Keywords: Indigestion heartburn, chiropractic help, why do we hiccup, hiatus hernia..
This is a condition that is not serious for the majority of sufferers, unless you start to
take antacids regularly, in which case you'll get a vitamin B12
deficiency. That's serious. Tingling in arms and hands and legs ...
Nearly one half of Americans complain of severe heartburn at least once a month. There are a heap of medications on the market, all with their side effects. Does it have something to do with what we are eating perhaps? Or something eating us?
Perhaps you've been prescribed a common medication called a "proton pump inhibitors" like Prevacid that reduces acid production in the stomach in an effort to quell the fiery stuff in your oesophagus. But calcium absorption is dependent on strong acid in the stomach, so there's a significantly higher incidence of osteoporosis and hip fractures associated with PPIs.
Sometimes the cure is worse than the disease. Is there any more natural way with no side effects that we could use?
"I would like to find a stew that will give me indigestion heartburn immediately, instead of at three o'clock in the morning."
- writer John Barrymore
But it does cause sufferers untold grief in the early hours. John Barrymore was certainly not the first to complain, and going by the number of antacids sold, it's on the increase.
Oddly, antacids only aggravate the underlying problem which is only rarely TOO MUCH acid, mostly it's TOO LITTLE. That causes poor digestion.
It's no coincidence that Barrymore mentions stew. It probably contains a large amount of fat, certainly onions, and if he also enjoyed a bread roll and a tankard of beer with his stew, then... end of story. Heartburn.
Indigestion heartburn in essence is a disturbance of the normal function of the stomach. It could be pathological, like an ulcer or cancer, but usually isn't. It could be anatomical, like a defective valve that should prevent the contents of the stomach refluxing back up the oesophagus. It could be emotional, like anger or bearing a grudge.
But most usually, a mixture of foods that don't agree with you.
"You don't get ulcers from what you eat. You get them from what's eating you."
- Edith Baum
The contents of the stomach is extremely acid to enable the enzymes
to effectively digest protein in the stomach, which must occur before they enters the next part of the gut, the duodenum. High acid
content is also essential for absorption of vitamine B12, extremely
important for your nervous system. This is quite normal and it should
not be concluded that too much acid is the cause of your Indigestion
Heartburn. Quite the contrary, too little acid, leaving poorly digested
The other effect of taking antacids is to allow those partly digested proteins through into the small intestine. If these long chains of proteins are absorbed into the blood stream, they will cause obscure allergic reactions (like hayfever, asthma and autoimmune diseases) in the body when your immune system thinks they are foreign matter. Whole proteins shouldn't be found in the small intestine where the absorption occurs.
The lungs and heart of the chest cavity are separated from the stomach and intestines by a large muscle called the diaphragm, through which the oesophagus must pass on the way to the stomach.
In some people, the hiatus or hole in the diaphragm weakens and enlarges. It's not known why this occurs. It may be hereditary, or it may be caused by obesity, exercises such as weightlifting, or straining at stool. Whatever the cause, a portion of the stomach herniates, or moves up, into the chest cavity through this enlarged hole. Hiatus hernias are very common, occurring in up to 60 percent of older folk causing GERD, or gastro esophageal reflux disease. Your dinner ends up in your mouth.
What's interesting is that in some people this reflux causes acid burns, erosions of the oesophageal lining (which may be pre-cancerous), but others there's no erosion at all leading to the diagnosis of NERD, non-erosive reflux disease.
Clearly it's complex, and there are many things at work. Could simple dietary changes make a difference, without the use of pills? Yes!
The stomach is lined with a thick mucus to prevent the acid from attacking the stomach wall. However the oesophagus is not so protected.
Should the valve that seals off the stomach be defective, then strong acid refluxes back into the oesophagus where it may attack the lining which has no protection, causing indigestion heartburn. Even so, antacids are not the solution to the problem - dealing with the muscle called the diaphragm which forms the valve.
The contents of the stomach is the critical subject. This is mediated by many different processes such as the amount of fluid in the stomach, the mixtures of different foods in the stomach, the nerve supply to the both the muscles and the glands that produce both acid, and enzymes and other substances.
FROM THE COAL FACE
'Doctor, do you think you can help my dad. He has terrible backache.'
'That's an odd question, Minky. I treat bad backs all day long. You know that.'
'Yes, of course, but his doctor says his problem is far too serious for a chiropractor.'
'Well, is his doctor's treatment helping?'
'No, he's been getting terrible Indigestion Heartburn and now blood in the stool, and his doctor says he has to stop taking the medicine. Now he's a bear with a sore back and so much heartburn indigestion!'
Minky had been a patient for nearly two years. She suffered from regular miserable Headache Chiropractic ... that put her to bed for several days in the month before she started consulting me.
'Suggest your dad comes for a free consultation, Minky. It will involve an abreviated examination, but no treatment, to help him decide if Chiropractic could help him. Tell him to bring his X-rays, if he has any.'
The upshot was that Minky's dad had a very routine problem in the low back. Once he had had a course of about ten treatments, was doing all his exercises, and came for an occasional visit every two or three months, his problem became only a minor irritant in his life.
His eyes opened wide when I told him that 14 000 people had died in the USA in one year from gastric bleeds from taking anti-inflammatories.
remains a mystery to me why doctors can think a back too serious for a
chiropractor, but they are prepared to risk the patient's life with
medication that their own research declares kills
tens of thousands every year. ANTI INFLAMMATORY DRUGS ...
The point I feel sure is clear. If you have indigestion heartburn and you are taking anti-inflammatories [aka NSAIDs], see your doctor immediately for a stool test. Are you passing blood? (Blood from the stomach makes the stool black, not red). At the same time, make an appointment with your chiropractor to treat the cause of the pain in your back! Treating symptoms, in general but especially with NSAIDs, is plain bad health care.
VITAMIN B12 - taking Antacids regularly?
Vitamin B12 is vital for the nervous system (know what Pernicious Anemia is? Tingling in arms and hands and legs ... TINGLING IN ARMS AND HANDS AND LEGS... and a marginal deficiency is now recognised in about a quarter of people over 50. There are various causes, but the most common is too little stomach acid, and it's gravely worsened by antacids taken on a regular basis.
"Inadequate stomach acid. A much more common cause of deficiency of B12, especially in older people, is a lack of stomach acid, because stomach acid is required to liberate vitamin B12 from food. An estimated 10 to 30 percent of adults over the age of 50 have difficulty absorbing vitamin B12 from food. (1) People who regularly take medications that suppress stomach acid—such as proton-pump inhibitors, H2 blockers, or other antacids—may also have difficulty absorbing vitamin B12 from food. Even people who lack adequate stomach acid can typically absorb vitamin B12 from fortified foods or supplements, however, providing yet another reason to take a multivitamin."
HARVARD SCHOOL OF PUBLIC HEALTH.
And avoid Antacids.
WHY DO WE HICCUP ?
Hiccuping is a reflex contraction of the Diaphragm muscle, causing a sudden intake of breath that snaps the epiglottis closed. A hic. Irritation of the Phrenic nerve roots (C3-C4-C5), the nerve itself or one of the tissues supplied by the Phrenic nerve are the usual causes.
Ask your chiropractor to check your
Follow one or all of these simple rules if you suffer from Indigestion heartburn:
If you enjoy reading then you will enjoy these books by chiropractor Bernard Preston . He will keep you laughing as he retells his short stories from the clinic. Stories that will also help you be healthier and happier, and able to look forward to old age, instead of dreading it. Sound good?
Soon Frog in my Throat will be available as an ebook at half the price. Or less, and no postage. Watch this space. But first, Stones in my Clog, Preston's third chiropractic short stories. Rivetting stuff, like Priest in my Bed...
Two types of foods
Professor Robert Russell, MD, states there are two different processes occuring:
1. Foods that increase the pressure in the stomach placing pressure on the valve that separates the oesophagus from the stomach. This would include:
2. Foods that irritate the lining of the oesophagus, and hence the nerves.
In short, rather than taking masses of pills, all of which have their side effects, perhaps it's time to start being the detective. Which of these are the spoke in your wheel. It may be just one of them, or several.
Yours truly suffered terribly with indigestion heartburn several nights a week having to sleep upright until about five hours after the meal.
Many of the above triggers were involved.
Finally, faced with gastroscopes, medication, threat of cancer of the oesophagus, he took the bull by the horns. Giving up several beers before dinner TOTALLY, COMPLETELY, COMPREHENSIVELY cured the problem.
I can now have a soup with bread, fatty stews, a cup of milo after dinner before bed, chocolate, fruit puddings, all without a problem. Beer was my problem. What's yours?
I have now been off all alcohol for nearly four months, and am much the better person for it.
There's nothing simple about surgery to fix a hiatus hernia. In my own case, the surgeon warned me that all burping would stop, and the gases would instead have to travel the length of the alimentary canal, causing considerable lower bowel discomfort and bloating.
Giving up beer was a much simpler solution!
"He was woken early by borborygmus as his insides fermented and his intestines ballooned with gas beyond their capacity."
- Ruth Dudley Edwards
Having started this page by saying that indigestion heartburn is not usually serious, affecting nearly half the population, there is one very serious exception. Chronic acid reflux into the oesophagus sometimes causes abnormal changes in the cells of the lower oesophagus which is strongly associated with a very malignant cancer.
As always don't assume that it happens only to other people. Seek out the cause of your indigestion heartburn. That's why I decided to give up beer.
Rather than taking pills, rather than being an ostrich, be the detective and find out whether some simple changes in your lifestyle cannot make the difference. Or even difficult changes. Nothing simple about giving up alcohol or losing ten kilograms, but faced with the alternative...
Links @ Indigestion Heartburn
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Interesting challenges of the day
1. Mr D has very severe midback back. He bent and twisted, feeding his son, and then laughed. Every breath is a nightmare. A sprung rib is every chiropractor's delight. He or she has golden hands. 30 percent better after one treatment.
2. Mrs C has a long history of severe, disabling migraine headaches since having her wisdom teeth removed. She clenches her teeth at night. After six treatments she has no migraines but some jaw joint discomfort remains; a bite plate is in the offing.
3. Mrs U has the trophy for the worst back this year. After major surgery with plates and screws two years later she still had paresis in the lower leg and severe disabling back pain. She's doing far better than expected, in no little part due to a lift in her shoe for a very short leg.
4. Mr V is 86 years old and hurt his back helping his wife into the car. Just one treatment of the sacroiliac joint and he's eighty percent better. It's not always like that.
5. Mr W lay on his back knocking down a pillar. Turning his head causes severe vertigo. He needs the Epley exercises, not pills, research shows. Update, he's fine.
6. I myself had an acute exacerbation of a femoral nerve lesion last year. One immediate treatment by my colleague has fixed the pain in the lower back, but there's some residual numbness in the lower leg; no soaring tomorrow alas.
7. This lady is a 86 year old woman with a 63 scoliosis. Chronic lower back has been her lot in life but she's well pleased with chiropractic and comes for chiropractic help once a month; some conditions you can never cure.
8. She is an 78 year old woman, is doing remarkably well with a bad sciatica. But over 200 pounds she is not losing weight; in fact, gaining despite my suggestions. She's high risk for a stroke. I have referred her to a dietician to crack the whip.
9. A 61 year old man with upper cervical pain yesterday; it's not severe but also not getting better of its own accord. He's afraid it may turn very acute as when I treated him three years ago. Since then it's been fine.
10. A 64 year old woman has had scheuermanns disease; it's left her with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment provides she come every six weeks or so for maintenance treatment.
11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.
12. Mrs D, a middle aged woman with hip pain of one year duration, despite other treatment. Xrays reveal an impingement syndrome and early hip arthritis. There's much to be done.
13. Mrs B has had one of the nastiest of conditions; vertigo caused by a disturbance in the inner ear. Falling repeatedly and vomiting she consulted her doctor but medication didn't help. After two sessions of the Epley manoeuvres she was 50 percent better. After two weeks 75 percent improved. No longer vomiting all falling. She's not enjoying the Brandt Daroff home exercises.
And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.
Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?
Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.
Your own unresolved problem. Pose a question
Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.
You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.
The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.