What Causes Heartburn and Acid Reflux? Thank Gut It’s Fixed Show Episode 4

hello hello everyone how are you this is Nour Zibdeh the first few times we talked about the gut why it's important leaky gut and how do you know that you have it today is about acid reflux heartburn and GERD so I wanna I'm gonna get started with this if you are just joining this is Nour Zibdeh I am a functional dietitian and nutritionist and I help people fix their guts and I help them fix their bodies from the inside out so that they have energy for the people that they care most about to do the things that they love and to feel comfortable in their own bodies so we're gonna get started in today's episode on acid reflux heartburn guard in the show Thank Gut It's Fixed so what I have I do have some notes that I am just making sure that I am covering the topic this is a topic that I am super passionate about and I promise you you're going to learn something new and there are some things that you know very different than the common medical approach or to dealing with acid reflux and so you might be surprised with some things there will be some medical terms I will do my best to keep things simple but it's really hard to talk about it without including medical terms so I'm gonna have some pictures for you so heartburn is having that burning sensation under the breastbone so just right under your rib cage or on top of this stomach that burning that warm feeling or sensation acid reflux is when the acid or actually not just the acid it's the stomach content refluxes up or travels up from the stomach to the esophagus

the esophagus think of it as the food tube that is connecting your throat and mouth to the stomach and so reflux is when the content of the stomach wash or reflux is back up or splashes up to the esophagus and that can cause the pain irritation painful sensation maybe sour taste in your mouth but what people don't know and this is very interesting that acid reflux can be related to symptoms that are not just the burning on top of the top part of the stomach acid reflux can be is actually there cause for things like feeling a lump in your throat or that you cannot swallow, coughing if you are constantly coughing and it's not an infection and it can't you don't seem to have you know bacterial infection that can be reflux hoarseness in your voice that is acid reflux and acid can actually go to your lungs and cause asthma or pneumonia so the acid reflux is the process by the content of the stomach goes up heartburn is the warm sensation under the ribcage and GERD which is reflux disease this is what happens when acid reflux happens more frequently so if it's mild it happens two or more times a week then you go to the doctor they give you that label that you have GERD or if it's severe and it happens once a week then you have that's good now there's another condition that I want to mention it is called LPR what that means it's laryngopharyngeal reflux so I just want to show you a little picture here if you look at the back of your throat that's your pharynx your larynx is right here which is Adam's apple so LPR is another condition that is caused by the acid coming from the stomach all the way to here and these are the symptoms with coughing hoarseness in the voice and inability to swallow like you feel like food is getting stuck in here and typically this is something that most people don't connect to the stomach because some people have LPR without having the the stomach pain or the heartburn so they don't connect it and you might go to your ENT or ear nose and throat and they would work on this and your gastroenterologist will just work on the bottom even though it's one one system that is messed up that there's a problem system but this is how conventional medicine is different parts of the body are managed by different kinds of doctors without really looking at their root cause

why is treating acid reflux important you might think that you know what look whatever I can just take Tom's or recline after eating not lay down and just be fine or the acid is not really that painful doesn't really matter and it is it's it's not just the discomfort the problem with acid reflux is that there are long term side effects the irritation and discarding that can happen to those Safa cos long term the lining if this is not treated the lining of the esophagus starts to resemble the lining of your intestine because there are enzymes and things in there that are not supposed to be there what that causes precancerous cells from developing and causes them to develop that's called Barrett's esophagus and then the doctor would know this through an endoscopy and then that could lead to suffer GL cancer which is one of them very difficult to deal with cancers so we want to do anything in our in our in our hands that are controlled to prevent any type of cancer of course now even though it's a small risk but we want to prevent that if the acid is staying here in your mouth now this the saliva will become acidic and your teeth are gonna get eroded you're gonna be more likely to develop for our dental disease I don't know about you but I like to keep my teeth without pain and looking good and so the long-term damage of acid that's not treated can be painful can can be very serious acid reflux the name is misleading because you think that it's acid that's the problem but it's not really acid it's not hydrochloric acid so to give you a little bit of like background about digestion so if you remember here's your digestive system and here's your stomach and in your stomach you are going to produce enzymes to help break down the food if you look at the esophagus the food tube and the stomach they are connected by a muscle it's actually not the one muscle it's a group of muscles that are called le s which is the lower esophageal sphincter and so these muscles we're supposed to do is they're supposed to open up when food is coming down so they let food into the stomach and they closed so that the stomach will do its thing they just food and process that and then actually there's another muscle that's connecting your stomach to your intestine and that's what's gonna open up to let the food go now what happens is it's not it's that the the muscles open up this muscle or group of muscles down here they're gonna open up and the content of the stomach is going to go up cause the problem so the content of the stomach is not just as most people think that it's just hydrochloric acid what's in the stomach is actually there's an enzyme called pepsin that is released by the lining of the stomach and it's released or secreted inactive and when the food shows up the body will sense that and the cells will produce hydrochloric acid and the hydrochloric acid will activate the pepsin so it starts to break down the the chemical bonds between amino acids it to break down protein and then in the stomach there also bile acids that are going to help with the digestion so it's not hydrochloric acid that's by itself the problem it is all of the stomach content and the medical the solution that or they're the common solution to acid reflux is this is the thought process you have heartburn or acid reflux that means you have too much acid so we're gonna treat it by reducing the acids or acid or preventing it or stopping it and you know most people what they do is you know if it's something that's new or if it's not very severe they pop tons which are calcium salts and they neutralize the acids so if you remember from basic chemistry acid plus space equals water and carbon dioxide so it neutralizes the acid and then you burp that's the carbon dioxide now if things get worse or if it happens too often and now you start to think oh let me go grab over-the-counter nexium or pepcid or one of those medications now this becomes scary and serious because even though this is a smaller dose of a prescription medication people are overusing it and for long period of times and they have serious side effects so so you're not and then you're not really solving the problem if you go to your doctor there are two types of medications that they would recommend something called h2 antagonists which suppresses acid or PPI which is a proton pump inhibitor and it's another medication that's stronger that suppresses the acid so h2 antagonist something like zantac or pepcid PPI things like nexium prilosec protonix on parasol pentaprism all kind of medications depending on if you go by the generic or the brand name so here's what I always tell people it's not that you have too much acid it's not that you have too much hydrochloric acid the problem is stomach content whether it's too much or too little it doesn't matter with the acid it's just the stomach content where it should say in the stomach that is protected that there's a mucous that the stomach self can handle this acid now it's going up to a place that doesn't tolerate it they're not welcome in the esophagus and now we're starting to have their irritation or the problems why do doctors keep recommending PPIs or medications is that they work they cover up the symptom they are a band-aid solution some people go to their doctors asking for a medication like they're begging for a prescription so I know that you're in pain but this doesn't solve the problem it's a short-term solution and if you have been following me for enough time you know that I'm not about quick fixes I want to get to the root of the problem and we want to fix that so that you don't have to deal with this for the rest of your life I don't know about you but I want to eat oranges and pineapple and berries and strawberries and tomatoes because all these foods are considered acidic if you look at the aesthetic value or like how much acid in those it is considered acidic and what that will do is that will cause the burning sensation now what I forgot to say is that the pepcid which is an enzyme that's supposed to be in the stomach now they start to find it in the esophagus for people who have heartburn and reflux and what happens with that is anytime you need an acidic food this enzyme gets activated so as you're swallowing it gets activated and you feel the burning sensation if you've tried to have raw apple cider vinegar because you hear it's good for digestion people who have acid reflux most of the time they say it burns it does not feel good so so we want to not want to get rid of that pepcid in the esophagus where it's not there get rid of it so we can tolerate these foods and enjoy them because they're good for you and they're delicious so the problem is that the muscle that's separating that asparagus and the stomach is opening up and when that is opening up it is causing the content of the stomach to go up now there are claims that there are certain foods that make that muscle relax something things like coffee in chocolate but another thought is that wait why is this muscle relaxing it's not supposed to relax and it's not about the acid because I've believed that we're created in a way to be the human body's created in a way to be functioning perfectly so our Creator wouldn't have put acid in our bodies if it wasn't useful and it's actually very important if you don't have enough acid in the stomach you will not be able to absorb iron or zinc or selenium or b12 so you're gonna have mineral deficiencies you're going to have protein or amino acids you're not going to be able to break down protein properly you don't have enough acid in the stomach this will be a very lovely place for bacteria to grow because it's not acidic anymore it's not sterile anymore and this bacteria is going to ferment and eat up any food that you eat and as a bacteria ferments the food that you eat is going to prep cause gases to produce and that fermentation the pressure will cause the muscles to open up and release the stomach content so the real true cause of acid reflux is not too much acid it's actually fermentation and the pressure from the stomach to up and when we take PPI medications or h2 antagonist medications and we suppress the acid then we suppress digestion and then we make fermentation worse and we have things refluxing up to the esophagus but I had a question about natural solutions and you might have seen recommendations for apple cider vinegar to try but the problem even though it helps digestion it can actually cause irritation if your stomach isn't or hasn't healed so apple cider vinegar may not be the best solution if you already have heartburn now the quick solution band-aid solution food-wise is to avoid the food that are acidic so that is something I all I have my patients do because we kind of have to cross that gap or bridge too so that there's no more reflux or that the content is not getting pushed up so and then when we fix that that we can bring acidic foods back in so things like berries and tomatoes and pineapple coffee sometimes chocolate mint these are things that you want to avoid I want to talk about more about you know other natural remedies but what really is before we try to fix and repair we have to eliminate the root cause of the problem remove some of the foods that cause fermentation in the stomach so things like garlic and onion and wheat products so yeah some try taking out the breads actually all carbohydrates breads and pastas and and even like beans and oats even though they're some of them are healthy have fiber that can cause more fermentation and that will make the heartburn worse 30 grams of carbohydrates can make you produce 3 gallons of gas so think of 3 gallons of milk filled with gas and they are being produced in your intestines in your stomach that's enough gas to push the stomach content up and create problems so I hope this gave you just some idea of the root cause of acid reflux and how to you know think about it most people or most doctors think of just of the stomach where you really have to or the esophagus you really have to think down in the digestion and deeper in the gut of all the fermentation that is happening and what is really being digested properly and what's not being digested properly so your your your trial if you want to give something a try is to take out garlic and onion for a week they tend to cause more fermentation take out you know wheat and gluten but not just the wheat it's only it's it's in general cut back on your carbohydrates cut back on your sugars that's of course that's obvious right like all of the the different kinds of sugars in that that are in your food the sweets the baked goods these are all like quick food for bacteria in your gut that is going to cause fermentation so if you have any questions leave them in the comment section I will take a look at them and I will answer them and if I have enough questions to do another episode on acid reflux and heartburn I will so if you're watching this and you're like ok I have heartburn what do I do and and it's it's not very easy to give a general recommendation so try some of the tips that I have shared but if you want more you can always reach out to me I'm in Virginia but I help people all across the country so you can reach out to me schedule a free consultation where you know I see what your problem is and if there's some things that I feel I can help you with I will definitely share that with you what I really didn't get into is all the infections and things that can be happening down in the gut which can be causing heartburn which is gonna be a lot longer than this in more detail so it's something that we'll definitely be talking about next time I will be back next week and I will be checking your messages or the comments on this thread have a great day and I hope it wasn't too complicated talk to you later bye


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