Gastroesophageal reflux (GER) or reflux is the name of the food contained in the stomach and the backflow of acid into the esophagus (esophagus). It is also known as “chest burn arasında among people because it makes burning in the chest.
Reflux is very common in our country and all over the world. In industrial countries, it is said that at least 20 percent of people have reflux, and this figure exceeds 50 percent (1). That's what the drug sales show. Stomach acid-reducing drugs are the first or second best-selling drugs in many countries as a group. These drugs have no cure for the disease, they only save the day. They were not sold so much that was already therapeutic though !!! Am I right?
You're right, sir. What are the symptoms of reflux?
Patients usually experience reflux as a “burning” and ”pressure altında beneath the breastbone, and sometimes this burning sensation is reflected in the throat. These symptoms, which are in the form of burning and pressure, increase after a meal and sometimes last for hours. Sometimes sour water may come into the mouth. Asthma, laryngitis (hoarseness) and dysphagia may be seen (2,3). At least one third of asthmatic patients have reflux as the cause.
Figure 1. Stomach and esophagus
Could you tell us a little about the formation mechanism of the reflux?
I'il tell you, but you'il be patient. Because it is necessary to understand the important issues to understand the stomach functions.
Much of the information here is taken from the 12th edition of the 2010 Textbook of Medical Physiology, Guyton, the world's most famous physiology book (4).
Digestion begins orally. Saliva amylase starch saliva lipase also helps digest fat, but the main role of the mouth in digestion is mechanical disintegration. Foods chewed in the mouth pass into the esophagus with peristaltic (repulsive) movements. From there it passes through the stomach gate (cardia) and goes down into the stomach.
Where the lower end of the esophagus joins the stomach, there is a muscular valve-like structure called the lower esophagus shrinker (cardia). During this swallow, the food relaxes and opens as the food descends to the stomach, while other times it shrinks and closes. Food that normally enters the stomach through the esophagus rarely reappears from the stomach back up into the esophagus. Although this takes very short time. A few seconds of burning is considered normal when you eat extremely fizzy foods.
The reflux esophagus loosens when the lower pucker should be closed and the stomach content escapes back into the esophagus. Stomach swelling exacerbates the current state. Retrieval rarely depends on the inadequacy of the tone of this pucker (certain contraction), ie its laxity.
When food enters the stomach, the stomach relaxes as a reflex. This is followed by peristaltic waves that mix the food and push it to the duodenum (duodenum) at a certain speed.
Now let's elaborate on this.
Yes, sir
The main function of the stomach is the digestion of protein through the secretions of the stomach. When the digestive system works normally, food coming from the esophagus into the stomach is digested mechanically by the effects of gastric secretions and a slurry called kimus is formed.
Could you tell us about the secretions of this stomach?
The cells of the gastric glands secrete a large amount of gastric juice, such as 2500 mL per day. The main secretions of the stomach are;
The stomach is paved with basid cylindrical epithelium. There are 4 types of cells in the stomach (4);
Parietal cells secrete gastric acid and intrinsic factor. Gastric acid: produced by the intrinsic factor and carbonic anhydrase in parietal cells.
Basic cells secrete pepsinogen. The stomach acid activates and converts the pepsinogen enzyme, which is the first step of protein digestion, secreted from the main cells and converts it to pepsin.
Neck cells secrete mucus and bicarbonate
Endocrine cells secrete gastrin, serotonin, enteroglucagon and histamine. Histamine is as strong an acid secretor as gastrin. But not physiological, but often increases in stress and allergic events (stress ulcer)
When food enters the stomach, it causes gastrin secretion from the antrum part of the stomach mucosa. Gastrin has various effects. Its main effects are the secretion of gastric acid and pepsin and stimulate the growth of the gastrointestinal mucosa. Another task of gastronomy is to prevent reflux by causing the lower esophagus contraction. In the meantime, the vagus at least as strong as gastrin secretion should not be forgotten. The effect is maximal when both are together (4).
When the acidity in the stomach increases or the pH decreases to 2.0, a negative feed back gastrin is blocked. In other words, if gastrin rises too much, it reduces its secretion and thus a balance is formed.
Gastric secretions occur in three phases;
Cephalic phase: The appearance, smell, or thought of what you eat stimulates the vagus center in the part of our brain called the medulla oblongata. Vagus is a very long parasympathetic nerve extending to the whole digestive system. Parasympathetics stimulate pepsin and gastric acid secretion.
Gastric phase: Local secretion reflexes, vagal reflexes and gastrin increase gastric secretion.
Intestinal phase (Intestinal phase): Food in the duodenum stimulates the secretion of the stomach, albeit small.
As you understand, the secretions of the stomach are mainly caused by the activation of your parasympathetic nervous system.
Unfortunately, many of us are in sympathetic nervous system activation under the influence of stress (war or run). That's why we often eat too fast or eat while doing various things, and your parasympathetic nervous system is not working properly, so our stomach secretions are low.
We need to chew our food thoroughly. If we eat fast enough stomach acid is formed in the food goes to our stomach. Our ancestors do not swallow your bite without chewing 40 times. If not 40, we need to chew at least 20-30 times.
In order to maximize our stomach acid secretion, we need to be calm and loose before meals. We must sit down and eat. In fact, eating is like a religious ritual. All members of the family, relatives, friends sit at a desk. They chat on the one hand and slowly eat their food.
Now I know how much the proverbs are right, my teacher.
The effect of pylorus on gastric emptying is limited. Mainly, the main factor that initiates gastric emptying is increased gastric acidity. If this increase is not enough, the antrum in front of the pylorus will contract and prevent the passage of food to the duodenum and delay gastric emptying. This delay increases the stomach pressure and causes reflux. The increase in pressure does not provide discharge to the duodenum. Because it doesn't react back to the stomach from the duodenum, or very rarely. Because unlike cardia, there is only one-way transition.
Anyway, let's get back to the kimus.
Kimus is not a fully digested slurry. Digestion continues in other parts of the intestine as long as the food we eat continues to be digested until the smallest building block. However, after this process is completed, absorption occurs. If absorption occurs before the digestion process is complete (intestinal permeability increase), various rheumatic, allergic and autoimmune diseases occur.
I never thought about this very interesting subject with this dimension.
Yeah, Hippocrates didn't say in vain that all diseases start in the gut. Anyway we'll go back to our main topic.
When the kimus reaches the appropriate pH, the valve (pylorus) between the stomach and duodenum is opened and the kimus is poured. If the pH is sufficient, pancreatic enzymes (trypsin digesting protein, chymotrypsin, carboxypolipeptidase, ribonuclease, deoxyribonuclease, enzymes, amylase digesting to the starch, lipase digesting fat) and bicarbonate are secreted. The high acidity (low pH) of the kimus is neutralized with bicarbonate. If the pancreas fails to secrete enough, duodenal ulcer and various digestive disorders develop.
If I didn't get it wrong, you're saying, if there's not enough acid in the stomach, the pancreas can't make enough secretions.
Yeah, that's exactly what I'm saying. So the problem is not excess acid but scarcity.
But the doctors say the opposite. How that happens?
Let those doctors read the physiology books again. They should not treat their patients by lying under the influence of pharmaceutical companies.
Otherwise, the kimus stays in the stomach longer. Because the stomach acid is low, bacteria grow more and the pressure increases. The stomach has two puckers: one between the esophagus and the stomach (lower esophagus sphincter = LES), and the other is the pylori between the stomach and the duodenum.
Pylorus is a one-way purse; rarely works in the opposite direction. However, the lower esophagus pusher can work in two directions; especially when the stomach pressure increases (reflux).
So, my teacher, does stomach acid have other tasks?
No, okay?
But let me talk about some of the properties of stomach acid before moving on to other tasks. The acid produced by the stomach has a pH of 1.5-3.0. Without such a strong acid, it cannot activate the pepsin enzyme that provides protein digestion in the stomach.
This is such an acidic secretion that it even pierces the wood. How is the stomach protected from the acid that it produces?
Yes, how is it protected?
The mucous layers of the stomach (mucosa and sub-mucosa) produce mucus and bicarbonate, which protect the stomach cells from damage. The esophagus does not have such a mechanism that protects the mucosa of the duodenum from the action of acid. While the gastric mucosa is not affected by very acidic (p.1.0-2.5) fluids, the esophagus mucosa is damaged even by less acidic (eg pH 4-5.0) gastric fluid because it has no protective mechanisms.
graphic
Acid that will digest protein food in the stomach does not harm the cells in the stomach lining. However, the duodenum cells are not as acid-resistant as stomach cells. Fertility that increases the secretion of gastric acid secretory hormone increases the secretion of bicarbonate from the pancreas.
However, when enough bicarbonate is released to neutralize the acid in the stomach, the pylor of the stomach opens and the stomach acid and food can pass to the duodenum. If it passes, the acid passing into the duodenum destroys the floor (mucous membrane) and makes an ulcer.
Fortunately, pyloric spasm often does not allow this situation except for some special circumstances. But this time the intra-stomach pressure is increasing. As a result, the stomach contents back to the esophagus. The esophagus is not as acid-resistant as stomach cells. This is what we call reflux. In the meantime, the stomach is chronically swollen, causing the hernia to the diaphragmatic cleft (hiatus) of the upper gate of the stomach (hiatus hernia).
Now, when my stomach or chest burns acid-reducing drugs are experiencing these complaints. I hear you're lying about this too.
At the end of my tongue, but I was afraid to ask this question in case you get angry
Why should I be angry? Here's the trick. Drugs that neutralize or reduce acid reduce this burn. Of course this can be done in emergencies, but in the long run this process does not eliminate the root cause and makes the current situation even less.
It is obvious that these drugs do not heal, on the contrary, they increase the disease even more. Most physicians are fascinated by subconscious sorcerers or do not know the truth (which is a shame) and think that it is more profitable for them to contribute to the pharmaceutical industry. The goal for conventional medicine is not to eliminate the cause but to postpone the complaints momentarily. Because eliminating the cause of the disease reduces your profits !!!!
One of the most embarrassing is that doctors use these drugs for life. So we call that medicine is not that !!!!
It's time to talk about the other tasks of stomach acid, sir.
Yeah, he's here. One of the most neglected tasks of gastric acid is to eliminate the germs that come to our stomach with our food, ie to eliminate pathogenic microbes. So stomach acid is one of the most important elements of our immune system. For example, helicopter bacteria (helicobacters) that cause ulcer disease have the chance to live in low acid environments. The underlying cause of many microbial diarrhea is the same. Not to mention the other microbes.
For example, in a study conducted in Italy, bacterial overproduction was found in more than half of the patients using gastric acid secretion (5).
There is much more important work than that. Between January 1995 and December 31, 2002, 364,683 patients were admitted to primary care centers in the USA (1). Primary pneumonia was detected in 5,551 of these patients.
The prevalence of pneumonia was 2.45% in patients taking medications that reduced acid secretion for at least one year, and 0.6% in those who did not use these drugs. that is, four times less pneumonia (6).
It is a very important mechanism that protects stomach acid from iron deficiency anemia. Because gastric acid increases iron absorption: In a study, 80% of patients with chronic iron deficiency anemia were found to have low stomach acid (7). Iron deficiency is a well-known condition in patients who have already undergone gastrectomy.
Stomach acid also protects us from another anemia (vitamin B12 deficiency). Because stomach acid provides dietary vitamin B12 separation from dietary proteins and increases the absorption of vitamin B12 by incorporating intrinsic factor. Proton pump inhibitors disrupt the absorption of vitamin B12 by 72-88% (8,9).
In recent years, vitamin B12 deficiency has increased tremendously. For example, in a study we conducted in Bakırköy State Hospital, we found that blood vitamin B12 level was below 300 pg / mL in 82% of women who gave birth. B12 deficiency (less than 200 pg / mL) was found in 42% of infants (10). Such a high rate surprised us even in this business. Because it is so high that it is not only explained by eating less red meat. Vitamin B12 levels are more than 500 to keep. In the meantime, exposure to vitamin B12 deficiency in the womb also infects the brain development of babies.
Acid-reducing drugs also impair folate absorption, another cause of anemia. Folate deficiency (not folic acid deficiency!) Also disrupts the brain development of the baby and causes abnormalities that we call neural tube disorders (11).
Stomach acid also increases the absorption of minerals such as zinc and magnesium. In case of deficiency, these mineral deficiencies that we have already been exposed to due to artificial foods in the last years further deteriorate our health.
So, my teacher, so many vitamins and minerals that cause drugs deficiency doctors knowingly give?
Many of them, unfortunately, do not know. Those who know (a small minority) already do not use these drugs. But I say the king is naked but falls like don quixote like me !!!
Good thing you're there, sir. To summarize, what problems does stomach acid deficiency cause?
So much so that it doesn't stop.
Make a summary
reflux
Indigestion, bloating, a feeling of fullness in the stomach
Excessive gas extraction after meals
Constipation / diarrhea
Chronic intestinal infection
Pieces of undigested food in feces
Food allergies and intolerances
Acne
Chronic fatigue
Skin and hair dryness
Nail breakage
Asthma
Depression
Osteoporosis
Two-thirds of patients with inducible bowel syndrome also have reflux. On the contrary, one third of the patients with reflux have stimulating bowel syndrome.
Autoimmune diseases
A downside of stomach medications is that it disrupts protein digestion. Not enough digested protein particles pass into the blood. As a result, a mass of allergic, psychiatric (autism, depression, hyperactivity) inflammatory or autoimmune disease (Hashimoto thyroiditis, multiple sclerosis, rheumatoid arthritis, lupus, ulcerous colitis, asthma, etc.) can develop.
So you're not just what you eat, what you digest. If you do not correct your low stomach acid, you cannot correct your digestion.
So far we have long explained the physiology of the work, which was very necessary. Let us now turn to the reflux mechanism in the light of this information.
Yes What is the real mechanism of my teacher Refl?
Contrary to what conventional medicine says, the main reason for reflux is not excess acid, but acid deficiency, indigestion, gas.
For example, in one study, more than 30% of people over 60 years of age had stomach acid deficiency (12).
Zero acid was detected in more than 40% of women over 80 (13,).
Similar findings were also found in other studies (14).
Now I'm going to talk about a very important book. Why Stomach Acid by Jonathon Wright is Good for You.
According to the results of 25 years of research by the author and friends, gastric acid excretion was found to be low in more than 90% of patients with GER + Gas + indigestion (15). Among these, there were very few patients with a high stomach acid beat. (These were patients with Zollinger-Ellison syndrome, gastrinoma). The following figure is taken from this book.
Start with the truth. Reflux also increases with age !!!
In other words, gastric acid secretion decreases and reflux increases with age. As the late composer and Turkish singer Ahmet Kayan said, ne What a contradiction, mother! ’
To sum up, if our stomach doesn't release enough acid, the stomach content cannot pass to the duodenum and the intra-stomach pressure increases, and the stomach content backfires into the esophagus, called reflux. Even if the acidity in the chymus is low, even this acidity burns the esophagus mucosa.
Key point: It burns the esophagus mucosa, even with very little acid in the stomach. This is not a justification for drug use (except in an emergency).
Even McColl and Gillen wrote in the July 2009 Journal of Gastroenterology editorial. ‘It is not right to treat reflux reflux with acid-reducing drugs because the cause is not excessive gastric acid excretion (16).
Reflux is due to increased intra-abdominal pressure (17, 18).
What are the reasons for the increase in intra-abdominal pressure?
Excessive bacterial growth
Disruption of sugar digestion
Events develop as follows;
Gastric acid shortage + Excessive bacterial growth + Sugar digestion disruption = Gas Increased intraabdominal pressure + Reflux
Why is there excessive bacterial growth?
Because the stomach acid beat is low. However, when the pH is <3.0 no bacteria can survive for more than 15 minutes (including H. pylori).
For example, in one study, 30 patients with reflux were given a proton pump inhibitor for at least 3 months. While one third of the patients in the study group had excessive bacterial growth, this rate was found to be 1/10 in the control group (19).
So, why is there excessive gas in reflux patients?
Low stomach acid disrupts sugar digestion. Because if there is not enough stomach acid, pancreatic enzymes cannot be secreted enough. In the meantime, pancreatic amylase is not secreted enough. In this case undigested sugars are fermented and produce gas (flatulence).
Excessive bacterial growth + sugar digestion disorder = GAS
Although bacteria metabolize proteins and fats, their main preference is carbohydrates. If they cannot be fermented well, gas is formed. The resulting gas makes reflux.
One of the most important gases produced by the bacterial fermentation of sugars is hydrogen (H2) gas. Pathogenic bacteria use hydrogen gas as an energy source (20,21).
Excess hydrogen growth Aşırı Excess bacteria growth à Excess hydrogen growth à Excess bacteria growth (vicious cycle)
In one study, sugar absorption was found in more than half of the cases when 25 grams of fructose was given to 15 adults and in more than two-thirds of cases when given 50 grams of fructose (22). In this study, H2 was measured in breath. H2 is the sole source of sugars. H2 increased 5 times at a dose of 50 grams (23).
The amount of gas produced by carbohydrates is incredibly high. 30 liters of sugar 10 liters !!! hydrogen gas (24-30). In the clinic, we present as bad breath (key clinical finding). Because the hydrogen gas passing into the blood is thrown out with the lungs. Already the source of more than 90% of bad breath in the intestine (All chronic diseases start from the intestine, says Hippocrates again very right).
Some studies have shown that there is lower esophageal loosening in case of lactose ingestion (31).
Babies consume a lot of milk. This is the most important reason underlying infant reflux. In this case, it would be beneficial to administer lactase (eg Lactozyme drop ®), which assists in the digestion of lactose. 2-4 drops before each nozzle). This is the main reason why reflux is reduced after 6 months of starting supplementary foods. Another reason is that gastric acid secretion starts to increase only after 2-4 months, as in a study we did years ago (1987) (32).
Similar findings have been found in the areas of fructooligosaccharidosis (33).
In summary, if you want to treat reflux, you need to reduce bacterial growth (give acid) and restrict carbohydrate intake.
Is there a relationship between our feeding habits and reflux?
Of course there is. What disease do you have? For example, most fat people have reflux. Therefore, it has been suggested that excess fatty foods cause reflux. However, it has been shown that reflux is not related to the amount of fat in the diet, but to sugar. In other words, the excess of refined sugar in the diet causes reflux. Two small studies have shown that carbohydrate-poor diet reduces reflux.
In the first study, it was shown that when foods with high glycemic index in the diet of patients with reflux were removed, symptoms of disease improved within a week (34). Even the patients who participated in this study continued their bad habits such as alcohol, smoking and coffee, but their reflux symptoms improved. The aforementioned patients discontinued all the stomach medications.
Similar findings were found in another study (35)
Unfortunately, these studies were conducted with very few patients.
Our observations are the same. Low-sugar diet, which I have launched my line in Turkey "Stone Age Diet" is implementing a large portion of people (almost all of) reflux disappear spontaneously within a few weeks.
So, why isn't there a study with more cases?
Because there is no pharmaceutical company to finance it !!! Medicine has ceased to be an art and has turned into a profit-making profession. No one except a few physicians cesaret has the courage to scare the munist mules, they have become their lawyers. We've all been slaves to pharmaceutical companies! Civilian organizations are hardly sponsoring medical research. Let the blind eye of the money !!! And they call it evidence-based medicine, hitting doctors like me from place to place. We presented our evidence. What about yours?
Could you tell us about Helicobacter pylori, whose name we heard a lot?
I'm okay. Many physicians have believed that Helicobacter pylori increases the formation of acid and that acid is born to make ulcers.
I mean, isn't it?
Not really. Look, let me tell you.
More than half of the world's population has H. pylori in the stomach. As age increases, the frequency of H. pylori increases (up to 90%). Many physicians think that Helicobacter increases stomach acid. That's why they treat this bacteria with antibiotics. But for some reason their treatment is not successful. On the contrary, Helicobacter (I have already described) can reproduce in the absence of gastric acid (36). Already though gastric acid secretion is normal h. pylori also can not reproduce. Antibiotics further deteriorate the already impaired probiotic balance. 2 cloves of garlic per day kill this bacterium, but the basic treatment increases the stomach acid, which is reduced.
Helicobacter pylori infection can cause gastric cancer by causing atrophic gastritis (low stomach acidity) and intestinal metaplasia. Because stomach acid-reducing drugs lead to atrophic gastritis.
In a study published in the 1996 New England Journal of Medicine, Prisolec (acid-reducing drug) was applied to one group and two patients underwent lower sphincter surgery in the other group. After 5 years, the rate of hypochlorhydria in the first group with h.pylori increased from 59% to 81%. However, this rate was 4% in the group not receiving Prisolec (38).
Does stress have an effect on gastric acid secretion?
Yes there is. Because of the metabolic syndrome, many of us (more than 60% of the adult population) have reactive blood sugar (hypoglycemia). During hypoglycemia, our body increases stress hormones such as adrenaline and cortisol to raise blood sugar. As you know, cortisol is a hormone that increases gastric acid secretion. As I just explained, the pylorus is tightly closed, as the pancreas is not able to release enough bicarbonate to neutralize this acid secreted by cortisol in a short time. Intra-stomach pressure is increasing, food can not pass to the intestine, so there is no ulcer, but something else happens and the esophagus opens due to increased pressure. As a result, food in the stomach and increased stomach acid (due to cortisol) backfire into the esophagus and burn your chest.
He also had Barret's esophagitis, I don't know if I pronounced it normal?
No, you pronounced it correctly. There is such a disease and it is quite common (despite advances in medicine!). The cells lining the stomach surface are resistant to the strong acid secreted by the stomach. However, the floor of the esophagus has no property to protect from this strong acid. If it is exposed to stomach acid for a long time, there will be bleeding and stenosis. But most importantly, a germ-free inflammation develops; this is called esophagitis in medical language. Esophagitis can cause esophageal cancer in the long term.
Since the drugs that reduce stomach acid are used so much, esophageal cancers had to be reduced. Is not it?
Or is it not decreasing?
What travels? On the contrary, the last 15-20 esophageal cancers increased by 3-4 times (39). But for some reason, nobody's asking for it. Just like that hijaz song. Im I fell into the wind of my fortune. ’
It has also been shown that stomach acid deficiency causes precancerous polyps in mice (40). For example, in non-gastrin mice, there is no acid secretion due to the absence of acid, but excessive bacterial growth + inflammation + precancerous polyps.
Are food intolerances that we see a lot due to stomach acid deficiency?
Yeah. Most of the food intolerances (almost all) that have increased tremendously in recent years are due to stomach acid deficiency. Although these intolerances can be demonstrated by special tests, remove the following foods from your diet at least one month apart. If your symptoms improve, if you start that food again and come back again, you have an intolerance to that food.
Wheat (Gluten)
Milk
Soy
Egg
Dried fruits
Egypt
Blueberries
Food additives
Does stomach acid have any effect on bile acids?
Unfortunately, there is. Low stomach acid causes excessive bacterial growth and also deconjugates bile acids (41).
Is there a relationship between vitamins and reflux?
Yes there is. In a study, this situation was well examined (42). Folate (not folic acid found in vitamin preparations!) Plays a role in the mechanism of cancer by affecting DNA synthesis and methylation. The presence of other vitamin B complex and vitamin C is essential for folate functions. Esophageal adenocarcinoma (EAC) is associated with inflammation caused by reflux esophagitis (RE). RE leads to esophageal metaplasia [Barrett’s esophagus (BE)] and carcinoma.
In this study, as folate consumption increases, the risk of EAC decreases.
B6 deficiency increases the risk of EAC, RE and BE.
Riboflavin deficiency increases the risk of RE.
B12 deficiency increases the risk of EAC.
So we should take vitamin B complex to prevent these diseases, sir?
Lest !!! Vitamins in our food (fresh vegetables) are sufficient. Moreover, folic acid (which is a chemical and not folate) in these vitamin preparations increases cancer formation !!!!
How is reflux diagnosed?
If the patient's complaints are evaluated well, the diagnosis of reflux is generally made easily without resorting to any laboratory methods. If there is no other suspicious condition, radiological examinations and endoscopy are rarely needed.
How to treat classic reflux?
Helicobacters, if any, are treated with antibiotics + acid-reducing drugs.
Three groups of drugs are used in the treatment of classic reflux; anti acids, H2 receptor breakers and proton pump inhibitors. Antacids are alkaline substances such as bicarbonate which neutralize stomach acid. Others are drugs that reduce stomach acid. These drugs are ranked first or second among the best-selling drugs in many countries as a group.
Although these drugs reduce the burning of the esophagus in the acute phase, they do not have any therapeutic properties. If used for long periods of time, there are a lot of serious side effects.
How do you treat reflux?
I'm a pediatrician, but I have a bunch of adult patients.
I treat reflux and ulcers in similar ways. Let me explain the two together.
The first step of the emergency treatment (excessive pain and burning) to the patient in 1 large glass of water 1 teaspoon (wipe) to give the carbonate so that the pain to reduce. Once the pain has passed, give 500 ml (1 small pet bottle or 2 large cups) of water every 3 hours (total at least 4 liters per day). After a day, the complaints are greatly improved.
After the acute period has passed, I recommend that the patient drink 250 cc half an hour before the meal and 2.5 cc after the meal, and drink as much water as he wants between the intervals. This form of treatment is Iranian. Feridun Batmanghelidj treated thousands of patients in this way.
It's clear that most of us don't drink enough water. Therefore, our body does not fully fulfill its duties and various chronic diseases emerge. Dr. of Iranian origin living in the United States. Fereydoon Batmanghelidj (Feridun Batmangeliç) Water: Not Sick, Thirsty in his book says that the most important reasons for all diseases in the body is dehydrated (43). According to this scientist, it is possible to protect against almost all diseases with the right water consumption. Unfortunately, very few of the physicians establish a relationship between chronic diseases and the lack of fluid consumed.
Dr. The story of Fereydoon Batmanghelidj is very interesting. Batmanghelidj is imprisoned for a death row in 1979 during the Iranian Islamic Revolution. In the early days of the prison, a prisoner suffering from severe writhing ulcer pain gives two glasses of water because there is no medicine in the prison infirmary. The pain goes away in eight minutes. The patient then continues to drink 500 mL (1 small pet bottle or 2 large glasses) of water every 3 hours. After the acute period has passed, the patient advises him to drink 250mL half an hour before the meal and 2.5m after the meal and drink as much water as he wants. The patient has been suffering from stomach pain for years.
Batmanghelidj treats more than 3000 ulcers with water only until 1982, when he was released from prison after the first patient. When he went to the first hearing a year after his imprisonment, he told the judge that he had made a very important invention for human health, and that he had written an article for publication in Iran and Western medical journals. He wants to hand this over to him before he's executed. The judge is sentenced and reduced his sentence to 3 years. In the following months, he decides to be released early. But Batmanghelidj refuses to offer early release to complete his investigations, stays in prison for a few more months (a total of 2 years and 7 months), and completes his work.
Important note: Do not drink water for 2 hours, starting half an hour before a meal, as this may reduce stomach acid. Because it reduces stomach acid.
Picture 1. Fereydoon Batmanghelidj
How is the treatment after the acute phase?
The second important step is the significant reduction of refined sugars, flour and sugar-made foods. The Stone Age diet is very suitable for this purpose.
I use natural ingredients to increase stomach acidity (of course, not to take bicarbonate and acid reducing or neutralizing drugs).
What are the natural ingredients that increase acid?
The two are very important; vinegar and lemon
Raw (unfiltered) natural apple cider vinegar (not vinegar sold in the market !!!!): Increases the amount of acid in your stomach. Put 1 teaspoon into 1 large glass of water: Increasing acid h. inhibits plyori.
Sugar-free lemonade: 1 large glass of water to be squeezed 1 lemon. This increases the acid h. inhibits plyori.
Betaine hydrochloride: Used if the above is not sufficient. It is an acid source taken in the form of 250-500mg. h. inhibits plyori. In the meantime, remember that 1 portion of spinach contains 500 mg, and 1 portion of red beet contains 250 mg of betaine.
Pobiotics: Reduces bacterial overproduction. Home yogurt, kefir and pickles. To adapt, start with small amounts and gradually increase portions. Otherwise you may have digestive problems.
One of the most important sources of probiotics is pickles (especially pickled red beets, including betaine). It is more nutritious because it is much richer in probiotics, vitamins and digestive enzymes, and you can buy 10 trillion probiotics in one serving of pickles, but even the most powerful probiotic preparation rarely contains more than 10 billion colonies.
Vitamins B complex: Use as a preparation is inconvenient. Eat plenty of greens (salads)
Keep your vitamin D levels between 40-100ng / mL The most natural way to keep this level is to sunbathe at noon (unlike inaccurate blood, when the sun doesn't exceed your height, the sun doesn't synthesize in the afternoon as it does !!!!). Unfortunately, very few people have access to adequate vitamin D levels. Therefore, vitamin supplements seem to be essential.
Glutamine: reduces gastrointestinal damage caused by H. Pylori (43). Animal proteins (meat, village chicken, village eggs, home yogurt, etc.) are rich in glutamine. Do not use glutamine as a medicine! There's a risk of cancer.
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