'Gastroesophageal reflux disease, or GERD, is a digestive disorder that affects the lower esophageal sphincter (LES), the ring of muscle between the esophagus and stomach. Many people, including pregnant women, suffer from heartburn or acid indigestion caused by GERD

The more I study reflux, the more convinced I am that gas is the engine driving the entire thing

The more I study reflux, the more convinced I am that gas is the engine driving the entire thing. Not weak LES. Not too much or too little acid. Gas. What do you think and why?

COMMENT:

Jennifer Harrow Wise
I would agree that it true for some, but in my case my LES does not close at all. It remains wide open all of the time. I'm positive gas makes the reflux worse than it already is, but the fact is that I am going to reflux always until I get it corrected - gas or no gas.

Michael Weis
I had the Stretta procedure done for the exact same reason. My LES was always open. While it helped, it didn't solve the problem. That made me wonder if that was the cause or just exacerbating the symptoms from another cause. Nobody has ever answered the following question to my satisfaction: if a weak LES is the cause of the reflux, why do people reflux when they're standing up? What causes the acid to come so far up the esophagus that it ends up in your larynx or the back of your mouth, or even your sinuses?

Jennifer Harrow Wise
those are really good questions! next time i talk to my dr. i will ask & see if he has a good answer :)

Emerson Biggins
Michael Weis Found this. "Refluxate is liquid, but there is growing awareness that it may also be an aerosol" That may explain how it can get up into the sinus. https://www.hindawi.com/journals/ijoto/2012/646901/.

Michael Weis
And how does it get up into all those places AND YOU DON'T EVEN NOTICE IT HAPPENING!!??

Michael Weis
Emerson Biggins this is a wonderful and LONG article. I'm going to have to take some time to read it through, but it certainly seems right on point. Probably required reading for all of us refluxers.

Jonx Garibay
Michael Weis maybe our stomach is like an engine and it is already in a loose compression stage thats why we relux and have gerd.hehe .I also wonder why we reflux when standing and where the gas comes from that we always burp?

Michael Weis
Jonx Garibay the gas comes from small intestine. SIBO

Jennifer Harrow
Michael Weis, this is all very interesting. I have never heard of the Fast Tract diet before, but after reading thru the website, it makes so much sense and explains all of the bloating, etc. that I have despite my adjusted diet. Hopefully, it will be the final "piece of the puzzle". Ordered the book. Thank you for bringing up this discussion.

Michael Weis
Jennifer Harrow Wise I really hope it helps. Please report back.

Célia Rahimi
Michael Weis you are right. In my PH IMPEDANCE I had more "GAS REFLUX EPISODES" than "LIQUID REFLUX" but no-one answer me really about this "gas" ... The best thing that create a raft for all type of reflux even the GAS is GAVISCON ADVANCE but nothing else ?!

Célia Rahimi
Michael Weis I precise that I really don't feel the GAS RELUX ! that's why I was surprised about the result of my PH IMPEDANCE !

Michael Weis
Célia Rahimi I also wanted to ask if you've ever tried a ketogenic diet.

Michael Weis
Célia Rahimi can't remember but did you ever try the alkaline saline nebulizer or nose spray?

Célia Rahimi
Michael Weis nose spray yes but no alkaline ! what is nebulizer ? I'm not sure about it .. Do you have a picture please ?

Michael Weis
Célia Rahimi
acid reflux boating

Michael Weis This is a small handheld device. It comes with a mask so you can breathe through your nose and mouth simultaneously. It charges via USB. I have one. Much More convenient than the huge loud ones they sell in pharmacies. This fits in the palm of your hand and does a great job.

Célia Rahimi
Michael Weis Oh yes I've had it a lot of time they put me this for corticoid ...

Célia Rahimi
Ah yes I have the huge one with pharmacist when I need it ..

Michael Weis
You put whatever you would have put in the big one. I would try alkaline saline solution, personally.

Célia Rahimi
Michael Weis The big one I need the prescription of doctor so it's not convenient. Where did you buy yours please ? Michael Weis

Célia Rahimi
Oh really ! much more convenient !! and What do you put inside ? alkaline water ? with what ? Michael Weis

Célia Rahimi
I've just found it another one similar to it ! really thank you

Anirood Karthik
What is this?

Michael Weis
Anirood Karthik a nebulizer. Best method for delivering steam or meds throughout your entire respiratory tract.

Jennifer Harrow Wise
Michael Weis I bought the Fast Tract Diet book & just finished reading it. Is there a more comprehensive list of the FP of foods? There are several things I eat (jicama, almond milk, & I would like to add vinegar) as well as several baking ingredients (cocoa powder, carob powder) that I would like to know. I realize he gave us the formula for calculating the FP, but some of these it will be difficult to find the GI for.

Michael Weis
Jennifer Harrow Wise get the app for your phone. That has a lot more in it.

Jennifer Harrow Wise
Michael Weis, thank you! Also, my other question that I didn't immediately see an answer to is that this is meant to control, but not necessarily cure, SIBO?

Michael Weis
Jennifer Harrow Wise no. It's pretty much meant as a cure, along with proper supplementation to restore the proper balance of intestinal flora.

Robert J. Morrison
I think bloating and gas is an issue for many but also believe some have other contribution medical factors. But for me it is gas.

Michael Weis
I had weak LES, vagal nerve damage and no noticeable gas. I hardly ever belch of burp but I still believe that gas is the cause. There's no other explanation that makes sense.

Robert J. Morrison Michael Weis I totally agree with you!

Fiona Joy Maloney
Interesting. I never burped until 4 months ago. I have pfd or hypertonic pelvic floor so passing gas is a challenge now. Maybe it is releasing from burping.

Michael Weis
Fiona Joy Maloney can you explain what pfd and hypertonic pelvic floor are?

Fiona Joy Maloney
Michael Weis Pelvic floor dysfunction. Hypertonic is the pelvic floor being tense/contracted all the time. It is extremely painful. The muscles never fully relax. When I use the loo they relax some but not fully so when I stand the pf engages like it should but basically it tightens an already tight muscle. It pulls the sactrum fwd effect all surrounding muscles, lower back & nerves.
I feel gas can't escape so is putting force upwards. I feel my stomach is in my chest & my chest is being crushed all the time. Even upright.

Michael Weis
Fiona Joy Maloney ouch! What's the cause? Treatment?

Fiona Joy Maloney
Well. Life lol It can occur for many reasons. Accident, falling on tail bone, pelvic surgeries incl cs, sexual assult, child birth, childhood trauma & stress.
For me a few things incl food intolerances and a pelvic injury. I was also a personal carer (weighing 80lb). I would try and protect my lower back so I would unconsciously tense to avoid further back pain. Woman naturally have an unconscience habit of tensing the pelvic area. This I have learned. It is our most vulnerable area. If we are constantly in a fight or flight situation we tense and bingo.

Fiona Joy Maloney
Thanks for being interested in asking. It is debilitating.
Internal trigger point therapy is offered. Sadly when I was newly diagnosed & not too bad my physio only offered 1 treatment so 2.5 years on I not good. I left work, am house bound. It's a vicious cycle as this stresses me and bingo lol
You can get botox in the butt but it is expensive and may not work. Stretches can help but I need a physio to help guide me, do trigger therapy weekly. She should have done all this 2 years ago.

Tisha Illingworth Huish
I agree - and it's not even gas that originates from the tummy sometimes....? My son had continual bacterial infections in his duodenum.

Michael Weis
Did it cause him to belch and burp?

Tisha Illingworth Huish
Michael Weis yep!!! And burning, and pressure.

Michael Weis
Tisha Illingworth Huish and how is your son these days. Have his symptoms resolved?

Tisha Illingworth Huish
Michael Weis never- so sad. We are looking into surgical options for him this summer.

Michael Weis
What kind of dietary changes have you made?

Tisha Illingworth Huish
Michael Weis he also has eoe (we believe that it's caused by his reflux). He can only eat beef, small amounts of chicken, white rice, blueberries, strawberries, and rice milk. I say can eat, but everything hurts, it's just varying degrees.

Michael Weis
Tisha Illingworth Huish how about protein shakes? You can put a lot of good stuff in there and just drink it with some of the blenders out there these days. As for the rice, what kind of rice? Eades recommends Jasmine, and I think also sushi rice.

Tisha Illingworth Huish
Michael Weis totally going to try Jasmine rice. Have been using organic basmati rice. The shakes really hurt him. His esophagus is so raw, anything other than water hurts and aggravates. Can't do mylanta, or things like that.

Tisha Illingworth Huish
Btw- thanks for taking an interest!

Related Post: Bloating, nausea, and burping - all signs of GERD/acid reflux?

Michael Weis
Tisha Illingworth Huish that really sucks. I wonder if there would be any benefit to intermittent fasting to give his esophagus some time to heal.

Matt Treglia
I agree. The only reason my acid comes up is because I burp. If I take Zantac my burning stops but gas doesn't. Gas seems to be the thing driving it all.

Michael Weis
So the Zantac doesn't stop the burping?

Michael Weis
Can you have gas without burping?

Matt Treglia
Michael Weis yes you can, but no it doesn't stop it. I continue to burp non stop but the heartburn is completely gone

Matt Treglia
I have never figured out how to stop the gas

Michael Weis
Matt Treglia try the Fast Tract Diet. That's based on the theory that gas is the culprit.

Darren Dorman
Same.I went from dizzy spells and burping, say once every 2 weeks, to burping circa 1000 times a day. Once H.Pylori had been eliminated the bloat and burping reduced but still in the 100's daily. This seems to affect both the stomach and intestines.

Michael Weis
What else have you been doing to try to reduce the gas since the h pylori was resolved?

Darren Dorman
Manuka Honey, Digestive Enzymes, FODMAP, Elimination diet, probiotics - Digestive enzymes seems to have delivered the most improvement so far but it's early days.

Michael Weis Darren Dorman
if you don't see the results you're looking for, I would definitely give the Fast Tract Diet a try. Sure wish I got a referral fee for saying this so often lately!

Lisa Smith O'Connor
Still new to this. Only diagnosed 5 months ago. Having a terrible day today despite eating only GERD friendly food. No relief from meds but definite relief for a period of time when I burp. Was actually wondering today if gas is the problem so I'm happy to see this post.

Michael Weis
It's really interesting. I have stayed away from rice for the most part in an effort to reduce my carb intake. But according to the Michael Eades, Jasmine rice is fully digestible and leaves nothing for the buggies to eat. I have eaten a lot of rice in the past couple weeks--Jasmine only--and my symptoms have definitely improved.

Julie Winkler Vargo
Michael Weis I eat rice for sure. Went from low carb, high fat to a very restricted diet that includes rice and jasmine is my favorite. I always had a lot of gas, embarrassingly so. While eliminating foods gas makes it easy to rule them out.

Michael Weis
But I'm still wondering if you can have gas and not know it. If gas is the engine driving reflux, then how can you have reflux if you are not conscious of having gas?

Simon Tivey
yeah i definitely think its gas for most people, and the gas is caused by food intolerances, and the food intolerances are caused by bad bacteria overtaking good bacteria and that can be caused by a virus/stomach bug/antibiotics.

Michael Weis
So how would you go about fixing?

Allison J Patton
Leaky bowl syndrome have anything to do with this? (Just a thought)

Marj Clark
I would totally agree with this. The first time I experienced reflux was after the Norovirus 3 years ago. The 2nd time has been since August last year, following 2 courses of antibiotics. Ice actually been feeling a lot better but I had milk yesterday that tasted a bit off, had a bit of D, refluxing all night, woke up uncontrollably nervous, jittery, burning and pressure in stomach, loads of gurgling and gas through the night. This hasn't happened for over 2 months as severely. I've still had reflux but had pretty much eliminated the anxiety and pressure feeling.

Gigih Yoga Pramana
Thats why we need probiotic to fight those bad bacteria once and for all..

Simon Tivey
I think the only way is to figure out what you've become intolerant to and stop eating it (hard to do without an elimination diet) you could try the low FODMAP diet or Fast tract diet to see if it helps. Then take probiotics, digestive enzymes, and fermented products like kefir, kombucha tea, sauerkraut to get your good bacteria in check. Problem is everybody is different and some may be intolerant to an ingredient in the supplements or the food/drinks that helps build up the good bacteria so it's best to try one thing a a time. I also think light exercise helps as well as resting when you feel exhausted (if you've got time to rest that is)

Robert J. Morrison
Excellent advice! Targeting foods that are triggers is important and takes time and patience. I know it's taking me longer than expected.

Michael Weis
Also, what you say about doing only one thing at a time is critical. Oh, how hard it is to be patient when you're in distress, but you need an almost scientific precision with this stuff.

Robert J. Morrison
Agree but we are also human with habits that are often hard to adjust.

Allison J Patton
Do you know which app for fodmap?

Simon Tivey
The one by food maestro is a UK version but looks like it has some bugs it needs to fix. Not sure about the other ones. I've not tried the Fodmap diet but will if I don't have any luck with the fast tract one.

Robert J. Morrison
Simon Tivey let me know how fast Tract works for you. Thanks.

Michael Weis
Here's a link to the app for the FT diet. Has been very helpful to me so far.

Lindsey Nair Swank
I think it's a major factor, and the culprit for many people might be carbs.

Michael Weis
Ah, but what kind of carbs? On the fast Tract diet, he placed the blame squarely on indigestible carbs of which fiber is a major component.

Lindsey Nair Swank
There's the rub -- it might be different for different people. I still don't know the culprits for myself.

Michael Weis
Lindsey Nair Swank have you tried elimination diet?

Lindsey Nair Swank
Michael Weis not yet, but I might have to eventually.

Michael Weis
Lindsey Nair Swank you might want to try sooner that later. What are you doing right now?

Gigih Yoga Pramana
For me its not the carb but gluten in wheat, bread..
rice is gluten free btw.

Michael Weis Gigih
Yoga Pramana but not all rice is the same. Some rice has more fermentable carbohydrates than others.

Related Post: Are PPI’s supposed to make you feel bloated?

Gigih Yoga Pramana
Buy only white/asian/padi rice. Its the main asian staple food, their stomach is healthier, now u knew..
Beware, there are many variance of rice, brown, red, black, even white that glutonius as shyt

Kathryn Wilkinson
Burping is caused by the gas created in the stomach while food is being broken down. Swallow air can also cause gas.
Too much or too low acid lead to more gas being produced since food isn't being broken down correctly. Therefore we'd burp more.
Food gets further broken down in the in the intestines. Bacteria breaking the particles down creates more gas usually on the other end. Intolerances also more gas.
Me, I have a hitial hernia and was born with a weak LES. Eating foods that I know will cause me more gas like pop, animal products especially milk, or fried fatty foods will make my symptoms worse.
I think this may be the cause for some people with gerd but the main issue assuming you have a normal function LES and no hernia the problem isn't gas it's ether too much or too little acid not being produced. I think eating a PH balanced diet is the best way to go.

Michael Weis
The research suggests otherwise. There is mounting evidence that shows that gas produced in the duodenum and upper small intestine is responsible for producing a lot of gas that comes bach out through the stomach. It's called SIBO.

Kathryn Wilkinson
This would be true if SIBO is what is causing your reflux. SIBO doesn't automatically mean you GERD. If you have been diagnosed with SIBO through proper testing and feel better after treatment then that's great. You figured out why you have reflex and how to fix it. SIBO is also linked to low stomach acid not been able to kill off the bad bacteria correctly before it gets to the intestines.
I'm just trying to point out that many people have acid reflux symptoms but don't actually have GERD.
GERD is a digestive disorder that affects the lower esophageal sphincter. SIBO is small intentional overgrowth which can cause reflux symptoms but it's not the only cause or most likely cause.

Michael Weis
Kathryn Wilkinson okay. We may have to agree to disagree on a couple points. I'm less interested in GERD per se than I am in reflux in general. Having had a Stretta procedure on my own LES that didn't resolve my symptoms fully I'm a fan at getting to root causes: why does stomach acid or pepsin is come out of the stomach. If I carry a glass of water the water doesn't necessarily splash all over the place and get up into my eyes unless I'm running or something. Gravity does most of the job keeping the water in. Why would that not be the case with reflux, even if the LES was weak. My personal, totally non-scientific theory is that the LES becomes weak because we are overtaxing it. The other reason is damage to the vagal nerve. Either way, the reflux needs something to push it up. Weak LES doesn't fully explain, though it may alleviate symptoms.

Kathryn Wilkinson
I can agree to disagree. I promise I'm just tying to have healthy debate not cause drama. In the end we all just want to understand our bodies.
Stomach acid is vigorously being churned inside the stomach. Depending on what has been eating and the volume of what has be eaten this can take 4 to 5 hours to completely empty into the small intestine. If the food is having trouble breaking down due to irregular stomach acid levels, food intolerances, other diseases this will cause more acid to be segregated squishing and churning around hitting the sphincter. In order for the reflux to enter the esophagus the LES had to open or partially open. The reflux isn't being pushed up its more like splashing. Some splashes are stronger and can cause vomit with reflux (or vomit we need like food poisoning) the acid continuously splashing the LES over time will eventually cause damage and weaken it. No matter what that LES had to open to have reflux symptoms.

Michael Weis
Kathryn Wilkinson your understanding is very different than anything I've ever read. Can you share your sources? I'd love to have a look. Thanks.

Kathryn Wilkinson
Michael Weis my biology degree full of textbooks on anatomy and physiology. I also got a certificate in nutrition. Not a minor but I took four courses in it.
I explained how the stomach works without the medical jargon.
Where do you come up with your theory that reflux is pushed up?

Michael Weis
From numerous studies and recent books like Norman Robillard's Fast Tract Digestion, among others. I appreciate your years of study but a college degree is a credential. That's not what I'm referring to when I talk about a source. We both know that many docs have degrees/credentials up the wazoo but have no idea what they're talking about when it comes to reflux because they are not up on current research. Heck, look at all the docs who are still telling people to stay away from saturated fats even though the science that exonerated fats happened decades ago (See Good Calories, Bad Calories). Let's talk real sources. I'll show you mine if you show me yours! :) (I see from your profile that you're from Chicago area. I grew up in Lincolnshire)

Kathryn Wilkinson
Michael Weis id have to pull out my textbooks that are currently at my parents house so if you'd like to wait until the weekend then I'll send you the titles and authors most of them are doctors or have doctorates in science related fields . I will also research in some medical journals if that's what you really want. How the stomach breaks food is simple and the definition of research of reflux and how it enters the esophagus is how I explained but I will get sources is that what you need. I also see my GI the first week of September. I can ask him as well again. He usually spends time with me as last time I went in with questions about ppis and since I was the lady appointment of the day he brought out binders of studies to show me on them. I'm sure he'd make time to talk to me again.
I totally agree about fats. I feel way better when I eat healthy fats then zero fat. Lincolnshire is a nice area not far from me. I'm from the Aurora/Naperville area.

Michael Weis
Kathryn Wilkinson is be very interested to hear what he has to say. Hope he has the time to sit with you. If not, definitely want to continue the conversation. This is what its all about. The more we kick things back and forth the better understanding we can all have.

Hamda Jamal
Agree but how to reduce gas?

Michael Weis
The Fast Tract diet seems to work for a lot of people. I've been using it for the past 10 days or so and my symptoms are MUCH better than they had been the past few months.

Arlinda Muco
Yes, totally! It turned out to be SIBO for me. I just finished my second and last round of antibiotics. I still burp and get bloated sometimes but not nearly as much as before. Also, a good probiotic is a must.

Dominique Mimnagh
Have u looked into the natural herbals for SIBO?

Arlinda Muco
Dominique Mimnagh
I actually haven't. I've only done ginger tea which helps tremendously. Would you know of any herbs that help SIBO by any chance?

Fiona Joy Maloney
Garlic and and oregano are suppose to be good natural antibiotic for sibo. The tablets did not work for me. Nothing seems to.

Michael Weis
Fiona Joy Maloney I've also read that oil of Oregano is more effective than any of the antibiotics for treating SIBO

Arlinda Muco
Thanks so much. I'll give it a try.

Elizabeth Rudd Greene
Probiotics in the long term and enzymes in the short term can help. I have been bombarding my system with probiotics. Nature made Digestive probiotics really helped with bloating, I also eat activia, and other probiotic foods.

Michael Weis
I use the probiotic from RealDose. Disclaimer: the owner is my best friend for over 30 years but I do not get a kickback. They're a bit pricey, but they are totally shelf-stable and vacuum foil packed in nitrogen to preserve freshness. I also take their fish oil capsules every day to fight inflammation.

Heather McDonald
I think the same for me now, possibly caused by lactose intolerance.

Denise Grimes
I'm thinking some of my reflux is from gas caused by yeast and dairy. Rest is from a weak LES.

Michael Weis
You probably need a combination of the probiotics/herbal approaches talked about above along with elevated head of bed. Are you already doing that?

Fatimah Juriah
For me its mostly gas. have tried eliminating most of the food that can cause gas..but still having the same problem..

Michael Weis
If you are still having gas then there's obviously more to the story. What carbs are you still eating?


Fatimah Juriah
Only rice

Michael Weis
What kind of rice?

Fatimah Juriah
Normal gluten free white rice

Michael Weis
Fatimah Juriah try jasmine rice.

Michael Weis
Fatimah Juriah or glutinous short grain white rice.

Fatimah Juriah
Thanks Michael Weis..will try jasmine rice after this..and i'll check back what rice im using right now..

Fiona Joy Maloney
My ND told me to eat basmatic white rice. In small doses it seems fine. I need something to fill me beside low fodmap scraps. Yesterday my rice, veg and 2 egg yolks were so good.

Michael Weis
Fiona Joy Maloney if it works for you, that is all that matters. Everyone's system is different.

Iennob Mahnob
If multiple factors could cause GERD, then you are definitely onto something

Michael Weis
OMG of course there are multiple factors. That's what makes it so darn complicated. Problem is most docs don't even know the basics.

Zach Faison
If it was only gas, people wouldn't reflux in the morning when there stomach is empty I don't think. But I can't do much as stoop or lay down 2 seconds without acid up to my teeth. That's not from gas

Michael Weis
Hard to discuss without knowing your specific situation, but the gas doesn't come from the stomach. It comes from the duodenum and small intestine. Sounds like you need to sleep with your head elevated. Are you already doing that?

Zach Faison
What difference does that make? Gerd definitely is not simply gas or else it would be easily treatable. There's already studies to show dysfunctional sphincter muscle without gas present. Like from hiatal hernia or damage done by medications such as NSAID's etc.

Anna Ba Nana
Yes. I think it's the air trapped inside that gives me this uncomfortable feeling.

Bruce Wilson
Absolutely agree ... but that doesn''t fit the "one golden pill" cures all fairy tale that most of us have been told. Many actually have too little stomach acid which causes undigested food to hang around and ferment at various stages of the digestive tract. Gut health and the microbiome of the gut flora are huge, and just barely beginning to get noticed by the medical community since they can't cash in on the simply diet and lifestyle changes that can correct it.

Michael Weis
You're talking the Fast Tract Diet. That is based on exactly what you described.

Don N Mary
how would one know if they have too much or too little acid? What would one remedy be versus another? This whole condition confuses me. I've been taking some form of acid blocker for YEARS. It's gotten a scary-kinda-worse lately 😩

Bruce Wilson
The below link is the book that my wellness doc recommended and has me off all meds and 90% symptom free with lifestyle, diet and supplements. Your body has stomach acid for a reason, and cutting it by 90+ % has some serious implications as many enzymatic functions depend on it, let alone the first breaking down of food for assimilation. I have read that if you've been on them for years, or naturally low, that the stomach lining actually thins as it's not needed for lack of acidity. I would suggest you read the book, and seek out a good wellness doc (MD who leans holistic or naturopathic) and go from there. There is a simple test in the book to tell, but given years of acid blocker, depending on which one, you pretty much know what the result will be

0 comments:

Post a Comment

Follow by Email

Copyright © 2015 GERD ACID REFLUX Disease Association | Design by Bamz