Flashback Friday: 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.

33 Replies to “Flashback Friday: Diet and GERD Acid Reflux Heartburn

  1. Tomato Sauce/paste can be a problem for people (yes, even WFPB people) with GERD, I know a gal who still has it despite being 96% plant based

  2. To me it seems like reflux is mostly a consequence of hiatal hernia.
    Hiatal hernia is almost never removed as the root cause by standard medical practice. Searching on YouTube I found that apparently chiropractors do treat it, removing the need for surgery. This is not information I had ever heard from a gastroenterologist or my gp.
    Furthermore, I find that removing sugar and oils mostly reduces reflux, though I haven't tried using vinegar in my vegan diet yet (I just started).
    Is this just my experience?
    Has anyone gotten rid of their hiatal hernia without surgery and thus solved their reflux problems?

  3. I am healing since I am plantbased SOS. No salt, Oil and sugar! No Alkohol. Before I take Omoprazol 40 mg and now …nothing!

  4. Would be interesting to see how the Paleo group fits in since they eat meat along with high levels of produce (aka healthy foods). Contrast that with WFPB or Vegan diet. Should help to clarify the primary beneficial factor. BTW, I'm not Paleo, I'm just curious.

  5. Well what about plant based fats…..what is the cut off of fat grams per meal to encourage good sphincter closure

  6. Man, please stop. The only two foods that give me reflux are tomatoes and bell peppers (of any color). Protective…not!

  7. I have this. It's not fun. I've been to hospital from the chest pain several times, and it took years to get a solid diagnosis. The side effects of PPIs scared me enough to sort my eating out (I only took one pill, read up on them, then binned the rest!). I haven't had a flare-up since going from junk-food-vegan to wholefoods vegan, and the only time I have acid reflux is when I have slipped back to fatty, processed foods for a few days. In my experience, GERD is entirely controllable through dietary changes: wholefoods, not processed foods; no oils or margarine; little or no alcohol; stop when full – not stuffed!

  8. I hate it when information like this is presented, because it's based on knowledge from the medical community. It's wrong!! Reflux doesn't occur from what you eat, it's how you eat!! It's not an excess of acid, it's a lack of acid! Liquids should not be taken 30 min before, during and up to 30min after you eat. Chew your food as much as possible, and it helps if you smell it more often. Smelling it causes more acids in your stomach!! Avoid all antacids, the more acid in your stomach the better your digestion and absorption of nutrients will be. Anyone that remembers Anatomy 101 can tell you this!!!

  9. I have GERD, especially in the morning. If I eat at night and went to sleep right after it's worse. When I ate animal products, it would hurt to the point where I couldn't breathe for several minutes. A WFPB without oil helped instantly. When I have acid reflux it's WAY less acidic. If it's constant, 1tsp baking soda to 1 cup water helps. Like instant cure. acid+basic=neutral+gas (so drink it slowly). Basic chemistry 🙂

  10. I have been wfpb for 18 months lost 55 lbs, bloodwork great. No more reflux at night but still taking prilosec! Everytime I try to get off of it I make it to about day 10 and my stomach really hurts so I go back and start taking it again. Any suggestions?

  11. Heartburn can also be a heart attack in disguise
    My mom had a symptom of acid reflux for years, she had a very pale face suddenly, and she died within minutes , on the way to the hospital.
    I found out that symptoms in women for heart attack can be nothing but heartburn. My mom did indicate that it was related to heart and I did tell her that heart attacks have sudden pain or abnormal heartbeats and made her sleep, only that she couldn't speak anything and died.

    Don't take acidity lightly. It can indicate heart attack in many cases.

  12. Cholecystokinin is promoted by protein and polyunsaturated fats (the more unsaturated the more CCK). Saturated fats do not induce CCK, nor do carbs. CCK also prevents stomach emptying in the first place, keeping the stomach fuller longer.

  13. Eat more plants to keep that acid reflux away🌱🌱🌱check out how to cook a VEGAN INDIAN FEAST, VEGAN JAMAICAN CURRY CHICKEN, AND MORE on eat more plants🔥🔥🔥

  14. I can verify that – I’m a vegan but will get reflux at night if I have a smoothie with a lot of nut butter 🤢

  15. Derek Simnett of Simnett nutrition just put out a fabulous video on this very topic. Easy interventions anyone can put into place right away. It starts working very fast too!

  16. I have a friend, age 66, and diagnosed with idiopathic pulmonary fibrosis. Any dietary studies specific to this condition? Thanks

  17. hello to all people on youtube if you have a problemen whit heartburn take a look and listen to what they have to say listen please till the end I wash bigg surpriced about that becous I have this to and noting works but this goodluck shorturl.at/zGN18 or this https://tinyurl.com/y4hw75g8

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