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TAG | gastroesophageal reflux disease
A team of researchers at Mayo Clinic recently uncovered an interesting physician bias regarding the diagnosis of the upper digestive conditions gastroesophageal reflux disease (GERD) and functional dyspepsia (also known as indigestion). The two conditions can overlap, but each condition has its own distinct symptoms.
The researchers uncovered a bias on the part of physicians who diagnosed the two conditions. Although the number of GERD diagnoses has increased in the last 20 years, the reported GERD symptoms have decreased. When symptoms of both conditions are present, the most common diagnosis is GERD. Further, when only symptoms of functional dyspepsia are present, diagnosis of GERD is still more likely.
I believe this is due to the influence of the pharmaceutical industry over doctors when it comes to treating upper GI conditions with proton-pump inhibitors (PPIs), among the most commonly prescribed drugs today. Proton pump inhibitors were first used to treat peptic ulcers until it was discovered that peptic ulcers are not the result of too much stomach acid, but instead the result of infection with a bacterium known as Helicobacter pylori. Without a condition to treat, the focus of these drugs was turned to heartburn. Thus began widespread belief that heartburn was simply the result of too much stomach acid. To the rescue: Proton pump inhibitors and acid blockers.
As the Mayo Clinic study shows, functional dyspepsia is also now transitioning into a category in which proton pump inhibitors come to the rescue. But PPIs are not FDA approved to treat functional dyspepsia. Instead, doctors are seeing its symptoms—incomplete digestion, bloating, belching, excessive fullness, delayed stomach emptying—as those of GERD, a condition for which they have a well-known drug to treat it with.
The findings of this study are not surprising. The pharmaceutical companies have a lot of influence—on us (who hasn’t seen a pharmaceutical commercial or magazine ad lately), and on physicians (many of whose pockets are lined by these companies, in one way or another). Fortunately, when it comes to digestion, there are many dietary and lifestyle changes that can be made to improve the condition. If you are dealing with these conditions, or trying to avoid them, educate yourself!
It is true that functional dyspepsia can be difficult to treat. I have found that digestive enzymes are very helpful with easing the symptoms associated with this condition, which often result from poor diet, poor eating habits, and insufficient digestive enzyme production, all of which can be helped by digestive enzymes.
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Wed 6/09/10 on the Poop Scoop: Acid Reflux & What Your Doctor May Not Be Telling You
06/8/10 0 Comments | Posted by bwatson in General
Heartburn, indigestion, acid reflux—we’ve all felt that awful burning sensation at one time or another, but chances are we blamed it on something we ate and reached for the nearest antacid. Why? Because for years mainstream doctors have been telling us that symptoms like these are the result of too much stomach acid—when in fact 90 percent of the time they’re wrong! And when was the last time your doctor actually tested you to be sure? Probably never!
Tomorrow on the Poop Scoop I’ll be talking with CEO Harry Simmons of Heidelberg Medical, whose work with the Heidelberg pH Diagnostic System has revolutionized the way we look at digestive disorders. Imagine a capsule you can swallow that will travel through your digestive tract and help doctors actually see where the problem is coming from! Today, pH diagnostic testing has become essential to the successful treatment of many digestive disorders, including low stomach acid, gastric ulcers and GERD. I can’t wait to hear all about it from the expert!
Log on and listen to Brenda’s Poop Scoop LIVE every Wednesday from 4-5 pm (EST) right from your computer. Missed an episode? Visit the Episode Directory on my website and listen to past shows from the archive!
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Got heartburn? GERD? Listen up! This isn’t new news, but it’s news I think everyone should know: Using proton pump inhibitors (commonly known as PPIs) for extended periods of time could make you more likely to suffer osteoporosis-related bone fractures.
Why do I think this is so important? Because folks, PPIs are the third-highest-selling class of drugs on the market today, and one of the most popular PPIs—Nexium® (you know, the little purple pill)—has the second-highest retail sales among all drugs sold in the U.S. That means there’s a good chance that you or someone you know is taking one. So let’s review:
What is a PPI? A PPI is a drug that blocks the production of the enzyme in the stomach that produces acid. PPIs are commonly prescribed for the following conditions:
- Ulcers
- Gastroesophageal reflux disease (GERD, or acid reflux)
- Zollinger-Ellison syndrome (a rare disease that results in the overproduction of gastrin, which releases excess stomach acid)
Do PPIs work? Yes, on the surface they work remarkably well. They reduce stomach acid, which reduces pain almost instantly, but—and I can’t stress this enough—covering up the symptoms does not solve the underlying problem. And even though it’s recommended that PPIs aren’t used for more than 8 to 12 weeks at a time, a lot of people are taking them for much longer, probably because they’re so readily available!
What worries me is that people just don’t know enough about the side effects and complications of using PPIs longer than they should, but there are so many—which brings me back to my point. Research shows that long-term PPI use is linked to an increased risk of osteoporosis-related bone fractures, especially hip, wrist and spine fractures.
What’s the connection? Simple: Hypochlorhydria (which is just a fancy term for low stomach acid) can decrease calcium absorption, and PPIs create hypochlorhydria in the stomach. This results in reduced calcium absorption, and if the body doesn’t get enough calcium from the diet, where does it take it from? Your bones!
It’s a vicious cycle, but it’s one that can be avoided by taking steps to establish a strong foundation of digestive health. These include eating a high-fiber diet and avoiding heavily processed, high-sugar and high-fat foods, as well as taking daily enzymes, probiotics and beneficial Omega-3 oils. I’ll cover more on the dangers of PPI use in future blogs, so stay tuned. But remember—there are safe and effective natural alternatives to using PPIs, and all it takes is a quick trip to the health food store!
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Continued use of antacid drugs could ruin long-term health. Stop the cycle!
02/11/10 0 Comments | Posted by bwatson in General
It seems like every other person I meet is taking medication for acid reflux. Well, it just makes my blood boil. All most docs do is write a prescription without really getting to the underlying cause. The poor patient is stuck in this vicious cycle of always needing the meds. It’s a very common problem with people who have been on proton pump inhibitors (PPIs) for a long time.
PPIs are only supposed to be used for 8-12 weeks depending on the type you are on, and they are not meant for long-term use. What happens when you are on these meds is that your stomach stops producing hydrochloric acid. So when you suddenly stop taking the meds, your body goes into what is called a “rebound” reaction. This means your body realizes it can now make the hydrochloric acid (which by the way you need for healthy digestion!), and now it overproduces it. Ironically, most people who are prescribed PPIs in the first place actually have too little stomach acid, not too much! Hence, the vicious cycle.
To break the cycle you need to wean yourself off these types of meds while at the same time taking hydrochloric acid supplements with your meals. Trust me, it’s well worth it. You’ll be in control of your body, and no more co-pays!
To learn more, listen to the informative and eye-opening archived internet radio show Brenda’s Poop Scoop that aired Wednesday February 1oth, Acid Reflux: What Your Doctor May Not Be Telling You.
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Wed 2/10 on the Poop Scoop: Acid Reflux & What Your Doctor May Not Be Telling You
02/9/10 0 Comments | Posted by bwatson in General
Heartburn, indigestion, acid reflux—we’ve all felt that awful burning sensation at one time or another, but chances are we blamed it on something we ate and reached for the nearest antacid. Why? Because for years mainstream doctors have been telling us that symptoms like these are the result of too much stomach acid—when in fact 90 percent of the time they’re wrong! And when was the last time your doctor actually tested you to be sure? Probably never!
This week on the Poop Scoop I’ll be talking with CEO Harry Simmons of Heidelberg Medical, whose work with the Heidelberg pH Diagnostic System has revolutionized the way we look at digestive disorders. Imagine a capsule you can swallow that will travel through your digestive tract and help doctors actually see where the problem is coming from! Today, pH diagnostic testing has become essential to the successful treatment of many digestive disorders, including low stomach acid, gastric ulcers and GERD. I can’t wait to hear all about it from the expert!
Log on and listen to Brenda’s Poop Scoop LIVE every Wednesday from 4-5 pm (EST) right from your computer. Missed an episode? Visit the Episode Directory on my website and listen to past shows from the archive!
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Diarrhea that just won’t go away?
12/28/09 2 Comments | Posted by bwatson in Diarrhea, Probiotics & Gut Flora
Notable News
Clostridium difficile (C. diff) – More than Difficult! Chances are you’ve probably heard of C. diff before, or at least its most common (and least pleasant) side effect – the gut-wrenching diarrhea. I know, I know, here I go talking about poop again, but this is important! C. diff infections are becoming more common every year. Studies tell us that 7,000 people are infected each day, and 300 of those die from the infection. So I say the more we know about C. diff, the better.
Okay, let’s start with the basics – just what is C. diff anyway? It’s short for Clostridium difficile, a disease-causing bacterium that most often appears after a person has taken antibiotics. This happens because the good bacteria that are normally present in the intestines (and which help keep our immunity strong) are also destroyed by antibiotics. Basically, when we take antibiotics to fight infection, they kill a lot of the good bacteria in our gut along with the bad, which disrupts our normally healthy intestinal balance. And C. diff is one of those opportunistic little buggers that will quickly take over and multiply if it has the chance, causing a potentially dangerous infection whose symptoms include severe diarrhea, abdominal cramping and nausea.
Interestingly, another culprit in the C. diff epidemic has come to light. The use of proton pump inhibitors (PPIs) has been associated with a risk for C. diff infection. PPIs are used to treat gastroesophageal reflux disease (GERD), also known as acid reflux. These drugs suppress the secretion of acid in the stomach.
But Wait! We Need Our Stomach Acid! One of the functions of stomach acid is to kill bacteria that comes in with food. When there is not enough stomach acid, as occurs in people taking PPIs, harmful bacteria like C. diff can enter the intestinal tract and quickly multiply.
Can You Say Superbug? Have you heard the term Superbug? C. diff is a Superbug. Superbugs are bacteria that become resistant to antibiotic treatment, which means that after a while, taking antibiotics won’t do anything to stop the harmful effects of the bug. Antibiotic resistance is largely the result of over-prescribing antibiotics for every little sneeze or sniffle instead of giving the body a chance to fight off the infection on its own, and it’s become a huge concern in the medical community today. I’ll talk about this more in a later post, so stay tuned!
Bottom Line? Our intestinal flora – the friendly bacteria in our intestines – play a major role in our health. One particular probiotic called Saccharomyces boulardii has been found to be especially useful for people with C. diff, particularly those that have recurrent C. diff infections. The reason is because S. boulardii is actually a yeast organism, so it’s not destroyed by antibiotics like most bacteria, which means it can keep working in the body to protect against C. diff – even if you’re taking antibiotics. The bottom line is, maintaining a good balance of beneficial microorganisms (probiotics) in the gut is a vital part of creating digestive health, which as we all know is the foundation for total-body health!
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