THE TRUTH ABOUT ACID REFLUX - Dr. Eric Westman
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- čas přidán 21. 07. 2024
- [Conversations with Dr. Westman: Episode 34]
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Do you have heartburn? (Also called acid reflux, or GERD.) Have you been avoiding some of your favorite foods because you were told they're common triggers for heartburn? Do you think you have to live life without coffee, tomato sauce, sausages, and other acidic, spicy, and fatty foods? Think again!
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What if you learned that these foods and beverages are NOT what cause heartburn, but rather, the carbs most people eat along with them?
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If you or anyone you know has gerd or acid reflux, this is a MUST watch episode.
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💟 PS: JOIN ME TONIGHT FOR an AMA (Ask Me Anything) session. AT 7:00 PM EST
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Was on Nexium for 5+ years. Started Keto in 2017.....lost 80 lbs to date. No longer any reflux....feel wonderful!
....65 years old, not on any medication.
👍👍👍
Did you stop taking them on the advice of your dr or cold Turkey? Were you able to stop taking them immediately after going on a keto diet or did you wait a bit? I’ve been on omeprozole for years and tried to wean myself off of them and it was horrible (I was not on keto -and not on keto just yet).
How long it took for you to get rid off gerd?
My problem was acid running up into my throat at night and it would wake me up choking. It would burn my esophagus and hurt. I started sleeping on two pillows...almost sitting up. When I started Keto, this stopped. I found that if I ate sweets (off the diet), I would have a spell of it. Nothing bothered me but eating sweets.
Me too! I just ate 2 cookies (im on keto but today i skipped thr diet) and sitting here and watching stuff with a horrible heartburn at 2.40am.
My Gerd stopped after going low carb. No longer take Omeprazole. Big deal for me!
Good interview bringing awareness to the impact of carbs on heartburn. One correction - You said at 8:30 that low carb reduces stomach acid, but your 2006 study was looking at acidity in the distal esophagus, not the stomach. So it actually showed that the acid was not getting out of the stomach into the esophagus not a reduction of acid in the stomach itself. And it makes sense that your body would want to produce more, not less acid with the increase in protein.
We have attended some of the same meetings in the past and I wish I had discussed with you my theory (published in "Heartburn Cured" and Fast Tract Digestion Heartburn") that the problem is carbohydrate malabsorption leading to the overgrowth of gas-producing microbes in the gut. The pressure builds up in the intestines, but also in the stomach (higher intragastric pressure in GERD patients is documented in the literature). This pressure drives reflux pushing stomach contents into the esophagus. Based on this idea both cutting carbs but also addressing causes of malabsorption such as pancreatic or brush border enzyme deficiency and many other possible underlying causes are both expected to reduce heartburn symptoms. 🙂
What is brush border deficiency? How to test for it?
@@lunaticatiga Brush border enzymes are located at the tips of the microvilli and include lactase, sucrase, maltase, sucrase/isomaltase, and others. They break down disaccharides but also complete the breakdown of starches. Testing involves endoscopic biopsies and specialized laboratory analysis.
@@DrNormGutHealth pff i just had a gastroscopy so doubt i can have it anytime soon again
I got off Prevacid after going keto.
I did not have any heartburn as it is called butter had a sore throat for a couple off weeks my doc gave me antibiotics which did nothing so went to nose and throat doctor he said i had inflammation due to acid reflux i told him i didn’t haven’t any symptoms he told me to elevate my bed and not eat 2-3 hours before bed ate the time i started a keto diet and i now have no problems at all even digestion
Lost a 100 lbs used to have Gaviscon stashed all over the house since going Keto no Gerd
My Gerd is gone after being on keto for two weeks and I have a hiatal hernia. I think the weight loss helped with that.
Thank you the CC is working in English. I’m all set now thanks for the update. Love Dr. Westman.
I fixed my heartburn and GERD with keto. Thanks for sharing the information
Was always given the advice to not eat red meat, chocolate, tomatoes, citrus, coffee, tea, fats to help with my GERD. Was taking 4-5 Omeprazole or other PPI for 15+ years. Guess what I ate on a keto diet? Red meat, chocolate, cheese, tomatoes, lemon, coffee, tea, butter. GERD was gone within a month or two, have not needed any medication for it since. Been keto for 16 months now, lost 40+ lbs, only have 10 more to go to be my ideal body weight. Not pre-diabetic anymore, am working on my hypertension and have never felt better. Back to college weight now. Oh, did I mention I am a doctor?
My herd has stopped. I am still taking OTC meds as I have the hernia, but will be checking with gastro doc after I’ve lost more weight.
I have heard you say on a couple of occasions that there are probably some people who are doing Keto who really don’t need to. I’m curious to know who should not do keto. Thanks!
My GERD went away on keto. Previously, I took antiacids seemingly every night--sometimes being woken up at night by the reflux, but once I reduced total carbohydrate to ~20 g per day GERD ceased.
Lile totally or just improvment? How long on keto u were when u had no more gerd?
About a couple of weeks to a month and it went away. Has not recurred since then.@@lunaticatiga
Thanks for the information!!👍👍👍🌹
I am confused. I definitely know that keto does help with heartburn. My confusion stems from people who are not on keto.
It is my experience that many people who have heartburn are greatly helped by taking apple cider vinegar tablets before a meal. This acidifies the stomach further and their heartburn goes away. The way it was explained to me was that in order to close the sphincter muscle at the top of the stomach, the stomach acid has to be high. When too many carbs are eaten, the acid has to increase greatly in order to close the sphincter muscle.
My sister is a good example of the benefits of apple cider vinegar capsules. She has suffered from almost daily heartburn since she was a child. She is now 71 and has always eaten a “healthy” food pyramid based diet with lots of carbs. Just last year I finally convinced her to take two apple cider vinegar tablets before a meal and see if it would help her heartburn. It is now a rare occurrence that she has heartburn. She is not the only person that I have asked to do this experiment. It has helped a lot of people.
I would like to put forth a theory. The reason that a ketogenic diet works so well in eliminating heartburn is because it illuminates excessive carbohydrates. Even though the stomach acid goes down with the keto diet, it is still more than sufficient to deal with the limited amount of carbs that are found in this way of eating.
For people who are on a standard American diet, I would encourage you to change to a keto diet. If you are unwilling to make the change, I would definitely experiment with apple cider vinegar capsules.
Hi keto your right acid in your stomach has to be very high this is to kill of bad bacteria that comes into your system in food I used to have terrible bloating and heart. Burn even to the point where I had to make myself sick to release the pressure in my stomach I'll explain what caused this my stomach acid was very low because as we age we produce less stomach acid which makes it very easy for bad bacteria to grow in the stomach so as you probably know the food bad bacteria eat are carbs this causes fermentation in the stomach which then causes pressure in the stomach pushing acid into the wind pipe causing burning so the only always is to increase the stomach acid to kill the bad bacteria apple cider vinegar helps but even that might not be strong enough to raise the acidity level enough to kill the bad bacteria off so I would recommend using BETAINE HCL this is far stronger and would work far better at killing all the bad bugs I've gone from sever pain to no symptoms at all but I do stay on this all the time and use digestive enzymes with every meal I'm a keto man forever now I still have apple cider vinegar also because it's very good for you hope this tells you exactly what reflux is all about and you can help more people with this info all the best martin
Also acid reflux can cause lactose intolerants and abs so people with reflux should try giving up dairy will also help get rid of reflux in some cases👍😁
A good alternative is soya milk it's full of protein and calcium with no dairy 😁👍
Do we mean the ph in the oesophagus or the stomach itself? I am under the impression that we are supposed to have strong stomach acid but not in the oesophagus.
@@bobj5844 yes your right the acid should only be high in the stomach not the oesophagus that's the cause of reflux when strong acid enters the oesophagus that's what the valve at the top of the stomach does it keeps strong acid out of the wind pipe by closing if it's working ok
Haven't needed an antacid in months. Didn't think about it til now. Guess I better check the expiration date on the ones I have left. Been keto/carnivore for most of the last 2 years. Almost 150 lbs down, migraines gone, etc.
Hugh Thankyou from Melbourne Australia.
My throat was on fire and had reflux and thankfully saw a video of you talking to Dr berg
Keeping my carbs low I have had no Gerd since and lost 9 kilos in 3mths great result.
A double win for my health. Many thanks
@@BelCantoLari Yes it was Dr Westman talking to Dr Bert video a year ago great information.
Mine is gone too! While on the SAD diet, I was taking three chewable calcium pills at bed time every night. I was often awakened by acid gushing up, into my throat.
I used to get acid reflux, especially after a heavy (like Christmas) meal. I also thought it must be the fat in those meals. But after a while on LCHF (3½ years so far) I noticed no more acid reflux, unless giving in to a high carb meal on a special occasion. So in my case, the reflux is definitely due to too many carbs.
Review transcript here: adaptyourlifeacademy.com/health/the-truth-about-acid-reflux/
Have you looked at certain type of GERD like Laryngeal Reflux (LPR)?
Keto did fix it for me, but I still get a minor issue every once in a while during a fast.
Me too and when I lay down.
How long it takes to ged rid of GERD on keto? Im one month in and I still have it.
I’m on a carnivore diet and on OMAD (at noon) and have acid reflux at night, it wakes me up. Any ideas? I have problems sleeping because of it and it hurts my stomach and throat. Thank you
Where can I get a copy of these studies?
I’m keto and have lost 133 pounds so far. I am hoping that this is true for me when I get to my goal weight because it is the only thing that has not happened. I have had gerd for 22 years. I was told I might have to have an operation then, sounds like I still may need to. Ugh. I am on prescription strength Prilosec.
Congratulations on your weight loss. How did your HB condition progressed?
How are things going for you
I'm doing a keto diet and I still experience acid reflux. Can you talk about histamine issues contributing to this?
Ditto 😢
What you mean by histamine issue? Do you get sneezing, wheezing, watery eyes, nose blockage, sinusitis as a result of acid reflex
@@newlife3222 Histamine sensitivity has far more effects than just sinus/respiratory. It can include achy, stiff joints, brain fog, sleep disturbances, etc. Histamines can occur even from certain foods in the keto program *for some people.* Also the way food is cooked can produce histamines. Slow cooking can create a higher level of histamines, for example.
It is worth doing some further research and arm yourself with info if histamine sensitivity is a concern.
Hi Linda if your your on keto and not smoking and drinking and drinking coffee as there the worst causes then as with most reflux problems you become lactose intolerant don't know why that is but it's probably what's causing your reflux now also cut out all carbs not just some babes have apple cider vinegar to keep your acid strong in your stomach each morning and night and an hour after each meal have a digestive enzyme tablet to break down your food so it's not just sitting in you Tum also a good pro biotic tablet each morning so try no dairy no yogurt at all instead try soya sugar free which is full of protein and calcium hope this has been of help to you babes let me know how you get on martin XX
@@martindoyle766, I think you’re right. Dairy is a huge cause of acid reflux in a lot of people.
I have to disagree. Liver and sardines cause terrible reflux in me. I don't eat bread, pasta, sugar etc
I have been Keto for over a year, still have acid reflux . I have been on Nexium for years wish I could get off this drug. I have done all the stomach test they just tell me I have acid reflux and keep taking the meds. So keto doesn’t work for everybody.
I've been on omeprazole for a very, very long time and have tried to withdraw from it. There is a strong backlash. Also, have a hiatal hernia, so don't think I can get off the omeprazole.
doesn't overeating cause heartburn??
Thanks, Dr. Westman. Question - you have found that excess stomach acid causes acid reflux. But other low carbers (Drs. Berry and Berg) say it's caused by insufficient stomach acid, and that ACV can help. Can you comment on this contradiction?
Dr. Westman doesn’t advocate ACV or Keto supplements, he simply advocates keeping the total carbs to no more than 20 per day.
@@AdaptYourLife
Could you address the question - can insufficient acidity also cause reflux symptoms?
@@saxgirlhornboy6458 3 months later, the answer is "no, I can't answer this apparent contradiction" 🥴
My GERD us worse when my stomach is EMPTY. Keto for seven months, NO IMPROVEMENT. Help.
Please take a look at Dr. Westmans “Keto Made Simple Masterclass”
Enrollment closes tonight at midnight
www.adaptyourlifeacademy.com
Click “Keto Masterclass” at the top 😊
I had the same experience until I accidentally stopped all the Avo's in my diet, and suddenly it resolved itself. Haven't had it even when doing longer fasts (3-5 days). I am mourning the loss of my Avo's but rather that than GERD right? An earlier post refers to histamine issues and wonder if that might not be the clue.
@@irmaduplessis1327 what is Avos? What histamine issues?
@@newlife3222 I’m referring to avocado’s😉Histamine issues arise with allergies, be it food or otherwise. I found that I had an itchy mouth when eating avocados, and then also developed acid reflux shortly after. It might be worth it to spend time and evaluate some of the foods you eat. Some people develop acid reflux from eggs.
4 months keto, lost 30 lbs, but still have heart burn, can't figure out why
This is not typical. Heart burn normally the first to go.
You need strong acid in your stomach to kill of the bad bacteria which eat the carbs and then that bacteria produces gas pressure which then pushes acid up the assofigus burning the tissue the acid has to be strong to do this to kill of the bad bacteria you see it's not excess stomach acid the problem at all it's as I said bad bacteria eating carbs causing gas pressure I hope this helps ps apple cider vinegar helps to keep the stomach acid high strength the acidity measured in the wind pipe will go down as you said but the acid will still be strong in the stomach and with no pressure in the stomach the assofigus will remain low acid that's whats happening with reflux hope that helps cheers
That's why keto diet works so well no carbs for the bad stomach bugs to eat and produce there stomach gas a good probiotic and apple cider vinegar ginger root and a good digestive enzymes with added ox bile will help things along cheers
I got Acid reflux n IBS n because it was neglected by doctors for years n just put me on Omeprazole n wouldn't run any tests to get to the root cause, i have ended up with lymphoma in abdomin, chest area
Can you please explain why your symptoms were.I have Gerd and IBS as well and they said my esophagus was tore up,I keep telling them it's getting worse and my left side hurts.
@@MsRider2012 get abdomin n chest ultrasound n endoscopy n colonscopy. In my endoscopy everything looked good but the ultrasound showed enlarged lymph nodes. After Petscan it was diagnosed as lymphoma.
@@MsRider2012 my symptoms are severe bloating which pushes up diaphragm n i cant breathe n end up getting neubulizing. I have wheezing from acid reflux, sinusitis caused by acid, chest congestion, coughing, abdomin pain, in the end lots of gas released which helps relieving bloating
@@newlife3222 I got those test done I just need to get an ultrasound done.I have been telling them that something is wrong with me for 2 yrs now and thats all they told me but it's getting worse.I get so scared that I'm gonna have a heart attack but they keep saying my heart is fine.Thank you !
@@MsRider2012 You MUST get ultrasound ASAP. My endoscopy showed nothing because the lymphoma was outside of stomach. Ultrasound will show n then CT scan
Unscripted from you video I asked you to put the CC button so I know what you are saying. But today you put out new ones and still can not understand. Sorry other Drs’ are more thoughtful
Go up to top right side of video and tap. When you see the 3 dots hit that and it will give you option to put cc captions on.
CC only shows Vietnamese as the option. Thanks for trying
@@lindareed1374 hm, I see English! Maybe they fixed it now?
@@bellonjm07 thanks for the update, really want to follow the Dr.