Gastroesophageal reflux disease (GERD) isn’t really a ‘disease’, but a functional disorder of the stomach and lower esophagus. GERD or heartburn can manifest as:

• Pain in the stomach,chest or throat
• Hoarseness
• Nausea
• Burping,bloating and gas

Standard Medical Treatments

Although weight loss and avoidance of trigger foods (spices,tomatoes,citrus,caffeine,etc) can be suggested,most conventional treatment revolves around drugs.These fall into 3 main categories:

• OTC medicines (Tums, Rolaids, Pepto-­Bismol, Mylanta, Maalox,etc)
• H2 antagonists (Pepcid, Tagamet, Zantac, etc)
• Proton Pump Inhibitors (PPIs) Prilosec, Nexium, Prevacid, Protonix, etc)

With nearly $14 billion in sales,they rank as the 3rd highest selling drugs in the U.S.,with PPIs leading the way.However according to the SF Department of Public Health,up to 69% of these may not be necessary.

Serious Side Effects

These drugs come with side effects like constipation, hair loss, bad breath, diarrhea,depression, joint pain, opportunistic infections such as candida and clostridium difficile(1), as well as mineral deficiency and osteoporosis. In fact,a recent study found that people taking PPIs for 1 year or more increased their risk of hip fracture by 44% (2). However if untreated,issues can arise such a dental problems,ulcers and Barrett’s esophagus (precancerous tissue). Although knowing your triggers can be preventive, it’s important to know your REAL CAUSES. So what do you do?

What’s REALLY Going On? Restore Normal Gut Function

Drugs may be useful short-­term. However all interfere with normal digestive function. Many physicians don’t realize the problem is NOT hydrochloric acid (HCL) excess, which we need to ionize and absorb minerals, disinfect pathogens and stimulate gallbladder/pancreatic enzyme release. The acids causing symptoms are metabolic waste acids due to food fermentation from a lack of sufficient HCL production. This can be proven with a Heidelberg Gastric Analyzer in a clinic, if you can find one.

Ultimately, we need to restore normal nerve signaling between the brain and stomach through the vagus nerve located in our brainstem. What causes the weak communication? Turns out that inflammation (from stress, poor diet, infections, smoking, weight gain, toxins, stress, many prescription drugs, etc) inhibits the area in the brainstem responsible for telling the stomach to secrete a normal amount of HCL (through the parietal cells). Guess what happens with chronic, low HCL production? You get lower esophageal sphincter (LES) relaxation, and then bingo, hello reflux!

 The 5-­Step GERD/Heartburn Fix
   

1. Soothe gastric/esophageal irritation: using time-tested demulcent herbs like marshmallow root, slippery elm,plantain and deglycyrrhizinated licorice, also known as DGL Plus. Can be taken as capsules or pour contents into warm water as a tea 2-3 times a day for a few weeks.
2. Rule out H.Pylori or strep infections (bacteria responsible for most gastric ulcers) through gentic stool testing like the GI MAP, or breath test with your licensed healthcare professional. I've found most pateints with reflux have an upper GI infection, whether they realize it or not! Great support options include Berberine Complex caps or GastroMend-HP, plus Pylo Guard by Microbiome Labs. Take as directed on bottle. These products are gentle and well-tolerated by most. For a personalized regime, call or email for an appointment with Dr. Barsten.
3. Rule out a hiatal hernia. Severe cases require surgery, but most are mild and easily fixed by a specific manual therapy (chiropractor or osteopath). It may take several visits to stabilize. Also consider a specific yoga stomach exercise, which greatly help the abdominal organs, called Uddyana Bandha. Check youtube for various videos showing you how to do this.
4. Take a full-spectrum, non-acidic digestive enzyme with meals. This helps support normal digestive process along with eating more raw foods. Note: you may need to blend/puree raw foods initially if any gastric upset. Introduce them slowly over time into your diet to see what you can tolerate). I like Digestive Enzymes Ultra. (Pure Encapsulations). This can be taken long-term with complete safety and confidence, as it helps support all known digestive processes, without becoming dependent. Another option is a trial of  Betaine HCL w/Pepsin (Pure Encapsulations or Thorne Research) for a couple weeks. Try 1 - 2 caps during or near the end of each meal. If you are sensitive, start with only 1 cap. If you feel improvement of symptoms after 1-2 weeks stay on Digestive Enzymes Ultra caps and the HCL (or whichever one works best for you). If you have any digestive upset with the HCL, simply stop and use a longer period of the demulcent/soothing herbs (DGL Plus caps), as it can take weeks for the inflammed mucosal lining to recover, then try the HCL again after 2-3 weeks.
5. Eat less fat and oils to take the load off the liver and gallbladder (even if you had yours removed, you still have the common bile duct and the associated nerve and lymph vessels). So whatever fats or oils you eat, including healthy ones, cut them by 50-75%. Some people require a fat-free diet for a month or two to get acid reflux under control. This is one of the secrets to truly resolving acid reflux/GERD, and heartburn. Maintain this indefinitely for best results. A complimentary and powerful digestive option for the liver and gallbladder is Digestion GB (by Pure Encapsulations), or Liver Support II caps with Picrorhiza by Vital Nutrients. Take as directed on the bottle.

In addition, you may want to try these long-­term lifestyle changes:

• Eat earlier in evening. Wait at least 2 hours after dinner before going to bed.
• Chew your food well! Nearly everybody chews too fast and not enough.
• Eat in a relaxed environment and avoid TV while eating.
• Drink no more than a half glass of any beverage with meals (it dilutes digestive juices).
• Eat more fruits and veggies.These help alkalize the body and normalize pH.
• Try proper 'food combining': Fruit at least 30 minutes before or 2 hours after meals, avoid all starch & protein combinations at the same meal. Fruits may be combined with leafy greens (example: spinach and fruit blended in a smoothie or juiced).
• Try chewing on a piece of orange or tangerine peel (outer rind), which contains natural limonene and helps digestion.
• Drink 16+ oz. of fresh-squeezed celery juice each morning, on an empty stomach, at lest 20 minutes before any other liquid or food. According to Anthony William, the NY Times five-time best selling author of Medical Medium, it contains numerous mineral salts that re-invigorate the gastric cells to enable normal production of HCL. Clinically, when followed for at least 3 months, I've seen this work on even the most stubborn cases!

Lifestyle, dietary and nutritional changes have proven highly successful for reflux disorders in my practice at www.healthquestforme.com for decades. Please consult your licensed healthcare professional before starting any treatments. Note not all products are required for correcting these type of digestive concerns, but everyone is unique. Use what works for you. After a period of time, consider reducing or eliminating the products if you feel they are no longer needed.

DGL Plus, Betaine HCL w/Pepsin, Digestive Enzymes Ultra, GastroMend-HP, Berberine Complex, Pylo Guard, and Digestion GB and Liver Support II with picrorhiza can be purchased on my website Virtual Pharmacy at 20% off. This is a permananent discount, on every product, from over 400 companies! If this is your first time to the pharmacy, click on the website's photo showing The Virtual Pharmacy and 'Go Now'. This takes you to the welcome sign-in page. Set up your secure and private account. Once approved you sign in and search by product name or manufacturer, or call the pharmacy on their toll-free number: (866) 807-3828.