Diet and GERD Acid Reflux Heartburn

“Diet and GERD
Acid Reflux Heartburn” Gastro-esophageal
reflux disease is one of the most common
disorders of the digestive tract. The two most typical
symptoms are heartburn and regurgitation
of stomach contents up into the back of the throat. But it’s not just burning pain
and a sour taste in your mouth. It causes millions of doctor visits every
year, millions of hospitalizations. And the most feared
complication is cancer. You start out with
a normal esophagus. And if the acid keeps creeping
up, it gets all inflamed, and you can get esophagitis, which can turn into
Barrett’s esophagus, which can turn into cancer,
adenocarcinoma. To prevent all that we
just need to prevent the acid reflux
in the first place. In the last three decades, the incidence of this cancer
in the US has increased sixfold, an increase greater than that of melanoma, breast,
or prostate cancer. And that’s because
acid reflux is on the rise. In the United States, we’re
up to like 1 in 4 people suffering at least weekly heartburn
and/or acid regurgitation, compared to down
around 5% in Asia, suggesting dietary factors
may play a role. In general, high fat intake is
associated with increased risk, whereas high fiber foods
appear to be protective. The reasons fat intake
may be associated with GERD symptoms
and erosive esophagitis is because studies on
volunteers have shown that when we eat fatty foods the sphincter at
the top of the stomach that’s supposed
to keep the food down and acid down is relaxed
in the presence of fat, and so more acid can creep
up into the esophagus. For example, if you have
volunteers eat a high fat meal – a McDonald’s sausage
and egg McMuffin, and compare that to a low fat
meal – McDonald’s hot cakes, there was significantly
more acid squirted up in the esophagus
after the high fat meal. Then in terms of later stages, over the last 20 years, 45
studies have been published in the association between
Barrett’s esophagus, esophageal cancer, and diet. In general they found that
meat and high-fat meals appears to increase
cancer risk. Though different meats
were associated with cancers in
different places. Red meat was more associated
with cancer in the esophagus, but poultry was more associated
with cancer at the top of the stomach. Whereas “meat alternatives”
such as beans and nuts were associated with a significantly
decreased risk of cancer, consistent with previous
data suggesting a protective effect of
plant protein sources, as well as fruits, vegetables,
and antioxidants, in produce form though,
not pill form. Those eating the most
antioxidant rich foods had half the odds
of esophageal cancer, whereas practically
no reduction in risk among those who used
vitamin supplements, such as vitamin C or E pills. The most protective produce
may be red-orange vegetables, dark green leafies, berry
juice, apples, and citrus. But it may not just be the plants. Eating healthy food crowds
out less healthy foods, so it may be a combination of both. Based on a study of 3,000 people, the consumption of
non-vegetarian foods was an independent
predictor of GERD, which in this study in India
presumably included eggs which are considered
non-vegetarian. Egg yolks appear
to increase this hormone called
cholecystokinin, induces this increase, which may overly
relax the sphincter that separates the esophagus
from the stomach. The same hormone is
increased by meat, which may help explain
why vegetarianism appeared to be a protective factor
for reflux esophagitis. Researchers found that
those eating meat had twice the odds of reflux-induced
esophageal inflammation. Therefore, vegetarian diets
may offer protection, though it’s uncertain again
whether it’s attributable to the absence of
meat in the diet or the increased consumption
of healthy foods. Vegetarian diets are characterized by greater consumption
of fruit and vegetables containing innumerable
phytochemicals, dietary fiber, and antioxidants
than omnivores, in addition to just restricting their consumption of
the animal sources of food, which tend to be fattier,
and, you know, then can relax that sphincter
and aggravate reflux. Bottom line: GERD is common;
its burdens are enormous. It relapses frequently and can
cause bleeding and strictures, not to mention a deadly cancer. The mainstay of treatment
is the proton pump inhibitors, which rake in billions of dollars. We spend four billion
dollars on Nexium alone, three billion on Prevacid, two billion Protonix,
one billion Aciphex. But they can cause
nutrient deficiencies, increase the risk
of pneumonia, food poisoning, and
bone fractures. Thus it’s important to find correctable
risk factors and correct them. Known correctable risk factors are things like obesity, smoking,
and alcohol consumption, but there hadn’t been studies on
eating meat versus not eating meat, but now we have another correctable
factor to help prevent this disease.

32 Replies to “Diet and GERD Acid Reflux Heartburn

  1. I've had GERD really bad for the first time in my life beginning about 6 months ago. I went vegan 1.5 years ago though, so this is so frustrating. I do sometimes have higher fat vegan meals but I feel it the most when I eat foods that are spicy so I try to stay away from those. Sometimes it happens when I'm just eating fruit though! I wonder why I've never had this problem my whole life and it only just started after going plant based? I'm a huge believer in the power of plants, but this is the only area where they SEEM to be failing me. Am I wrong?

  2. I have heard that low stomach acid was also a factor. The oesophagus sphincter closes when the stomach ph is low enough and if it doesn't get enough acid the opening doesn't close properly.
    Apparently taking betaine tablets or apple cider vinegar can fix this, any thoughts?

  3. I suffered with Gerd for 5 years, not fun stuff, lots of doctors visits and missing school. However I am vegan now and I have not had any symptoms I made the change.

  4. I've been investigating treating heartburn naturally and discovered an awesome resource at Fergs Treatment Crusher (google it if you are interested)

  5. the best success that I have ever had was with the Fergs Treatment Crusher (just google it) – I found it the most useful method that I've tried.

  6. Interesting connection between high fat/meat diet and ^ cck. Might a PT with GERD be able to d/c PPIs with a plant based diet?

  7. There are a few components to natural remedies for heartburn. One place I found which successfully combines these is the Alinn heartburn relief (check it out on google) definately the most incredible resource that I have ever heard of. Check out all the great info .

  8. There are several things for reducing heartburn naturally
    Make sure you drink plenty of water.
    cut down on tomatoes
    cut down on French fries and mashed potatoes
    Avoid smoking, drinking alchol or caffeinated drinks
    (I discovered these and why they work from Alinn heartburn relief site )

  9. There are several ideas for reducing heartburn quickly
    Ensure you consume plenty of water.
    Avoid tomatoes
    Avoid French fries and mashed potatoes
    Avoid smoking, drinking alchol or caffeinated drinks
    (I discovered these and why they work from Alinn heartburn relief website )

  10. There are several factors in cures for heartburn. One place I found that successfully combines these is the Fergs Treatment Crusher (check it out on google) it's the best plan that I've heard of. look at the interesting information .

  11. I have spent months studying reducing heartburn naturally and discovered an awesome resource at Fergs Treatment Crusher (google it if you are interested)

  12. I (low fat vegan) quit smoking and started eating more crisps and cookies, gained a few pounds, and back came the heart burn, very bad. Low fat is the cure. Cheers,

  13. Bullshit! I ate a vegan diet for 7 months and i developed GERD. I didnt had oil. Meat eggs chesse do not give me reflux. Beans, onions, galic, oil, milk do.

  14. Looking at this video again a year later, |I may add that fat also slows down transition and so food may stay longer in the stomach and have more chance to relux, again his mention of TOMATO AND CITRUS FRIUTS, noway should a person with GERD be eating these, as he says fat relaxes the LES, but so do other foods like chocolate, coffee and tea, smoking, and so why not gear the video towards eating foods that tighten the LES?
    Do you guys know how to tighten the LES?
    He does mention CKK has a LES relaxing effect, I didnt know that, meat and eggs would do that cause FAT causes the gut to trigger CKK to signal the gallbladder to squeeze out bile/sludge/cholesterol, now if one eats zero fat or no meat/eggs won't there be a problem with bile stasis, i.e. bile/sludge can become saturated within the gallbladder and cause problems such as stones, polyps etc? I suppose instead of the meat and eggs fat, I could replace with avocado and walnut, flax etc.

    I want to come off prilosec that Ive had to take for 21yrs and reduced many times and gave up do to the terrible rebound reflux that you get, Ive reduced my dose for about a month to half (10mg instead of 20mg) and getting pain in my throat and coughing a lot, I need to lose weight, my ideal weight should be around 73kg, am 107kg 🙁 dropped from 115kg 3 yrs ago though, dropped to about 100kg but in 6 months its gone up again, yoyo'ing with various diets. I jog for 20mins once a day but feel this isnt enough and need to either calorie restrict or fast which I can't cause Im taking meds, can't do a juicefast cause all that liquid just refluxes backup, thats another reason why carbs are good, carbs like pasta, bread, potatoes maybe good in that they absorb liquid and there is less sloshing around in the stomach.

    Going back to the tightening of the LES, I think calcium tightens things so maybe calciium can tighten this LES as long s you void any of the LES refluxing or weakening foods or activities, yes activities … doing resistance training or lifting produces strain nd you hold your breath and this pushes up on the LES = weakening of an already weak LES and reflux, having easy stool or bowel movement also avoids strain, etc, magnesium would relax the LES but also would relax the pyloric valve which would help move food out of the stomach so there is less to reflux, right?

  15. I have been vegan for two months now. I often have a big meal, like 1500 kcal and like 2 kg weight. Sometimes i get really bad acid reflux from this, which may not be suprising. I just wonder if this is bad? Should i rather have more meals?

  16. here's  a few ideas for reducing heartburn quickly 
    Ensure you consume enough water.
    Avoid tomato rich dishes eg pizza and pasta
    Avoid French fries and mashed potatoes
    Avoid smoking, drinking alchol or caffeinated drinks
    (I read these and why they work on Alinn Heartburn Relief website )

  17. I have been suffering with reflux for the past 25 years, Doctor put me on Omeprazole 10 years ago. I found out how bad these drugs are and have been trying to come off it ever since but if you've ever been of these proton pump blockers you'll know how painful it is to try and come off them. It's unbearable after a couple of weeks so i always end up back on it. Tried almonds and ginger and cinnamon and several other ideas out there in internet land but nothing as of yet stops it. I've been vegan for 3 years so even though this may have helped with the initials symptoms having the rebound pain when trying to come of them is probably overriding any benefit. If anyone has a tried and tested solution to getting off these terrible drugs please let me know.

  18. I fixed my acid reflux in one sitting: I ate a head of lettuce. I then stopped eating anything out of a box. And as long as I stayed away from any food sold in a box I was fine.

  19. The guidance I got was not just cut back on fat, but stay away from spicy foods and stay away from citrus and tomatoes specifically.

  20. Still important today. PPIs treat the symptoms and in the end, may cause more problems as it suppresses stomach acid in which we need so much (it may make a more friendly environment for unfriendly bacteria for one), so it's better to address the underlying issues. Plants, antioxidants, and fibre are awesome.

  21. Citrus fruit actually can cause acid reflux. Look up foods that trigger it. They include oranges, mint, onions, chocolate and obviously fatty meals and lying down right afterwards! Fruit is beneficial because it relieves constipation and things flow they way they should be though!

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