A Simple Fix for GERD and Acid Reflux

Acid reflux is pretty common, but sometimes it’s something more. If you experience acid reflux multiple times a week—you may have GERD.

Both of these conditions can be annoying and really painful. Finding relief can be a challenge. Sometimes you think you’ve found something that helps, but it never seems to last—it’s always a temporary fix. If you can’t seem to find relief, I may know the reason. But, get this—it’s the opposite of what you’ve probably heard.

The best part is though, unlike many things, the answer to these two issues is really quite simple.

What is GERD?

GERD is short for Gastroesophageal Reflux Disease. You have probably experienced reflux or heartburn from time to time, maybe from something you ate or drank. GERD is very similar.

GERD occurs when your stomach acid flows up into your esophagus. This acid backwash or acid regurgitation is acid reflux, and it can cause irritation to the lining of the esophagus.

Gastroesophageal Reflux Disease is a mild reflux that occurs twice a week—minimum. If your reflux is moderate to severe, it only has to happen once a week to fall under Gastroesophageal Reflux Disease.

There is a valve at the bottom of your esophagus, which is a circular band of muscle called the lower esophageal sphincter. The lower esophageal sphincter opens when you swallow, allowing food and liquid to go down into the stomach. Then, the sphincter or valve closes again.

What reflux and GERD both boil down to is a problem with this valve.  

GERD Symptoms and Acid Reflux

• Gas
• Indigestion
• Bloating
• Problems absorbing minerals
• Anemia
• Aversion to meat (especially red meat)

Why do You Really have GERD?

If you haven’t been able to find relief for your acid reflux or Gastroesophageal Reflux Disease, you probably haven’t heard what I’m about to tell you.

The reason many people have these problems is that the Ph in their stomach goes too alkaline. That’s right.

Your stomach needs to be extremely acid. The Ph levels in your stomach should actually be one to three. As your Ph rises, it becomes more alkaline, until it reaches seven, which is a neutral point. After seven it continues to become more alkaline.

Essentially, when your Ph goes higher, it becomes more alkaline. When it goes lower, it becomes more acidic.

When your Ph is between one and three, it’s in the sweet spot. Everything runs smoothly, and you can digest. That’s because the valve can open and close like it should—keeping the stomach acid contained.

But, something that’s common as you get older, especially once you get to your 40’s on up, is you start losing your stomach acids. That’s why; if you’re in this age group, you may notice that yourself and a lot of your friends may have problems with reflux or GERD. It’s not a coincidence. It’s your stomach Ph.

Now, with less stomach acid, your Ph will start to rise and become more alkaline. So what happens is your valve can’t close properly anymore, and acid regurgitation occurs.

You need the acid in your stomach to be very acidic to absorb minerals and digest protein. If you eat without a good strong acidic stomach, you will start experiencing reflux and GERD symptoms.  

Microbes and your Stomach Acid

Another point I want to mention before we move on is on microbes. H. pylori is a microbe or type of bacteria that actually invades your digestive system when your Ph becomes too alkaline.

Many people already have this type of bacteria in their body, but it’s inactive. When you’re Ph goes higher and more alkaline, guess what—H. pylori become activated. You can help protect yourself from bacteria like H. pylori by making sure your stomach stays more acidic.

One of the purposes of even having a strong acid in your stomach is to kill off these microbes that you swallow from your food.  

A Simple Fix for Relief

When people start feeling reflux, what do they usually do? Well, they may try proton pump inhibitors or H2 blockers. But, while proton pump inhibitors and H2 blockers are popular, the person is most likely going to pop an antacid like Tums.

The problem is, antacids may help you feel better, but only temporarily. The next time you eat, the real problems with your stomach Ph and the valve are just going to get worse.

To top it off, if you look at the side effects of medications for Gastroesophageal Reflux Disease, you’ll notice some of those side effects are heartburn, ulcers, or calcium soft tissue.

Some people will also say you don’t need to take these medications you just need to make some lifestyle changes. But, while lifestyle changes may be great and helpful, they aren’t going to cut it.

If you want real relief for reflux or GERD, here is a simple fix you need to take advantage of.  

Betaine Hydrochloride and/or Apple Cider Vinegar

First off, try taking betaine hydrochloride. This is a completely natural alternative. It’s just the acidic form of betaine which is a vitamin-like substance found in grains and other foods.

You should also try apple cider vinegar. Apple cider vinegar has various incredible benefits, and it helps decrease reflux.

How to take:

Take 3-4 betaine hydrochloride supplements before a meal.

You can take your apple cider vinegar at the same time you take your betaine hydrochloride, or you can take it on its own. If you don’t want to drink straight apple cider vinegar, there are actually apple cider vinegar pills you can take. Just take them right before you eat.

Why Does This Help?

Once you start taking betaine hydrochloride and/or apple cider vinegar, you should start noticing a difference in the way you feel.

This is because you’re creating more acid in the stomach and the valve at the bottom of the esophagus can now close properly. Ultimately, this keeps the acid from flowing back up—supporting healthy digestion.

Start doing this today. It’s that simple.

10 Steps to Beat Acid Reflux Naturally

 

10 Steps to Beat Acid Reflux Naturally

Acid reflux or gastric esophageal reflux disease (GERD) is one of the most common conditions affecting Americans today.  This condition is characterized by a burning sensation in the chest that has coined the term “heartburn.”  An anti-inflammatory lifestyle has been shown to beat acid reflux naturally.

Upon eating, food naturally passes from the throat to the stomach through the esophagus.  The esophagus contains a group of muscle fibers in the shape of a ring that prevent food from moving backward from the stomach to the esophagus.  These muscle fibers make the lower esophageal sphincter (LES).

If the LES is not closing well it allows for food, liquid and hydrochloric acid to leak back into the esophagus.  The inner esophageal tissue is not designed to handle the strong acidity which inflames the region.  This causes the characteristic heartburn sensation.  Chronically damaging the esophageal tissue often results in esophageal cancer and other more serious conditions (1, 2).

Common Risk Factors for GERD:

The most common risk factors for GERD include anything that obstructs the esophagus or stomach region such as hiatal hernia, pregnancy, and scleroderma.   Other proven risk factors include obesity, smoking, and alcohol usage.  Many prescription medications list GERD or acid reflux as a common side effect so this should always be considered (3).

The popular belief is that acid reflux is due to an excessive amount of hydrochloric acid in the stomach.  New science has revealed that this is not the case.  GERD is most often caused by too little hydrochloric acid being secreted by the stomach (4, 5).

The Need for Stomach Acid:

During digestion the stomach secretes acid to lower its pH to around 1.5-2.5 range.  More protein in the meal results in a greater need for stomach acid.   Individuals with non-obstructive acid reflux are often not able to get their pH low enough.

The LES is known to be a pH sensitive valve that initiates closure when pH drops under 3.0.  When the stomach does not have enough acid the LES remains open and acid can spill into the esophageal region and damage the tissue.  Additionally, when the diaphragm herniates through the stomach sphincter it is called a hiatal hernia and can lead to the symptoms of acid reflux.

Hiatal Hernia:

A hiatal hernia sounds like a painful condition, considering the stomach pushes through an opening in the diaphragm and into the chest, but most people don’t notice any symptoms. It is frequently discovered when a person has a chest x-ray or abdominal x-rays (including upper GI series and CT scans where the patient swallows barium or another contrast material) (6). It can also be found when a gastrointestinal endoscopy of the esophagus, stomach, and duodenum is performed.

You may also be able to feel a hiatal hernia if you put your hand under your left breast bone and feel a little bulge.  If so, you can try a self-massage by pushing this bulge down.  I go over a number of strategies you can apply to reduce a hiatal hernia in this article.

The Problem With Acid Reflux and Antacids:

Many people use antacids to relieve the pain of heartburn.  This covers up the symptom (reducing acidity) but only makes the problem worse by decreasing the acidity.  This process limits the body from effectively digesting the food.

This causes further stress on the enzymatic system of the pancreas as well as the other digestive organs.  Antacids, processed foods and many medications deplete the body of critical b vitamins and trace minerals that are necessary to create a sufficient supply of stomach acid (6, 7).

H Pylori and Acid Reflux:

H.Pylori is a very sophisticated microorganism that has incredible adaptive advantages that give it the ability to survive the stomach’s harsh environment.  It produces an enzyme called “urease” which breaks down the urea in the stomach into carbon dioxide and ammonia.  This causes belching and halitosis (bad breath) for the individual and it neutralizes the acidifying effects of hydrochloric acid (8).

Hydrochloric acid (HCL) is necessary for creating an acidic environment in the stomach to digest protein and ionize minerals.  This also helps to stimulate bile release from the gallbladder to effectively metabolize fat in the small intestine.  When the body is unable to secrete enough HCL, we have poor protein and fat digestion and may develop key nutrient deficiencies.

H Pylori disrupts the digestive process so it can lead to inflammation throughout the gut and gastrointestinal permeability.  This state of leaky gut can also cause iron-deficient anemia, irritable bowel symptoms with fluctuating diarrhea and constipation and ulcerative colitis.  By damaging the gut lining, we also develop an increased risk for anemia, thyroid problems, osteoporosis & auto-immunity (9).

Good Digestion Begins in the Stomach:

Hydrochloric acid is necessary for creating an acidic environment in the stomach to digest protein and ionize minerals.  This also helps to stimulate bile release from the gallbladder to effectively metabolize fat in the small intestine.  Without these key functions working optimally we become at risk for anemia, thyroid problems, osteoporosis and auto-immunity (10,11,12).

Low stomach acid in a very common problem especially in older individuals or those who have suffered from various infections like H Pylori, been on anti-biotics and other medications like non-steroidal anti-inflammatories (13, 14, 15). Low stomach acid sets the stage for damage to the delicate lining of the digestive tract and the formation of leaky gut syndrome.

The Importance of Healthy Stomach Acid:

When you have low stomach acid you are unable to effectively breakdown protein in the stomach. This allows very large proteins to get into the small intestine and creates major stress on the pancreas to produce enough enzymes to metabolize the proteins.

This ultimately wears out the pancreatic enzyme stores and creates stress and irritation throughout the gut. It also leads to insufficient absorption and utilization of key amino acids that make up the protein molecules (16)

Large proteins and incomplete digestion can cause leaky gut syndrome and trigger auto-immune activity in different regions of the body. Improper protein digestion also leads to small intestinal bacterial overgrowth, fuels Candida and other parasites. It also creates an acidic blood stream and depletes minerals throughout the body. Mineral depletion leads to the inability to form stomach acid and the vicious cycle continues.

The Baking Soda Stomach Acid Test

This unique test involves drinking baking soda and creating a chemical reaction within your stomach between the baking soda (sodium bicarbonate) and the hydrochloric acid (HCL).  This normally results in carbon dioxide gas production which leads to burping.  Ingesting baking soda has been a natural remedy for upset stomachs for centuries.

This test costs you about $3 if you need to buy a new box of baking soda, so there is not much to lose.  I advise this test because of its safety and low cost and you could easily do it tommorrow.

But, there are problems with this test. Overall, there are a lot of variables to control. Trying to minimize all the variables can be tough and I would recommend performing the test 3 consecutive mornings to find an average. By doing this, you’re looking for more of a pattern than a onetime test of “yes” or “no.” Also, to increase accuracy of the test, you must do it as soon as you wake up in the morning before putting anything in your mouth.

There are no scientific studies proving this method as either reliable or unreliable.  The results of this test can vary widely and it’s up to your interpretation, both of which are not ideal.  Here is how to do the test:

1. Mix 1/4 teaspoon of baking soda in 4-6 ounces of cold water first thing in the morning before eating or drinking anything.
2. Drink the baking soda solution.
3. Time how long it takes you to belch. Time up to five minutes.

If you have not belched within five minutes stop timing.

In theory, if your stomach is producing adequate amounts of stomach acid you’ll likely belch within two to three minutes. Early and repeated belching may be due to excessive stomach acid (but don’t confuse these burps with small little burps from swallowing air when drinking the solution). Any belching after 3 minutes indicates a low acid level.

Anti-Inflammatory Lifestyle: 

An anti-inflammatory lifestyle incorporates a diet rich in phytonutrient dense vegetables, healthy fat and clean protein sources. Healthy fat sources include coconut products, avocados, olive oil, & purified omega-3 fish oil supplements.

Healthy protein includes wild-caught fish, grass-fed red meat and free range poultry and eggs. Anti-inflammatory herbs such as turmeric, cinnamon, ginger, oregano & garlic are also powerful aids.  Non-processed pink salts, sea vegetables, sea algae and cereal grasses should be used regularly to provide an abundance of critical trace minerals.

Fermented Tonics:

Individuals should avoid eating excessively large meals.  Food should be eaten at least 2 hours before bed to allow gravity to push food through the system.  Digestive enzymes and probiotics are particularly helpful at enhancing the digestive process.

Raw apple cider vinegar with the fermented mother intact is rich in acetic acid, digestive enzymes and good bacteria.   2 tsp of raw apple cider vinegar in water before a high protein meal is particularly helpful at improving stomach acid levels to prepare for digestion.  It is also helpful to use apple cider vinegar to marinate meat, as a salad dressing and on grains such as rice.

10 Steps to Beat Acid Reflux Naturally:

1.  Use an Anti-Inflammatory Nutrition Plan: Most people notice a reduction in acid reflux symptoms when they take out the most common inflammatory foods from their diet.  This would include eliminating gluten, pasteurized dairy, soy, peanuts, corn and refined vegetable oils.  Instead, consume a healing diet that is low in carbohydrates and high in healthy fats as described inthis article.
2.  Don’t Eat Late at Night:Finish your last meal at least 2-3 hours before bed.
3.  Use Apple Cider Vinegar: Have 1-2 tbsps of ACV in 4oz of water about 10 minutes before each large meal.
4.   Only Eat 1 Solid Food Meal Daily:Drink green drinks and smoothies during the day.  These are easier on the digestive system.  One good quality solid food meal daily along with several protein shakes or smoothies and green drinks will help the digestive system to heal.
5.  Use Digestive Enzymes:  Taking a digestive enzyme supplement like Super DZyme herecan help the body to digest food more effectively and reduce stress on the entire digestive system.

 

6.  Consume Fermented Foods Everyday:  Have a few tablespoons of organic kimchi, saeurkraut, pickles, coconut milk yogurt or kefir or fermented raw, grass-fed dairy each day.  The unique probiotics and enzymes within these foods help to improve your microbiome and enhance HCL production.
7.  Consume Fermented Drinks & Tonics: This includes apple cider vinegar, coconut water kefir, fermented grass-fed whey andkombucha.  Drink 2-4oz daily before a meal or meals to improve digestion and HCL production.
8.  Use Lemon and Ginger:  Make green drinks with a whole lemon or lime and ginger.  Both of these have key nutrients that enhance HCL production.
9.   Reduce Stress on the Digestive System:Be sure not to try to eat solid foods when you are under stress.  Stress reduces the secretion of digestive juices and enzyme production.  I teach people to only consume raw and liquid foods in small quantities during the stressful periods of the day.  Enjoy your larger meal with healthy proteins. good fats and veggies at a more relaxed time of day (for many this is in the evening).

 

10.   Use a Hydrochloric Acid Supplement:Improving stomach acid production is one of the biggest factors in improving someone’s health.  HCl(hydrochloric acid) supports nutrient absorption and helps maintain a healthy gastric pH, which, in turn, supports healthy gastric ecology.  My go to HCL support supplement is Acid Pro-Zyme here

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2. Shaheen N, Ransohoff DF. Gastroesophageal acid reflux, barrett esophagus, and esophageal cancer: scientific review. JAMA. 2002 Apr 17;287(15):1972-81. PMID: 11960540

3. Eslick GD, Talley NJ. Gastroesophageal reflux disease (GERD): risk factors, and impact on quality of life-a population-based study. J Clin Gastroenterol. 2009 Feb;43(2):111-7. PMID: 18838922

4. Life Extension – Gastroesophageal Acid Reflux Disease (GERD) Link Here

5. World Journal of Gastroenterology – Overlapping gastroesophageal reflux disease and irritable bowel syndrom: Increased dysfunction symptoms. Link Here

6. Dharmarajan TS, Kanagala MR, Murakonda P, Lebelt AS, Norkus EP. Do acid-lowering agents affect vitamin B12 status in older adults? J Am Med Dir Assoc. 2008 Mar;9(3):162-7. PMID: 18294598

7. Heidelbaugh JJ. Proton pump inhibitors and risk of vitamin and mineral deficiency: evidence and clinical implications. Ther Adv Drug Saf. 2013 Jun;4(3):125-33. PMID: 25083257

8. Hilatosis and Helicobacter pylori a possible relationship Link Here

9. Sutton I, Neuberger J. Primary biliary cirrhosis: seeking the silent partner of autoimmunity. Gut. 2002;50(6):743-746.

10. Champagne ET. Low gastric hydrochloric acid secretion and mineral bioavailability. Adv Exp Med Biol. 1989;249:173-84. PMID: 2543192

11. O’Leary F, Samman S. Vitamin B12 in health and disease. Nutrients. 2010 Mar;2(3):299-316. PMID: 22254022

12. Ness-Abramof R, Nabriski DA, Braverman LE, Shilo L, Weiss E, Reshef T, Shapiro MS, Shenkman L. Prevalence and evaluation of B12 deficiency in patients with autoimmune thyroid disease. Am J Med Sci. 2006 Sep;332(3):119-22. PMID: 16969140

13. Russell RM. Changes in gastrointestinal function attributed to aging. Am J Clin Nutr. 1992 Jun;55(6 Suppl):1203S-1207S. PMID: 1590257

14. Cater RE 2nd. Helicobacter (aka Campylobacter) pylori as the major causal factor in chronic hypochlorhydria. Med Hypotheses. 1992 Dec;39(4):367-74. PMID: 1494326

15. Cater RE 2nd. The clinical importance of hypochlorhydria (a consequence of chronic Helicobacter infection): its possible etiological role in mineral and amino acid malabsorption, depression, and other syndromes. Med Hypotheses. 1992 Dec;39(4):375-83. PMID: 1494327

16. Body Ecology – Low Stomach Acid: The Risks, The Symptoms, and The Solutions Link Here

10 Ways to Improve Stomach Acid Levels

Stomach acid is critical for disinfecting and killing off bad microbes and for optimizing protein digestion in the body.  When the body is unable to produce enough stomach acid, inadequate digestion and microbial overgrowth occurs.  One of the most important and underappreciated health principles is taking time and creating rituals to improve stomach acid levels.

The normal volume of the stomach acid fluid is 20-100 mL with a pH range from 1.5-3.5.  Due to the logarithmic nature of the pH scale, there is a significant difference between a pH of 1.5 and that of 3.0 or 3.5.  For healthy protein digestion, the pH should be in the 1.5-2.2 range.  That is a big jump and that is why it is so important to improve stomach acid levels for optimal digestion.

7 Major Functions of Stomach Acid

1. Sterilizes the Food: Whenever we consume food, bacteria and other microorganisms come in with the food (even if it was cooked or pasteurized).  The stomach acid helps to neutralize the bad invaders we don’t want in our system (1, 2).
2. Protein Digestion: Stomach acid is necessary to begin the process of breaking down protein.  Have you ever marinated meat in vinegar?  Vinegar is not nearly as acidic as what your stomach acid should be, yet, over time it degrades the meat.  This is what your stomach acid should be doing in a much quicker fashion.
3. Activating Pepsin: Pepsin is a proteolytic enzyme that is necessary for our body to effectively metabolize protein.  Stomach acid activates pepsin from its inactive form called pepsinogen.
4. Activating Intrinsic Factor: Stomach acid helps to activate intrinsic factor which is a glycoprotein produced in the stomach that is necessary for vitamin B12 absorption.
5. Stimulating the Delivery of Bile and Enzymes: Stomach acid helps to stimulate the release of bile from the liver and gall bladder and digestive enzymes from the pancreas.
6. Closing the Esophageal Sphincter:  Stomach acid is an important trigger for the contraction of the esophageal sphincter (just above the stomach) to protect the soft, delicate tissue of the esophagus from the harsh acids in the stomach.
7. Opening the Pyloric Sphincter: Stomach acid helps to active the pyloric sphincter which allows food to move from the stomach to the small intestine.

The Problem With Low Stomach Acid: 

When the body is unable to produce enough stomach acid, it is unable to digest protein molecules and key minerals (3).  These partially digested protein molecules get into the small intestine and create significant stress on the pancreas to produce adequate enzymes to metabolize the protein effectively.

If this occurs repeatedly over time, it will wear down the pancreatic enzyme storage and cause stress and irritation to the intestinal lining.  Additionally, if the protein molecules are not efficiently metabolized we are unable to absorb enough amino acids which are necessary for numerous vital functions of the body.    This can lead to amino acid deficiencies, poor healing and a breakdown of various important bodily functions. (4)

The large protein molecules and incomplete digestion irritates the gut lining, leading to leaky gut syndrome.  This process can trigger the development of auto-immune activity in the body.  Poor digestion also creates an environment suited for the development of small intestinal bacterial overgrowth (SIBO), Candida overgrowth and parasitic infections (5, 6).

When we digest our food poorly it leads to increased inflammatory activity which depletes key minerals and anti-oxidants throughout the body (8).   This mineral depletion leads to an inability to form stomach acid and the vicious cycle of poor digestion and chronic inflammation continues (7, 8).

12 Signs that You Have Low Stomach Acid:

The condition of low HCL causes poor digestive motility and sphincter activity.  This allows food contents to sit in the stomach and be metabolized by bacteria that are able to survive due to lack of stomach acid.  The result of this bacterial fermentation is gas which can cause bloating, cramping, belching, etc.

Here are the most common signs and symptoms that you have low stomach acid production.

1) Gas and Belching: With low HCL, this usually comes on shortly after a meal, within 60 minutes.

2) Acid Reflux: This is most commonly caused by low acid  (not too much acid) as explained in this article.

3) Bloating and Cramping: The gas production from the bacterial fermentation in the stomach produces this.  Again, it typically comes on within an hour of eating.

4) Chronic Bad Breath: This is due to the toxic metabolites produced through bacterial fermentation in the stomach.

5) Bad Body Odor: Poor stomach acid production leads to an overall microbial overgrowth throughout the body.  More microbes produce more stinky toxins.

6) Undigested Food in Stools: This is obvious, you are not able to completely metabolize the food you are consuming.

7) Aversion to Meat: Many people with low stomach acid desire to avoid meat and have digestive problems (as described above) when they eat it.  Especially red meat which is usually tougher and depends upon more HCL than whiter meats for digestion.

8) Tired After Meals: If the digestive process has to work twice as hard, it will cost us a lot of energy, leaving us tired.

9) Feeling Full But Still Hungry: You are full because food isn’t leaving your stomach, but you are hungry because you are not absorbing nutrients effectively.

10) Chronic Anemia: You aren’t having excessive bleeding, you are consuming enough iron in your diet (or even in supplements), yet you still have a non-responsive anemia (9).

11) Weak Fingernails: If your fingernails break, chip or peel easily it is a classic sign of nutrient deficiencies, especially protein, minerals and B12.

12) Frequent Nausea: Because your stomach gets full quickly, it can often trigger a nausea reflex.

Additionally, you may be more prone to food poisoning because the less stomach acid you are producing, the less able you will be to sterilize the food stuffs in the stomach.  Have you ever wondered why 2 people can eat the same dish, one gets sick and the other doesn’t.  It may have had to do with stomach acid production.

Some of the other symptoms that one may experience with low stomach acid include the following.

The Baking Soda Stomach Acid Test

Ingesting baking soda has been a natural remedy used for many years to help settle an upset stomach.  Baking soda contains sodium bicarbonate which has hydroxide (OH-) ions that reduce acidity.  Since reducing acidity can create more comfort in someone with acid reflux, baking soda developed this reputation.

There is a simple test you can do at your home in order to see if you have enough stomach acid.  This involves drinking baking soda in order to create a unique chemical reaction within your stomach.  This reaction happens when the (OH-) ions of the baking soda (sodium bicarbonate) and the hydrogen (H+) ions within the hydrochloric (stomach) acid (HCL).  This should naturally result in carbon dioxide gas production and a resulting burping effect.

This test is virtually free (excluding the cost of a ¼ tsp of baking soda) so there is nothing to lose.  I recommend doing this test because it is safe and has no cost and it can be done very easily.

However, the test isn’t without its flaws.  There are many variables that go uncontrolled for in this experiment.  To minimize extraneous variables, I recommend performing the test on 3 consecutive mornings in order to find an overall average.

With this method, you are looking for a pattern of results instead of a one-time “yes” or “no.”  Also, to improve the accuracy it is important to do the test first thing in the morning before eating or drinking anything else.

There are no scientific studies that discuss this method as either reliable or unreliable.  The results of the test can vary widely depending upon the individual so it is up to your interpretation from what you are experiencing with this.  Here is how you do the test:

Early and repeated belching may be due to excessive stomach acid (but don’t confuse these with small little burps from swallowing air when drinking the solution).  Any belching after 3 minutes is an indication of low stomach acid production.

The Betaine HCL Challenge Test:

This is a very reliable test you can perform if you have the symptoms above and failed the Baking soda test.  It will cost you a bottle of Betaine HCL ($20), which you will probably need anyways if to help you restore HCL levels if they truly are low.

To Perform the Test do the Following:

1. Buy some Betaine HCL with pepsin (we use Acid Prozyme)
2. Eat a high protein meal of at least 6 ounces of meat (you can have veggies too)
3. In the middle of the meal (never in the beginning) take 1 Betaine HCL pill
4. Finish the meal and observe what you notice.

Possible Outcomes:

1.  You Don’t Notice Anything:  If you do not notice any difference it is most likely that you have low stomach acid levels.
2.  You Notice Indigestion:  If you notice a burning, hotness or heaviness in your chest then these are signs you have adequate stomach acid levels.

It is best to do this test 2-3 times in order to make sure you aren’t getting a false positive.  There are 3 main reasons for someone getting a possible false positive.

1.  Didn’t Consume Enough Protein:  If it is a relatively low protein meal, you won’t need much HCL and therefore the supplement can cause too much of an increase.
2.  Took the Capsule Before the Meal:  This will almost always cause indigestion as your body isn’t ready for the supplement.
3.  Have Esophageal Sphincter Dysfunction:  For some individuals, they may have a hiatal hernia or poor contractile activity of the esophogeal sphincter that can cause an increase in indigestion like symptoms.  It is always good to get a medical exam to rule these things out before doing the test if possible.

After getting 2-3 positive tests in a row, begin using the HCL supplement with the protocol I give at the bottom of this article along with the 10 ways to improve your stomach acid levels.

10 Ways to Improve Stomach Acid Levels:  

These are tips to help improve your digestion if you have lower stomach acid levels.  By following these strategies, you reduce stress on your digestivesystem and absorb nutrients more effectively.  This will help your body to have the resources it needs to produce adequate stomach acid in the future.  When you improve stomach acid levels, it makes a huge difference on your overall health and quality of life!

1. Use Liquid Nutrition Throughout the Day: You should make at least half of your meals in a liquid form such as a protein shake or green smoothie.  Protein shakes are pre-metabolized and very easy to digest and do not depend upon HCL production.  If you have low HCL it is wise to have 1-2 protein shakes each day to enhance amino acid absorption and reduce stress on the GI system.  This is very important to improve stomach acid levels.

1. Use Ginger: Ginger is one of the best things for improving digestive juices.  Ginger is part of a group of herbs called carminatives along with peppermint, anise, cardamom, coriander, etc.  I recommend drinking 2-3 cups of ginger tea each day, you can put ginger essential oil in water (2-3 drops in 8oz of water),  juice a ½ inch of fresh ginger root in a green juice each day and use ground ginger on your foods.  You can also consume fermented ginger which is common in Asian dishes such as kimchi.

1. Super Hydrate Outside of Meal Times: I am a HUGE advocate of optimal hydration and it is especially important if you have low stomach acid.  Good hydration will help activate bowel motility and push contents through the digestive system which will reduce microbial fermentation and toxicity in the body.

1. Drink Very Little With Meat Containing Meals: Anytime you are going to have meat or any sort of heavier food (not a smoothie or a veggie salad), you should cut off drinking water at least 30 minutes before the meal apart from perhaps 2oz for taking a supplement.  This will reduce any potential dilution of the gastric juices and allow for better digestion.

1. Hold Off On Water After a Meal: To allow for optimal digestion, I recommend abstaining from water or liquids until at least 30 minutes after a meal.  This allows for proper stomach acid activity, sterilization, protein metabolism, etc.

1. Use Lemon and Apple Cider Vinegar: Squeezing fresh lemon or using lemon juice or apple cider vinegar on your meat and veggies helps to pre-metabolize the food.   This allows for better digestion and nutrient absorption.  You can either marinate foods in a lemon or ACV base or just add them as a dressing right before you consume them.

1. Eat Protein Foods at the Beginning of the Meal: The stomach will begin churning out its stomach acid when you begin eating, especially when you are consuming protein.  It is very common for people to eat a salad before their protein dish, but this doesn’t work well for your HCL production.  It is a much better idea to eat your protein with the salad or veggies.

1. Use Fermented Veggies: Fermented foods such as sauerkraut, kimchi, pickles, pickled ginger, etc. all contain organic acids, enzymes and probiotics which help to improve digestive juice secretions.  I recommend using one of these with all of your heavier meals and especially any meal with protein.

1. Use Fermented Drinks: Fermented drinks such as ACV, coconut water kefir and lemon water (not fermented) contain organic acids that have an anti-microbial effect.  So these help to reduce the bacterial load, especially the bacteria in the stomach such as H Pylori.  Keeping H Pylori levels down is important for the body to be able to produce enough stomach acid.

1. Eat Your Largest Meal When You Are Most Relaxed:  In order to produce adequate stomach acid, your body needs to activate the parasympathetic nervous system.  If you are busy and on the go, you will be in fight or flight sympathetic mode.  If you struggle with low stomach acid, this is not going to allow you to produce anywhere near enough.  Relaxing before the meal is key to improve stomach acid production.

Use liquid and raw food nutrition such as smoothies, shakes and light salads  during your busier periods because these foods don’t depend upon much HCL production.  Plan your meat containing meal(s) for times when you can be relaxed at least 30 minutes before the meal and 1-2 hours after the meal.

If you are eating meat at a more stressful  time period, try taking a few deep breaths before you begin consuming your meal to help relax your body and pull you out of fight or flight.

Supplementing With Hydrochloric Acid:

One of the most important supplements I have ever worked with is supplemental hydrochloric acid.  I have seen this make a huge difference in so many people’s lives.  This is a betaine HCL tablets.  You should find them in dosage ranges of 300-500mg per capsule and in combination with 100-200 mg of Pepsin per capsule.

There are 2 protocols I use with my clients.  One is for those who have acid reflux on a regular basis while the other is for those who rarely (once a month or less) or never experience acid reflux.

Always take the Betaine HCL either half-way through the meal or right at the end of the meal.  Never take it before the meal or you may get a faulty experience of heartburn and you will turn off your natural stomach acid production for this meal.  Additionally, if you are taking any sort of NSAID medication such as ibuprofen, tylenol or aspirin do not take HCL.

If You Don’t Suffer From Acid Reflux:

Take 1 capsule during or after the meal (never before the meal) and see if you notice a mild burning sensation in your stomach, chest area.  This is a mild experience of indigestion or hearburn.  When you notice this with 1 cap of HCL, it is a sign you are producing enough HCL.  If not, you are not producing enough HCL.  At your next meal, try taking 2 caps and continue this until you find how much it takes to induce the indigestion/hearburn.

If 4 caps induces indigestion, then take 3 caps with your larger protein meals (not protein shakes or broth – only meals with meat and protein).  Once you begin feeling indigestion with 3 caps, drop it to 2, etc.

If You Suffer From Acid Reflux:

Do not take any ant-acids or acid reflux meds

Take 1 capsule during or directly after the meal (never before the meal) and see if you do not have the indigestion.  If you continue to have the indigestion, you need more.

At your next meal, take 2 caps and continue this process until you find the amount you need in order to not have indigestion.  Continue to use this amount until you notice you have indigestion again.  When you do, drop your dosage by 1 cap for your next meal.

If 4 caps took away your indigestion you can stay on that until you noticed that 4 caps now CAUSED indigestion.  Then you can drop your dosage to 3 caps until you notice the new amount causes indigestion.  When you notice indigestion at 3 caps, drop it to 2 and continue with this until you plateau or are able to completely eliminate the usage of the HCL caps.

Do I Need to Take Betaine HCL For Life?

This is the most common question I get from my clients after they see the remarkable results they get from optimizing their stomach acid and using the Betaine HCL caps.  Because stomach acid is something our body naturally should produce, this is a very valid question and concern.

The answer is maybe.  Individuals who are younger and healthier can absolutely regain near optimal HCL production and maintain that throughout life with the right plan.  Older individuals or those who have suffered with chronic health problems for a longer time may need extra stomach acid support for life.

Either way, your life will be much better by taking the HCL supplements you need so you can optimize your digestion rather than avoiding them or using them marginally.  Fortunately, they are one of the most inexpensive supplements you can find on the market.

Taking the time to improve stomach acid levels will make a huge difference on your health and quality of life if this is an issue for you!

You hear about heart disease, cancer and diabetes all the time…

But when was the last time you heard about Fatty Liver Disease?

Well, most people don’t know this but…

1 in 3 people have Fatty Liver Disease — and it’s the precursor to almost all chronic diseases like:

• Heart disease
• Cancer
• Diabetes
• Dementia
• Autoimmune disorders
• Sleep problems
• Chronic fatigue
• Underactive thyroid
• Skin issues

My friend Jonathan Landsman is going to tell the world about it in his upcoming Fatty Liver Docu-Class.

Jonathan has been a leader in the natural health field for over 30 years now — and known for being controversial — but he’s really rocking the boat with this one!

As you can see… you don’t want to miss this event!  It’s a huge deal — and it’s 100% free — so save your seat ASAP. 

Sources For This Article Include:

1. Dukowicz AC, Lacy BE, Levine GM. Small Intestinal Bacterial Overgrowth: A Comprehensive Review. Gastroenterology & Hepatology. 2007;3(2):112-122.

2. Pereira SP, Gainsborough N, Dowling RH. Drug-induced hypochlorhydria causes high duodenal bacterial counts in the elderly. Aliment Pharmacol Ther. 1998 Jan;12(1):99-104. PMID: 9692707

3. Champagne ET. Low gastric hydrochloric acid secretion and mineral bioavailability. Adv Exp Med Biol. 1989;249:173-84. PMID: 2543192

4. Low Stomach Acid: The Risks, the Symptoms, and the Solutions Link Here

5. Saltzman JR, Kowdley KV, Pedrosa MC, Sepe T, Golner B, Perrone G, Russell RM. Bacterial overgrowth without clinical malabsorption in elderly hypochlorhydric subjects. Gastroenterology. 1994 Mar;106(3):615-23. PMID: 8119531

6. Tennant SM, Hartland EL, Phumoonna T, Lyras D, Rood JI, Robins-Browne RM, van Driel IR. Influence of gastric acid on susceptibility to infection with ingested bacterial pathogens. Infect Immun. 2008 Feb;76(2):639-45. PMID: 18025100

7. Cater RE 2nd. The clinical importance of hypochlorhydria (a consequence of chronic Helicobacter infection): its possible etiological role in mineral and amino acid malabsorption, depression, and other syndromes. Med Hypotheses. 1992 Dec;39(4):375-83. PMID: 1494327

8. Britton E, McLaughlin JT. Ageing and the gut. Proc Nutr Soc. 2013 Feb;72(1):173-7. PMID: 23146206

9. Betesh AL, Santa Ana CA, Cole JA, Fordtran JS. Is achlorhydria a cause of iron deficiency anemia? Am J Clin Nutr. 2015 Jul;102(1):9-19. PMID: 25994564

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5 Ways to Test Your Stomach Acid Levels

5 Ways to Test Your Stomach Acid Levels:

Low stomach acid, also called hypochlorhydria is one of the major underlying causes in chronic inflammatory conditions.  Most people who develop low stomach acid will never trace their health condition back to this issue.  The medical system rarely gives any consideration to stomach acid levels and most natural health practitioners don’t fully address this issue as well.

Stomach acid is also called HCL for hydrochloric acid based around its chemical composition of one part hydrogen and one part chloride.  There are many symptoms associated with low stomach acid levels and a few lab tests and at home tests one could perform in order to see if they have this problem.  These 5 tests include:

The Gastric Acid Secretion Test:

This is a highly invasive and expensive test that is typically only used by medical doctors if the individual has a diagnosed stomach ulcer.  It is only covered by insurance in cases of stomach ulcers (1)

Doctors find it helpful to see if the anti-ulcer medication that was prescribed is working and to see if there is any material coming into the stomach from the intestines.

This test consists of having tube inserted into your stomach through the esophagus in order to suck out any existing stomach fluid.  You will also need an injection of the hormone gastrin into the body in order to stimulate the stomachcells to release acid.

The stomach should normally have 20-100mL of fluid with a pH between 1.5-3.5.  A low level of fluid and/or high pH would be indicative of either achlorhydria or hypochlorhydria.

The Heidelberg Stomach Acid Test:

This is considered the gold standard test for hypochlorhydria.  This test gives an exact result to the capability of the stomach to produce acid.  It typically costs around $350 and most insurance plans do not pay for it.

This test works by using a small capsule with a specific wireless electronic transmitter that records the pH of the stomach as you drink a solution with small amounts of baking soda.  Baking soda is sodium bicarbonate which has hydroxide (OH-) ions that reduce acidity.

The baking soda will naturally neutralize the HCL in the stomach.  If the acid does not return to normal after the baking soda is swallowed than that is a positive test for hypochlorhydria (2).

The typical protocol looks like this:

1. Avoid any acid suppressing drugs for at least 4 days before the test.
2. Fast for 8-12 hours
3. Swallow the small electronic capsule
4. Drink a solution of baking soda
5. The test will record the time it takes to reacidify.

This will determine if you have too much acid production (hyperchlorhydria), too little or none at all, called achlorhydria (3).

This test will show a graph of your pH levels at regular intervals of time.  The video below shows more detail if you are interested.

The CBC and CMP:

A skilled clinician can diagnose low stomach acid levels off of routine complete blood counts (CBC) and comprehensive metabolic panels (CMP) if they know what they are looking for.  Patient history should always be a big factor with this but here are the major signs on these tests.

The nice thing about the CBC and CMP is that they are routine tests for medical doctors and are nearly always covered by insurance if you go through your primary care medical provider.  Here are the indications that I look for:

Low Chloride Levels:  One of the main components of hydrochloric acid is chloride.  When we see low chloride levels in the blood under 100 (101-106 is functionally normal) than it is a sign of low HCL.

Abnormal Serum Protein and Serum Globulin Levels:  Since HCL is needed for protein digestion, when these levels are abnormal such as a serum proteinunder 6.9 or over 7.4 g/dL and globulin level under 2.4 or over 2.8 g/dL than it could be a sign of low HCL.  Especially if liver enzymes are relatively normal.

Low Phosphorus Levels:  If phosphorus levels are low, with a vitamin D deficiency and/or hyperparathyroidism than it may be a sign of low HCL production.

High BUN Levels: A lack of stomach acid may result in a high amount of nitrogenic waste (from poor protein digestion) in the bloodstream.  This can be seen as a BUN (blood urea nitrogen) level of 20 or more.

Abnormal MCV//MCH/MCHC:  This has to do with the size of the red blood cell (RBC). Methylation with B12 is a critical part of the RBC maturation process in the bone marrow.  Inadequate B12 will result in immature RBC’s that will be larger and less effective at carrying oxygen to cells.

HCL is also necessary for iron absorption, so if these numbers are below normal along with low Hct, Hbg, etc. it could be an iron deficiency related to low HCL.

Normal MCV should be between 85-92

Normal MCH should be between 27.7-32%

Normal MCHC should be between 32-36%

Additional Lab Testing:

High Homocysteine Levels:  Stomach acid is critical for B12 absorption (4).  B12 is one of the key components of methylation which keeps homocysteinelevels between 5-8 umol/L.  If B12 levels are low, than homocysteine will be elevated.

Low B12 Levels:  Intrinsic factor is a glycoprotein in the stomach that is necessary for B12 absorption.  With inadequate HCL production, intrinsic factor will be unable to work effectively and the individual will develop a B12 deficiency (5).

When a patient history indicates symptoms of low stomach acid levels and 2 or more of these findings are on lab work than it is a good clinical assumption that the individual needs to focus on strategies to improve HCL production.

The main test I use for this is the Complete Thyroid Report which looks at all of these metabolites and so much more.

The Baking Soda Stomach Acid Test:

This very easy, at home test to look at your stomach acid levels that is basically free other than the cost of ¼ tsp of baking soda.  This is a good one to do because it is safe and has no major cost involved.

This test works by creating a unique chemical reaction within your stomach that occurs when you mix the OH- ions of the baking soda with the hydrogen (H+) ions within the bodies stomach acid (HCL).  The natural results should be a carbon dioxide gas production which will cause a burping effect.

This test does have many variables that can cause false positives or negatives.  To minimize these variables and get a greater degree of accuracy, I recommend performing this test on 3 consecutive mornings to find an overall average.

It is also best to do this test first thing in the morning before eating or drinking anything.  You are looking for pattern of results, not a simple one-time “yes” or “no.”

There is no published data on this method and the reliability is up for question.  The results can vary from person to person depending upon how the individual interprets what they are experiencing.  However, I still like it as a baseline measure and it is simple enough that you can retest every month to see if you notice changes.

Here is How You Do The Test:

1. Mix ¼ tsp of baking soda in 4-6 oz of cold water, first thing in the morning before eating or drinking anything.
2. Drink the baking soda solution
3. Time how long it takes for a burp or belch to come about. Go up to 5 minutes.  If you have not burped or belched within 5 minutes than it would be a sign of insufficient stomach acid production.

If you have early and repeated belching than it may be due to too much stomach acid.  However, it is important not to confuse these with small little burps from swallowing air when drinking the solution.  Any belching after 3 minutes is an indication of low stomach acid levels and overall HCL production.

Betaine HCL Challenge Test:

This is another at-home test that is quite reliable in my opinion, although there is no scientific data that I am aware of to prove this.  There are studies that show that supplemental betaine HCL does reacidify the stomach for a period of time (6).

I typically recommend it for individuals who have the major symptoms of low HCL and have failed the baking soda test.  It will only cost about $20 for a bottle of Betaine HCL, which is most likely a good investment since you will probably need it to help you restore your HCL levels if they are truly low.

To Perform the Test do the Following:

1. Buy some Betaine HCL with pepsin (we use Acid Prozyme)
2. Eat a high protein meal of at least 6 ounces of meat (you can have veggies too)
3. In the middle of the meal (never in the beginning) take 1 Betaine HCL pill
4. Finish the meal and observe what you notice.

Possible Outcomes:

1. You Don’t Notice Anything:If you don’t feel any difference than it is most likely you have low stomach acid levels.
2. You Notice Indigestion:If you experience a burning, hotness or heaviness in your chest than these are signs you have adequate stomach acid levels.

It is best to do this test 2-3 times in order to make sure you aren’t getting a false positive.  There are 3 main reasons for someone getting a possible false positive.

1. Didn’t Consume Enough Protein:  Low protein meals don’t need much HCL and therefore the supplement can cause too much of an increase.  Be sure it is as close to 6oz of meat as possible.
2. Took the Capsule Before the Meal:This will almost always cause indigestion as your body isn’t ready for the supplement.
3. Have Esophageal Sphincter Dysfunction:  For some individuals, they may have a hiatal hernia or poor contractile activity of the esophogeal sphincter that can cause an increase in indigestion like symptoms.  It is always good to get a medical exam to rule these things out before doing the test if possible.

If you get 3 positive tests in 3 separate meals than begin using the HCL supplement with the protocol I describe in detail in this article along with the 10 ways to improve your stomach acid levels naturally.

Sources For This Article Include:

1. Stomach Acid Test – MedlinePlus

2. DePestel, D. D., Kazanjian, P. H., Cinti, S. K., Kauffman, C. A. and Carver, P. L. (2004), Magnitude and Duration of Elevated Gastric pH in Patients Infected with Human Immunodeficiency Virus After Administration of Chewable, Dispersible, Buffered Didanosine Tablets. Pharmacotherapy, 24: 1539–1545.

3. Stack BH. Use of the Heidelberg pH capsule in the routine assessment of gastric acid secretion. Gut. 1969;10(3):245-246.

4. Rasool S, Abid S, Iqbal MP, Mehboobali N, Haider G, Jafri W. Relationship between vitamin B12, folate and homocysteine levels and H. Pylori infection in patients with functional dyspepsia: A cross-section study. BMC Research Notes. 2012;5:206.

5. King CE, Leibach J, Toskes PP. Clinically significant vitamin B12 deficiency secondary to malabsorption of protein-bound vitamin B12. Dig Dis Sci. 1979 May;24(5):397-402. PMID: 378625

6. Yago MAR, Frymoyer AR, Smelick GS, et al. Gastric Re-acidification with Betaine HCl in Healthy Volunteers with Rabeprazole-Induced Hypochlorhydria. Molecular pharmaceutics. 2013;10(11):4032-4037.

Dyspepsia: 8 Strategies to Improve Indigestion

Dyspepsia: 8 Strategies to Improve Indigestion

One of the most common health issues people experience is dyspepsia, or indigestion. Dyspepsia is a general term that describes painful, difficult or disturbed digestion. Rather than a disease or condition itself, dyspepsia refers to a group of symptoms that will often include abdominal pain, bloating, nausea, heartburn, and uncomfortable fullness when eating.

Dyspepsia is a sign of an underlying health issue. There are many conditions which can cause dyspepsia such as gut infections, stomach ulcers, and gastroesophageal reflux. Anxiety and depression are often associated with dyspepsia due to the intricate connection between the gut and the brain. Many diet and lifestyle factors are also linked to dyspepsia.

Fortunately, there are natural strategies that may improve your symptoms of dyspepsia. Changing your diet can provide huge relief, along with targeted supplementation and other lifestyle strategies. It is important to identify and address your underlying issues in order to heal dyspepsia. Blood and stool tests can be very helpful in this process.

What is Dyspepsia?

Dyspepsia, or indigestion, is a persistent or recurring pain or discomfort in the upper abdomen. It is the unpleasant symptoms that occur when your digestive system is not functioning properly (1).

Dyspepsia is usually a sign of an underlying health issue and is not considered a condition in itself. Dyspepsia is very common and affects both men and women of all ages. Women and older adults have a higher risk of dyspepsia (2).

Symptoms of Dyspepsia

Symptoms of dyspepsia vary from person to person. These symptoms may be experienced occasionally or as frequently as daily. Symptoms may include:

• Pain or discomfort in upper abdomen
• Bloating
• Early fullness during a meal
• Uncomfortable fullness after a meal
• Burning in the stomach or upper abdomen
• Belching and gas
• Nausea and vomiting
• Acidic taste
• Growling stomach
• Decreased appetite

People often confuse heartburn (or reflux) with dyspepsia. People with dyspepsia may also have heartburn, but heartburn and dyspepsia are two separate conditions. Heartburn is a pain or burning feeling in the center of the chest that may radiate into your neck or back during or after eating.

Prevalence of Dyspepsia

Dyspepsia is one of the most prevalent functional gastrointestinal disorders. Around 20% of people globally experience dyspepsia. In the United States, dyspepsia accounts for 5% of visits to general practitioners and about 25% of people suffer from dyspepsia.

Dyspepsia is very costly. A study in 2009 estimated the total direct and indirect costs of dyspepsia to be $18.4 billion (3). This includes medical treatments, over the counter medications, alternative therapies, and absences from work.

Categories and Causes of Dyspepsia

Dyspepsia can be divided into two main categories: “organic” and “functional,” depending on the underlying cause (1). Organic causes of dyspepsia are peptic ulcers, GERD, gastric or esophageal cancer, pancreatic or biliary disorders, intolerance to foods or drugs, and other infectious or systemic diseases.

Dyspepsia is called functional dyspepsia when there is no obvious cause that can be identified (1). It is also called nonulcer stomach pain or nonulcer dyspepsia. Let’s look at some of these causes more closely.

1.   Peptic Ulcer

A common cause of dyspepsia is peptic, or stomach ulcers. A peptic ulcer is a sore on the lining of the stomach or duodenum. People with stomach ulcers commonly feel a dull or burning pain in the stomach. Ulcers are often caused by H. pylori infections or the long-term use of NSAIDs (4).

2.   Helicobacter Pylori

Helicobacter pylori (H. pylori) is an infection that occurs when the Helicobacter pylori bacteria infects your stomach. Over half of the world’s population is infected with H. pylori, but most never have any signs or symptoms.

When symptoms of H. pylori do occur, they include an ache or burning in the abdomen, nausea, bloating, and other symptoms of dyspepsia. H. Pylori can cause stomach ulcers and be very damaging to the body.

3.   Gastrointestinal Reflux Disease

Gastroesophageal reflux occurs when the contents of the stomach back up into your esophagus. The more serious and long-lasting form of reflux is gastroesophageal reflux disease (GERD). GERD affects around 20% of the people in the United States.

There is a great degree of overlap between dyspepsia and GERD (2). Around 38% of people with GERD also have dyspepsia symptoms. Additionally, people with dyspepsia may be at higher risk of developing GERD.

4.   Hiatal Hernias and Dyspepsia

5.   Small Intestinal Bacterial Overgrowth

Another gut infection that may cause dyspepsia is SIBO, or small intestinal bacterial overgrowth. There are trillions of bacteria in our intestinal tracts, mostly in the large intestine. SIBO occurs when there is an overgrowth of bacteria in the small intestine. These bacteria in the small intestine cause carbohydrates to ferment which produces hydrogen and methane gases.

Symptoms of SIBO include gas, bloating, diarrhea and/or constipation, and abdominal pain. SIBO can lead to intestinal permeability (leaky gut), autoimmune conditions, food sensitivities, nutrient deficiencies, inflammation, and other health issues. To learn more about causes and how to beat SIBO naturally, read this article.

6.   Gastroparesis

Delayed gastric emptying is highly associated with dyspepsia. Gastroparesis is a disorder that slows or stops the movement of food from your stomach to your small intestines. Many symptoms of gastroparesis overlap those of dyspepsia and include bloating, a feeling of fullness, heartburn, nausea and vomiting.

7.   Anxiety and Depression

Anxiety and depression are highly associated with dyspepsia. This is due to the bidirectional gut-brain axis which links gut function to emotional and cognitive functions.

Around 75% of people with dyspepsia also suffer from anxiety and almost 50% with depression (5). People who are stressed or tired may experience dyspepsia, especially when they eat in a stressful situation.

8.   Certain Medications or Treatments

Certain medications may cause dyspepsia and/or make symptoms worse. These medications include:

• Aspirin and other non-steroidal anti-inflammatory meds
• Estrogen and oral contraceptives
• Steroid medications
• Certain Antibiotics
• Thyroid medications

9.   Lifestyle Factors

There are many lifestyle factors that may cause dyspepsia. Eating too much food, eating too fast, and eating high-fat, greasy, or spicy foods may cause stomach discomfort. Swallowing excess air when eating may increase the belching and bloating that are common with indigestion. Drinking excessive amounts of alcohol and smoking are also linked to dyspepsia.

Other possible causes of dyspepsia include irritable bowel syndrome, celiac disease, gastritis, gallstones, esophagitis, stomach cancer, pancreatitis, and thyroid issues. It is important to identify and address your underlying cause to improve your symptoms.

How is Dyspepsia Diagnosed?

Dyspepsia is used broadly to describe difficult digestion. To diagnose dyspepsia, doctors may perform an upper gastrointestinal endoscopy, abdominal ultrasonography, gastric emptying test, and other gastric evaluations (MRI, ultrasound, etc.) (1). Doctors may also order blood tests to rule out other diseases that can cause signs and symptoms similar to dyspepsia.

Strategies to Heal from Dyspepsia

To improve painful or difficult digestion and the symptoms of dyspepsia, it is important to follow an easy to digest, anti-inflammatory diet avoiding food triggers. Improving gut health and using targeted supplementation along with other healing strategies may improve your symptoms. It is also critical to identify and address underlying causes.

1.   Avoid Food Triggers and Sensitivities

There are several foods that can trigger dyspepsia. These include gluten, grains, dairy, fatty foods, spicy foods, excess caffeine or alcohol, chocolate, and carbonated beverages.

Food sensitivities may also cause difficulties with digestion. When you have food sensitivities, your immune system reacts to certain foods as a threat amplifying an immune-mediated response. This inflames the gut lining and may lead to intestinal permeability, irritable bowel syndrome, and other digestive problems.

People with food sensitivities may experience a variety of uncomfortable digestive symptoms. These include diarrhea and/or constipation, bloating, gastritis, reflux, and associated malabsorption and nutrient deficiencies.

Around 45-75% of individuals have food sensitivities. It is important to identify any food sensitivities and eliminate these foods from your diet for a period of time. For information about different methods of testing for food sensitivities, check out this article.

2.   Change Eating Habits

One of the most effective strategies for relieving dyspepsia symptoms is to modify your diet and eating habits. You should remove foods that promote inflammation and damage the gut lining and replace them with healing foods.

The most important foods to avoid are refined sugars, processed foods, processed vegetable oils, meat and dairy from conventionally raised animals, and farmed fish. These foods contain chemicals, trans-fats, and other toxic ingredients which are highly inflammatory, create extra acidity in the tissues, and damage the gut.

Foods to include are whole, unprocessed foods which include clean protein, organic vegetables, and healthy fats. Clean protein sources are grass-fed meats, pasture-raised, organic chicken and eggs, and wild-caught salmon.

Non-starchy, cooked vegetables are easier to digest than raw vegetables. Be sure to add healthy fats to your meals. These are found in coconuts, olives, avocados, and their oils, and in grass-fed butter and ghee.

How you eat is also important. Eat smaller meals which will not overwhelm your digestive system, chew your food well, and eat in a relaxing environment. It may also be helpful to do some gentle activity after a meal and avoid lying down for at least 2 hours after a meal.

3.   Support Digestion

Dyspepsia is often related to difficulty processing food in the digestive tract. Many people with dyspepsia have low stomach acid and insufficient digestive enzyme levels. Adequate levels of both are necessary for proper digestion and nutrient absorption.

Digestive enzyme supplementation is an effective and safe alternative to manage dyspepsia symptoms (6). A fantastic digestive enzyme supplement is SuperDZyme. Taking SuperDZyme with meals helps to reduce stress on the digestive system, improve the digestion of food and absorption of nutrients, reduce inflammation in the gut, and improve digestive issues.

A common misconception is that indigestion is caused by excess stomach acid. On the contrary, many people have low stomach acid. You can improve stomach acid levels by consuming liquid nutrition during the day with at least half of your meals in an easily digestible form. Squeezing fresh lemon juice or apple cider vinegar on meat and vegetables can help pre-metabolize the food.

Be sure to hydrate outside of meals because drinking water with or right after a meal will dilute your digestive juices. Other strategies to help with low stomach aid include eating your protein first (meat is harder to digest), chewing each bite many times, and enjoying your meals in a relaxing environment.

If you have low stomach acid, supplementation with hydrochloric acid may be beneficial. Acid ProZyme has betaine HCl, pepsin, l-glutamic acid, and gentian root to support gastric acidity, digestion and normal gastrointestinal flora.

4.   Repair Leaky Gut

To improve dyspepsia, it is very important to heal and repair your gut. Leaky gut syndrome, or intestinal hyperpermeability, is a condition in which the tight junctions in the gut lining become too large and abnormally permeable. Undigested food particles and toxins can pass through these holes in the intestinal wall and into the bloodstream. This causes the immune system to overreact and results in chronic inflammation.

Reducing stress on the gut with liquid nutrition and fasting, along with nutrients to repair the gut, can be very effective. Intermittent fasting is a great way to reduce stress on the gut.

With intermittent fasting, the eating time is restricted to a narrower window and you go for longer periods of time without eating. For example, you can go without eating for 14 hours and eat from 11 am to 7pm each day. Water or bone broth fasting are additional fasting strategies that can be very helpful.

Use Liquid Nutrition:

Using liquid nutrition is great for stimulating the digestive process, increasing nutrient absorption, and improving gut health. Liquid nutrition does not require as much energy to digest, so your body can focus on healing and repair. A great option for liquid nutrition is a shake with Gut Healing Protein. Gut Healing Protein provides high-quality hypoallergenic amino acids and powerful antioxidants to support gut function and improve detoxification.

Another fantastic supplement to soothe an irritated gut lining and reduce inflammation in the gut is Gut Repair. Gut repair contains the amino acid l-glutamine, along with aloe vera, arabinogalactan, and licorice.

The amino acid glutamine plays an important role in gut and immune function. Aloe has many health benefits including reducing inflammation in the gut. Licorice is a powerful herb that helps with indigestion and ulcers. Gut Repair is a great choice for anyone with dyspepsia.

5.   Identify and Address Gut Infections

The gastrointestinal tract is a major entry point for pathogens. When these pathogens invade our gastrointestinal system, they can cause infections. (7). Infections are a possible cause of dyspepsia, so it is important to take steps to identify and eliminate gut infections. Addressing gut infections will help to reestablish a healthy microbial balance and heal the gut.

Antimicrobials and probiotics can be very helpful for anyone with gut infections. A fantastic antimicrobial supplement to include in your protocol is GI Clear. GI Clear is a blend of botanical extracts with antimicrobial properties. These herbs help to reduce pathogenic bacteria, yeast, and parasites which create infections in your gut.

Probiotics are beneficial microorganisms (bacteria and yeasts) that keep your gut and body healthy. They are similar to the microorganisms that naturally live in our bodies and support digestive health in many ways (8). For information on the benefits and categories of probiotics along with suggested protocols, read this article.

6.   Strengthen Gut Mucosa

The gut mucosa is a protective barrier that lines the digestive tract. It houses the gut microbiome, aids in the absorption of nutrients, and protects us from pathogens, toxins, and dietary antigens. Strengthening the gut mucosa is important for improving symptoms of dyspepsia.

Two fantastic supplements to help strengthen this critical gut barrier are MegaMucosa and Mega IgG2000. MegaMucosa contains dairy-free, bovine-based immunoglobulins to support a healthy immune response in the mucosa and increase SIgA levels. It also contains four key amino acids and citrus polyphenols which support microbial diversity and alleviate barrier dysfunction.

For greater mucosal support, Mega IgG2000 contains a serum-derived immunoglobulin concentrate. It supports gut barrier function, improves immunity, and decreases inflammation in the gut. Mega IgG2000 also binds to environmental toxins, neutralizes pathogens, and aids digestion. These supplements may help you reduce and overcome gut infections.

7.   Use Carminative Herbs

Carminative herbs are plants with phytonutrients that support digestive health and overall wellbeing. These therapeutic herbs include peppermint, milk thistle, ginger, cinnamon, anise, dandelion root, cilantro, garlic and turmeric. They promote digestion, relieve cramps and gas, and increase appetite.

Great ways to use carminative are in herbal teas, essential oils, fresh herbs, chew on fennel, in juices and fermented vegetables and drinks. For more information on the reasons to use carminative herbs, read this article.

 

Acid Reflux Symptoms, Causes & Natural Treatments

Kathleen McCoy, BSApril 8, 2018

By 

Between 25 percent to 40 percent of Americans of all ages suffer from acid reflux symptoms. An estimated 20 percent of adults experience gastroesophageal reflux disease weekly or daily — commonly called GERD or referred to as heartburn, a more severe case of acid reflux. (1) Why do so many suffer from these agitating, often persistent, symptoms of indigestion? As you’ll learn, there are many common causes of GERD and acid reflux, which include pregnancy, hiatal hernias, eating an unhealthy diet and an imbalance of stomach acid. All of these can result in the regurgitation of acid that triggers unpleasant acid reflux symptoms, such as burning or belching. (2)

At the root of acid reflux is dysfunction of the the lower esophageal sphincter, which is supposed to close as soon as food passes through. However, if it doesn’t close all the way, acid can creep up from lower in the digestive systemand begin to cause an array of problems. If it’s not treated properly, long-term acid reflux can cause severe damage.

Easing acid reflux or GERD symptoms temporarily with medications or over-the-counter drugs is usually not a cure — it’s only a way to offer some relief as symptoms are suppressed in the short-term. Ironically, these medications may cause new or worsened symptoms, depending on how your body reacts to them. If you’ve been relying on over-the-counter and/or prescriptions to ease pain and discomfort, you might be familiar with some of the notorious side effects associated with their use, which include headaches, muscle cramps, rapid heart rate and more digestive upset.

Below you’ll find information related to natural remedies for managing acid reflux symptoms, providing you with a much better understanding overall of what causes this type of digestive dysfunction to begin with and how it can finally come to an end. In addition to lowering acid reflux symptoms, the same types of treatments can also usually be helpful for managing related issues, such as GERD symptoms.

Acid Reflux Symptoms and Complications

The most common acid reflux and GERD symptoms include: (3)

• Heartburn
• Bitter taste in your mouth, periodically or (for some people) throughout the day (some people taste regurgitated food or sour liquid at the back of their mouths/throats)
• Waking up in the middle of the night feeling like you’re choking or coughing
• Dry mouth
• Gum irritation, including tenderness and bleeding
• Bad breath
• Regurgitation of acidic foods
• Bloating after meals and during bouts of symptoms
• Nausea
• Bloody vomiting (possible sign of damage in the lining of the esophagus)
• Black stools
• Belching, gassiness, burping and flatulence after meals
• Hiccups that are difficult to stop
• Difficulty swallowing (a possible sign of narrowing esophagus)
• Unexpected weight loss
• Increased discomfort when bending over or lying down
• Hoarseness upon waking or throughout the day
• Chronic throat irritation, soreness and dryness

Acid Reflux Complications

If you experience ongoing regurgitation of acid — because you don’t respond well to medications or don’t take steps to treat the root causes, for examples — scarring of tissue in the lower esophagus can result in narrowing of the esophagus, which raises the risk for other problems. Research shows that long-term complications associated with untreated symptoms of acid reflux include Barrett’s esophagus (a serious complication of GERD), cancer of the esophagus, sleep-related problems and chronic coughs. (4)

As the rate of acid reflux has risen steadily over the past decade, so have related complications. The American Cancer Society estimates that in 2017, nearly 17,000 new cases of esophageal cancer were diagnosed in the U.S. and almost 16,000 Americans died of the disease. There are also side effects and complications possible due to taking medications for acid reflux, including prescription and even over-the-counter drugs. I’ll touch on that shortly.

Causes and Risk Factors of Acid Reflux Symptoms

Contrary to popular belief (and what many pharmaceutical companies say in advertisements), acid reflux symptoms are not caused by too much acid in the stomach. In fact, it is now believed by many that low stomach acid often causes symptoms.

Acid reflux is caused by acid rising up to the esophagus, the tube that connects the throat and stomach. Acid enters the esophagus because of a leaky valve, and there are a variety of reasons this happens. The esophageal valve that connects the esophagus and stomach is unable to shut properly and gastric juices end up “sneaking up the pipe.” Then without proper levels of acid in the stomach, digestion is altered, often causing unpleasant symptoms.

While everyone’s gut is different and we all have different food sensitivities as well as acid reflux triggers, there are some repeat offenders that seem to contribute to many cases of acid reflux or GERD. (5)

Causes and risk factors associated with acid reflux and GERD include:

Inflammation: Studies have found that high levels of inflammation are linked to the development of GERD because they cause tissue damage and dysfunction in the esophagus. (6) Inflammation left to fester is also a factor in the development of esophageal cancer, a known complication of acid reflux. (7)

Hiatal Hernia: Hiatal hernias can cause the unpleasant symptoms of acid reflux. The diaphragm helps separate the stomach from the chest. A hiatal hernia happens when the upper part of the stomach protrudes above the diaphragm, allowing acid to escape. These hernias are associated with most, but not all, cases of GERD. (8)

Carbohydrate malabsorption: More and more evidence seems to point to the link between the poor digestion of carbohydrates and GERD. In the book “Heartburn Cured,” Dr. Norm Robillard argues that we target some incorrect trigger foods when treating GERD nutritionally and that more focus should be on eliminating excess carbohydrates.

The mechanisms behind this are somewhat complex, but to sum it up: research seems to reflect that acid reflux and GERD are probably exacerbated by too much intra-abdominal pressure (gas throughout the intestines). (9) Robillard and other sources believe this pressure is the result of bacterial overgrowth, such as SIBO, and malabsorption of carbohydrates. The root of this pressure may ultimately trace back to the low stomach acid of those suffering from acid reflux. (10)

Underdeveloped digestive system: Babies can develop acid reflux or GERD due to an underdeveloped digestive system. GERD in babies usually self-corrects by the age of 1.

Aging: Many aging and elderly members of the American population lack the appropriate amount of stomach acid needed to digest their food fully, often considered a side effect of taking antacids regularly and/or malnutrition. (11) This is true especially for those older individuals with H. pylori infections, which ultimately leads to atrophic gastritis, an inflammation of the gastric mucosa within the stomach. (12, 13)

One complication of acid reflux and GERD in elderly patients is that their symptoms present differently than younger people suffering the same issues. Repeated reflux eventually leads to an inability to recognize the severity of acid in the esophagus, which is why some older people don’t recognize symptoms of acid reflux, although they may be suffering from serious complications like erosive esophagitis or Barrett’s esophagus. It is not uncommon for doctors to find that GERD is the root cause of serious symptoms in the elderly like chest pain, other heart symptoms and gastrointestinal bleeding. (14)

Pregnancy: When a woman is pregnant, the fetus can put extra pressure on the esophageal valve, causing the release of acid and symptoms of acid reflux. Elevating the head during sleep, sipping herbal teas and eating smaller meals can help.

Obesity: Being overweight or obese can put extra pressure on the valves and sphincter that allow release of acid. This is probably why obesity is often associated with acid reflux and GERD. In eight out of nine studies included in a large review, as BMI (body mass index, a measure of body fat) rose, so did GERD symptoms. The same study review found that obesity was correlated with higher levels of other related disorders, including erosive esophagitis, esophageal and gastric cancers. (15)

Large meals: Eating bigger meals is a culprit, as is snacking too close to bedtime. An overly full stomach places excessive pressure on the diaphragm, causing acid to travel upward.

Smoking cigarettes: This impairs muscle reflexes and increases production of acid, and it should be avoided for anyone suffering from acid reflux. Smoking cessation is associated with significant improvement of GERD/acid reflux symptoms. (16)

Medications and supplements: Certain medications, including ibuprofen, muscle relaxers, some blood pressure prescriptions, antibiotics and aspirin can cause acid reflux and GERD. Potassium and iron supplements can also aggravate reflux symptoms. (17) Read warning labels, and discuss alternatives with your physician.

Heartburn: Heartburn can be the first symptom of an H. pylori infection that’s common in two-thirds of the population and tied to stomach ulcers. Left untreated, severe infection can sometimes contribute to formation of stomach cancer.

Excessive exercise: Due to taxing the nervous system, overtraining and getting too little rest can cause acid reflux by putting extra pressure on the abdominal cavity. This includes running and other aerobic high-impact exercises. (18)

Magnesium deficiency: Low magnesium levels may lead to improper functioning of the sphincter that prevents acid from escaping. (19)

Chronic cough: There is a strong correlation between cough and acid reflux. Although this relationship is not causal (meaning researchers have not definitely proven one causes the other), cough may be either a factor in developing GERD or a symptom of the process of acid escaping into the esophagus. (20)

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Acid Reflux vs. GERD vs. Heartburn: How Are They Different?

All of these painful digestive conditions are related and tend to cause similar symptoms; however, they usually develop in stages.

In the case of acid reflux, the patient experiences backward flow of stomach acid into the esophagus. When this progresses, it can be diagnosed as GERD, which is considered to be more severe. (21)

Heartburn is also commonly called GERD. The most common symptom of GERD is frequent pains  in the chest and burning sensations (hence the name “heartburn”). Other signs of GERD are difficulty swallowing or keeping down food/liquids (very common in young children), coughing, wheezing and chest pain. Most often these symptoms occur at night.

It’s estimated that 60 percent of Americans have heartburn at least once a year, with 20–30 percent suffering at least once a week. (22) An alarming finding is that the prevalence of weekly heartburn and other symptoms of acid reflux rose nearly 50 percent over the last decade. Findings from one study conducted over 11 years in Norway found that the incidence of acid reflux rose from around 11 percent of the population to over 17 percent within this time period, and a similar rise has happened in the U.S. and other industrialized countries too. (23)

While it might not be the biggest deal to have acid reflux symptoms from time to time, research shows that people with long-standing, chronic heartburn are at greater risk for serious complications, including stricture (narrowing) of the esophagus and esophagitis, an inflammation of the esophagus.

Conventional Treatments for Acid Reflux Symptoms

The three main types of medicines to treat acid reflux symptoms or those caused by GERD are antacids, histamine type 2 receptor antagonists (H2 blockers) and proton pump inhibitors (PPIs). Should these not work or more serious intervention is needed, doctors will sometimes recommend surgery to tighten the lower esophageal sphincter. Unfortunately, this surgery is not a cure and symptoms may return.

The major problem here is the insistence that excessive stomach acidity is the problem. Your stomach functions optimally when it is between 1.5 and 3.5 pH (an extremely acidic environment), and acid-blocking drugs can raise that pH somewhere around two points (a higher pH means a lower acid level). What’s the problem with that?

Well, for one, they don’t address the root problem and provide only temporary relief. When antacids make the stomach less acidic, more acid is automatically produced to bring the stomach back to its intended pH level. The body will continue this process every time a medicinal measure is taken to reduce acidity.

Hypochlorhydria, the clinical term for low stomach acid, is an under-researched and dangerous condition. Every time you take antacids, H2 blockers or PPIs, you are contributing more to this problem (which may be one reason you develop heartburn in the first place). Prolonged hypochlorhydria leads to chronic atrophic gastritis and is associated with side effects including vitamin B-12 deficiency, autoimmune conditions, asthma, diabetes, chronic fatigue and many other disorders. (24)

Antacids

According to common (and faulty) assumptions about excessive acid levels causing a dangerously high level of acidity in the stomach, most practitioners recommend over-the-counter antacids as a first line of defense against heartburn and reflux. A medication such as TUMS® can give quick relief (within a matter of minutes) to a case of heartburn — but, like most conventional medicine, this is used to treat a symptom rather than an underlying disorder.

The side effects of antacids themselves list 20 issues related to repeated use: (25)

• Diarrhea
• Constipation
• Nausea
• Vomiting
• Feelings of discomfort
• Loss of appetite
• Mood/mental changes
• Weakness
• Calcium loss
• Osteoporosis
• Kidney stones
• Wrist/ankle swelling
• Bone pain
• Discolored stool
• Aluminum toxicity
• Slow breathing
• Frequent urination
• Headaches
• Muscle pain
• Drug/supplement interactions

Histamine Type 2 Receptor Agonists (H2 Blockers)

Also available over the counter, H2 blockers work more slowly than antacids to reduce stomach acid and take longer to treat symptoms (60 to 90 minutes), but are intended to last for longer periods of time. These include Pepcid/Pepcid AC®, Axid®, Tagamet® and Zantac® and work by blocking a substance in the body that encourages acid production in the stomach.

By stopping the production of hydrochloric acid (HCl, which is your stomach’s natural acid), these medications also stop pepsin production, the digestive enzyme responsible for breaking down protein so it can be digested. This allows for undigested protein to make its way to your intestines, further increasing intra-abdominal pressure (a possible underlying cause of acid reflux/GERD).

Raising the pH of your stomach beyond what it was intended also increases your risk of infection, as the bacteria that would be killed by a healthy pH of 3 in the stomach are able to live when they should not. (26) Users run the risk of infection by common bacteria like listeria and salmonella, as well as being at a higher risk of developing pneumonia, tuberculosis, typhoid and dysentery. (27, 28)

H2 blockers have several drug interaction warnings and might cause the following side effects, especially when taken in large doses over time:

• Headaches
• Anxiety
• Depression
• Mental disturbances
• Diarrhea
• Dizziness
• Rash
• Headache
• Impotence
• Breast enlargement in men
• Confusion
• Hallucinations
• Heart issues
• Kidney problems
• Upset stomach
• Vomiting
• Constipation
• Cough
• Liver damage
• Stomach cancer (in people with untreated H. pylori infection)
• Pneumonia (in hospitalized patients, the elderly and children) (29)
• Ulcer perforation and bleeding
• Iron deficiency (30, 31)
• Decreased folate absorption (32)
• Calcium deficiency (33)
• Decreased zinc absorption (34)

Proton Pump Inhibitors (PPIs)

The most dangerous class of conventional acid reflux drugs are known as proton pump inhibitors. These medications (17 are on the market, at current count) control acid reflux symptoms by permanently blocking an enzyme that tells your stomach to produce acid, H+/K+ ATPase, found in the parietal walls of the stomach lining. Popular PPIs include Nexium®, Aciphex®, Prevacid® and Prilosec®.

Recent releases by the media have shown the reason for concern about taking PPIs, especially in the long-term. The FDA has released warnings about PPIs in the last several years regarding magnesium deficiency, increased risk of bone fractures and C. diff-related diarrhea.

Since they act as “super” versions of the above two classes of drugs in many ways, the same associated side effects are also commonly found in this class of medications. Indeed, it seems like PPIs might induce the very issues they seek to correct. (35) There are also many other researched problems and side effects of PPIs, leading to the understanding of many that these medications should not be used for extended treatment. (36)

1. difficile:This bacterial infection is a potential danger for those taking both H2 blockers and PPIs. Researchers at McGill University in Quebec found an increase of C. diffinfection risk of two times for those taking H2 blockers and nearly three times for those on PPIs. (37)

Small Intestinal Bacterial Overgrowth (SIBO): One study found an increase of SIBO at a rate of 50 percent in patients on PPIs, versus 6 percent in the control group. (38)

Vitamin B12 deficiency: Patients on PPI drugs do not properly absorb many vitamins and minerals. Most notably is the discovery that vitamin B-12 is particularly problematic for these people. (39, 40) A deficiency in B12 can lead to chronic fatigue, muscle pain/weakness, memory and mood changes, heart palpitations and digestive issues, among other symptoms.

Stomach cancer: Because it increases secretion of the hormone gastrin, a PPI drug like Prilosec® can result in three to 10 times the amount of gastrin normally found in the human body. (41) Hypergastrinimia (large concentrations of gastrin) is associated with higher rates of gastric cancer. (42)

Ulcers: Duodenal (intestinal) and gastric ulcers may be another result of long-term PPI usage. Ninety percent of duodenal ulcers and 65 percent of gastric ulcers are caused by H. pylori, and one experiment found that H. pylori infection couldn’t happen without using acid-lowering drugs first to raise the pH of the stomach. (43, 44)

Inflammatory bowel conditions: PPIs can decrease extracellular levels of adenosine, which plays a big role in inflammatory processes within the digestive system. (45, 46) Because of this, it’s possible that digestive issues caused by inflammation, such as Crohn’s disease, ulcerative colitis and IBS may be caused or exacerbated by PPI intake. Irritable bowel syndrome (IBS) is also associated with SIBO, which I’ve already shown as a potential complication of acid reflux.

Leaky gut: Proton pump inhibitors affect the permeability of the gastric lining, which can in turn lead to leaky gut. This condition is associated with mood issues, autoimmune diseases and many other health problems.

Asthma: GERD and asthma are closely related — it’s estimated that about 80 percent of asthmatics suffer from GERD. (47) The escape of acid into the esophagus causes a drop by tenfold in the ability to allow air into the lungs, resulting in a much higher level of reflux for asthma patients. (48)

Arthritis: People taking NSAIDs (non-steroidal anti-inflammatory drugs) like aspirin or acetaminophen to treat arthritis pain develop gastrointestinal issues like ulcers much more often than the average person. (49) NSAIDs block a protective enzyme that is meant to protect the lining of the stomach. Ultimately, combining these medications can result in even faster degradation of the stomach lining and cause more ulcers. A Stanford study found that not only did the PPIs not decrease gastrointestinal symptoms, but they also actually resulted in double the number of hospitalizations from complications.

Death: A review conducted in St. Louis was released in July 2017 regarding a five-year observation of patients on H2 blockers and PPIs, finding that the long-term PPI users were at more risk of death. These results increased in significance based on the duration a person had been taking PPIs. (50)

3 Natural Remedies for Acid Reflux Symptoms

1. Acid Reflux Diet

Virtually every research study done on GERD and acid reflux points to diet as a contributing factor. First and foremost, the symptoms of acid reflux and GERD must be treated by changes in your diet in order to avoid long-term complications and restore healthy digestive function. Don’t ignore your body trying to alert you to a problem in your digestive tract.

For good digestive health and overall health and wellness, it’s important to select unprocessed, organic foods free from GMOs as much as possible. Increasing fiber intake, supporting healthy bacteria in your gut with probiotic-rich foods and taking supplements if necessary can all help resolve symptoms.

Other steps include reducing grains (especially when refined) and sugar consumption, eating high-quality protein, and reducing intake of refined vegetable oils. All of these help protect the GI tract, balance hormonal function and help prevent many serious chronic diseases associated with poor digestive health.

Here are some foods that tend to make acid reflux worse and therefore should be avoided to minimize symptoms:

• Alcohol
• Carbonated beverages, sugary drinks or energy drinks
• Artificial sweeteners
• Fried foods
• Vegetable oils, including canola oil
• Spicy foods
• Processed foods

Foods that can help improve acid reflux include fresh organic vegetables (especially leafy greens, squash, artichoke, asparagus and cucumbers); free-range chicken and grass-fed beef; probiotic foods like yogurt; bone broth; and healthy fats like coconut or olive oil. Apple cider vinegar, aloe vera, parsley, ginger and fennel are also helpful. (51)

2. Supplements for Acid Reflux Symptoms

In addition to eating a healthy diet of foods that help to soothe the symptoms of acid reflux and GERD, some find improvements when adding natural supplements to their diets. These can include:

Digestive enzymes — Take one or two capsules of a high-quality digestive enzyme at the start of each meal. Digestive enzymes help foods fully digest and nutrients absorb properly.

Probiotics — Take 25–50 billion units of high-quality probiotics daily. Adding healthy bacteria helps balance the digestive tract and crowd out bad bacteria that can lead to indigestion, leaky gut and poor absorption of nutrients.

HCL with Pepsin — Take one 650 milligram pill prior to each meal. Add additional pills as necessary to keep uncomfortable symptoms at bay.

Chamomile, papaya or ginger herbal tea — Sip one cup of chamomile tea prior to bed sweetened with raw honey. Chamomile tea helps reduce inflammation in the digestive tract, supporting healthy functioning. You can also boil a one-inch piece of fresh ginger in 10 ounces of water for 10 minutes. In addition, papain, an enzyme in papaya, aids in digestion by breaking down proteins.

Magnesium complex supplement — I recommend taking 400 milligrams of a high-quality magnesium supplement twice per day.

Apple cider vinegar — Although no official studies have been conducted on the impact of apple cider vinegar on acid reflex and GERD, anecdotal evidence seems to support that it can be an incredible natural remedy for acid reflux.

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3. Other Tips for Improving Digestive Health

• Raise the head of the bed four to six inches. Use blocks to raise the bed, not just a pillow to keep your head propped up, which can help keep acid in the stomach.
• Exercise and manage stress. A sedentary lifestyle and stress worsens symptoms of acid reflux and overall disrupt digestion. Try yoga, meditation, acupuncture, art or music therapy, or whatever helps you effectively manage stress.
• Don’t overeat. Eat smaller meals to allow foods to properly digest, as large meals and overeating put extra pressure on the sphincter.
• Give up smoking and drinking too much alcohol.
• Don’t consume food three hours prior to bed. Allow your stomach to digest the foods from the meal, and sip an herbal tea instead.
• Chew foods more thoroughly. Most people today don’t chew their food enough. Remember, digestion starts in the mouth.

Precautions Regarding Acid Reflux Symptoms

If your acid reflux symptoms interfere with your lifestyle or daily activity and last for more than two weeks, then consider visiting a doctor. Other reasons to get a professional opinion on treatment options include experiencing hoarseness; worsening of asthma after meals; pain that’s persistent when lying down; pain following exercise; difficulty breathing that occurs mainly at night; and trouble swallowing for more than one to two days.

To determine a diagnosis of GERD, doctors may perform an endoscopy, a procedure involving a small tube inserted into the throat to look at the condition of the esophagus, stomach and small intestine. Some evidence indicates that an endoscopy may not be as effective as previously hoped, but it is still a common practice.

Another method of detecting acid reflux/GERD when a patient complains of acid reflux symptoms is the barium swallow test. A barium solution is ingested, allowing for internal X-rays to locate esophageal changes. Unfortunately, only 1 out of 3 GERD patients have noticeable esophageal changes that can be seen on a barium swallow X-ray.

One more diagnostic is a stomach acid test in which the stomach contents are emptied and gastrin is injected into the body to determine acid secretion. (52)

If you are concerned you may have low stomach acid, most doctors will not recommend testing (because low stomach acid isn’t the traditionally accepted cause of acid reflux symptoms), but you can personally ask for a Heidelberg test.

Key Points 

• Acid reflux is caused by stomach acid creeping up into the esophagus. Symptoms of acid reflux usually include chest pains, heartburn, a bad taste in the mouth, bloating, gas and difficulty digesting and swallowing properly.
• Common causes of acid reflux and GERD include pregnancy, history of hiatal hernias, obesity, eating an unhealthy diet, older age and an imbalance of stomach acid.
• Conventional medicine recommends three levels of acid-blocking medications to treat acid reflux symptoms: antacids, H2 blockers and PPIs. These medications are associated with many dangerous side effects and do not treat the root cause of acid reflux/GERD.

Natural remedies for acid reflux/GERD include: 

• Improving your diet
• Avoiding certain problem foods
• Reaching a healthier weight
• Taking helpful supplements such as digestive enzymes and probiotics
• Eating smaller, more balanced meals

Read Next: What 7 Symptoms You Have Right Now That You Shouldn’t Ignore

 

8.   Control Stress and Anxiety

The gut and brain are intricately and bidirectionally connected. This connection can link stress and anxiety to stomach problems and vice versa. The gut is in constant communication with the brain and is often referred to as the “second brain”. The nerve cells in your gut manufacture the same neurotransmitters as the brain including 80-90% of your serotonin (9).

Stress and anxiety have effects on gut function and gut-brain interactions. These effects include:

• modulating key inflammatory pathways
• decreasing mucosal blood flow
• causing bowel dysfunction in different ways
• activating the “fight or flight” response in the central nervous system which can slow down or even stop the digestive process
• altering the gut flora, and
• increasing intestinal permeability.

To reduce stress and anxiety, it is important to consume a healing diet and balance your blood sugar levels. Grounding, deep breathing exercises, sunlight exposure, Epsom salt baths, prioritizing restorative sleep, and dry brushing are fantastic stress-relieving strategies.

Supplementing with adaptogenic herbs, such as those in Cortisol Defense, may help your body resist and recover from everyday stress and lower anxiety. Brain Calm Magnesium may also be helpful as magnesium plays a critical role in stress.

Test for Underlying Causes of Dyspepsia

Stool and blood tests can be helpful for identifying the underlying causes of dyspepsia. These tests are also beneficial for understanding the overall health of your digestive and other systems in the body.

Stool Testing

To test for gut infections, the GI-MAP™ Stool Analysis Test is the most thorough stool test on the market. It is the only FDA-approved DNA test for gastrointestinal microbes and pathogens available.

The GI Map tests for imbalances in the gut microbiome, candida and other fungi, viruses, and parasites, including both protozoa and worms. This comprehensive test reveals the integrity of your gastrointestinal system. It will indicate whether you are producing enough digestive enzymes, your immune response to gliadin, inflammation in the gut, and the level of the immune system in the gut.

Comprehensive Blood Tests

Comprehensive blood tests can be helpful for identifying underlying issues which may be contributing to symptoms of dyspepsia or to rule out other conditions. For complete and thorough blood testing, I recommend the Comprehensive Blood Analysis.

The Comprehensive Blood Analysis includes a CBC with differential, Complete Metabolic Panel, Fasting Glucose, Insulin, and Hemoglobin A1c, Lipid Panel, Iron Panel, Thyroid Panel, inflammatory markers, vitamins and minerals (zinc, copper, vitamins A, D, and B12, folate, magnesium), and more. It is a fantastic test to gauge overall health and identify potential health problems in their early stages.

Conclusion on Dyspepsia

Dyspepsia is a general term used to describe physical discomfort or pain in the upper abdomen. Functional dyspepsia is a chronic improper functioning of the upper digestive tract with no obvious cause. Many conditions can contribute to dyspepsia, and it is critical to identify your underlying issues.

If you are struggling with dyspepsia, one of the first steps you can take is to modify your eating habits. Consuming an anti-inflammatory diet with smaller meals and easy to digest foods may be very helpful. Avoiding trigger foods, cigarettes, alcohol, and certain medications like NSAIDs is important.

Taking care of gut health is essential. Using digestive enzymes, repairing leaky gut, strengthening your gut mucosa, and addressing gut infections are all important steps to improving dyspepsia. Managing stress and anxiety is also very helpful for eliminating symptoms.

Stool testing to determine the underlying cause of dyspepsia and the health of your digestive system can be extremely valuable. You should also consider comprehensive blood tests to understand what is happening on a systems level in your body.  If you want more help and strategies to improve your digestive health then check out my entire Digestive Health Restoration program here

Sources for this Article Include:

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2. Gastroparesis, NIH: National Institute of Diabetes and Digestive and Kidney Diseases. Link here

3. Lacy BE, Weiser KT, et al, Functional Dyspepsia: The Economic Impact to Patients, 2013 Jul; 38(2), 170-7. PMID: 23725230

4. Peptic Ulcers (Stomach Ulcers), National Institute of Diabetes and Digestive and Kidney Diseases. Link here

5. Tshabalala S, Tomita A, Ramlall S, Depression, Anxiety and Stress Symptoms in Patients Presenting with Dyspepsia at a Regional Hospital in KwaZulu-Natal Province, 2019 Oct; 25, 1382. PMID: 31745439

6. Majeed M, Majeed S, et al, Evaluation of the Safety and Efficacy of a Multienzyme Complex in Patients with Functional Dyspepsia: A Randomized, Double-Blind, Placebo-Controlled Study, 2018 Nov; 21(11), 1120-1128. PMID: 30156436

7. Godkin A, Smith K, Chronic infections with viruses or parasites: breaking bad to make good. 2017 Apr., 150(4): 389-396. PMID: 5343343

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