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Subject: Acid Reflux Disease:
Date: Thu, 19 Mar 2009 14:13:02 -0700
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<DIV class=3DSection1>
<P class=3DMsoNormalCxSpFirst style=3D"TEXT-ALIGN: center" =
align=3Dcenter><B=20
style=3D"mso-bidi-font-weight: normal"><SPAN=20
style=3D"FONT-SIZE: 14pt; LINE-HEIGHT: 115%; FONT-FAMILY: Arial">Acid =
Reflux=20
Disease</SPAN></B><B style=3D"mso-bidi-font-weight: normal"><SPAN=20
style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: =
Arial">:<o:p><BR></o:p></SPAN></B><B=20
style=3D"mso-bidi-font-weight: normal"><SPAN=20
style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: Arial">Just an =
Annoyance=20
or Cause for Concern?<o:p></o:p></SPAN></B><B=20
style=3D"mso-bidi-font-weight: normal"><SPAN=20
style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: =
Arial"><o:p>&nbsp;</o:p></SPAN></B></P>
<P class=3DMsoNormalCxSpMiddle style1><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New Roman'">Heartburn is =
one of=20
the most common ailments among Americans. Estimates are that about 20%=20
experience it monthly and 7% experience it daily. At least 80% of =
pregnant women=20
experience it regularly. These statistics explain why prescription and =
over the=20
counter medications for chronic heartburn (gastroesophageal reflux =
disease or=20
GERD) are some of the most popular.<o:p></o:p></SPAN><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New =
Roman'"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormalCxSpMiddle style1><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New Roman'">It is =
important to=20
understand that having heartburn on a daily basis is not normal and puts =
an=20
individual at increased risk of developing more serious conditions such =
as=20
erosions, ulcers, strictures, and cancer. It has been demonstrated that =
early=20
intervention can decrease the risk of these complications. In most cases =
we can=20
treat acid reflux using natural approaches without the need for =
medications with=20
inherent side-effects. The problem with most drugs for heartburn is that =
they=20
impair digestion and do not treat the root cause.<o:p></o:p></SPAN></P>
<P class=3DMsoNormalCxSpMiddle style=3D"TEXT-ALIGN: center" =
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if]--><![if !vml]><img width=3D398 height=3D148=0A=
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v:shapes=3D"_x0000_i1025"><![endif]><o:p></o:p></SPAN></P>
<P class=3DMsoNormalCxSpMiddle=20
style=3D"MARGIN-LEFT: 0.25in; TEXT-INDENT: -0.25in; mso-add-space: auto; =
mso-list: l0 level1 lfo1"=20
style1><![if !supportLists]><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: Symbol; =
mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN=20
style=3D"mso-list: Ignore">=B7<SPAN=20
style=3D"FONT: 7pt 'Times New =
Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN></SPAN></SPAN><![endif]><B style=3D"mso-bidi-font-weight: =
normal"><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New Roman'">What causes=20
GERD?<o:p><BR></o:p></SPAN></B><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New Roman'">Although a =
number of=20
factors can contribute to its cause, increasing evidence implicates LOW =
stomach=20
acid. In addition, overeating; food sensitivities; triggers like =
caffeine,=20
smoking, alcohol, chocolate, and fried foods; medications, stress, and =
eating=20
just before bedtime can be involved. Other potential contributors =
include=20
carrying excess weight and the presence of a hiatal hernia, a condition =
where a=20
portion of the stomach slips above the diaphragm.<o:p></o:p></SPAN><SPAN =

style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New =
Roman'"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormalCxSpMiddle=20
style=3D"MARGIN-LEFT: 0.25in; TEXT-INDENT: -0.25in; mso-add-space: auto; =
mso-list: l0 level1 lfo1"=20
style1><![if !supportLists]><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: Symbol; =
mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN=20
style=3D"mso-list: Ignore">=B7<SPAN=20
style=3D"FONT: 7pt 'Times New =
Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN></SPAN></SPAN><![endif]><B style=3D"mso-bidi-font-weight: =
normal"><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New Roman'">How is it =
usually=20
treated?<o:p><BR></o:p></SPAN></B><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New Roman'">Most =
sufferers take=20
over-the-counter antacids to combat the discomfort. Most physicians =
prescribe=20
acid blockers such as Zantac. Though this may bring some relief, it does =
not=20
address the cause and has problematic side-effects. <SPAN=20
style=3D"mso-spacerun: yes">&nbsp;</SPAN>As previously mentioned, many =
sufferers=20
actually have low stomach acid production. Stomach acid, or hydrochloric =
acid,=20
is essential for proper digestion and serves to destroy potentially =
harmful=20
microorganisms. Acid in the stomach signals the muscles of the lower =
esophagus=20
to constrict. When acid is low these muscles relax, increasing the =
likelihood of=20
reflux.<o:p></o:p></SPAN><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New =
Roman'"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormalCxSpMiddle=20
style=3D"MARGIN-LEFT: 0.25in; TEXT-INDENT: -0.25in; mso-add-space: auto; =
mso-list: l0 level1 lfo1"=20
style1><![if !supportLists]><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: Symbol; =
mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN=20
style=3D"mso-list: Ignore">=B7<SPAN=20
style=3D"FONT: 7pt 'Times New =
Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN></SPAN></SPAN><![endif]><B style=3D"mso-bidi-font-weight: =
normal"><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New Roman'">How do you =
prevent and=20
treat it naturally?<o:p><BR></o:p></SPAN></B><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New Roman'">Avoid known =
triggers,=20
reduce meal size, and avoid eating too close to bedtime. Mint and other=20
particular herbs can further relax the lower esophageal sphincter and =
should be=20
avoided if you are susceptible to getting heartburn. Adapting lifelong =
healthy=20
eating habits and physical activity are essential, especially for those =
who are=20
overweight. If you have a long history of heartburn you may need an =
endoscopic=20
exam to check the lower esophagus for damage. Those with longstanding =
low acid=20
may become vitamin B<SUB>12</SUB> deficient and have difficulty =
absorbing other=20
important nutrients. Basic blood work can detect some of these =
deficiencies, but=20
it may be beneficial to have more comprehensive testing. Your doctor =
should=20
prescribe appropriate nutrients, digestive supports, and herbal =
medicines that=20
can bring relief while treating the cause.</SPAN><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New =
Roman'"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormalCxSpMiddle=20
style=3D"MARGIN-LEFT: 0.25in; TEXT-INDENT: -0.25in; mso-add-space: auto; =
mso-list: l0 level1 lfo1"=20
style1><![if !supportLists]><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: Symbol; =
mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol"><SPAN=20
style=3D"mso-list: Ignore">=B7<SPAN=20
style=3D"FONT: 7pt 'Times New =
Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN></SPAN></SPAN><![endif]><B style=3D"mso-bidi-font-weight: =
normal"><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New =
Roman'">MASSAGE:<SPAN=20
style=3D"mso-spacerun: yes">&nbsp; </SPAN>Indicated or Contraindicated =
for=20
GERD?<o:p><BR></o:p></SPAN></B><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New Roman'; =
mso-bidi-font-weight: bold">Massage=20
is indicated for people with GERD for some of the obvious benefits of =
massage,=20
such as increased blood circulation and reduced muscle aches and =
pains.<SPAN=20
style=3D"mso-spacerun: yes">&nbsp; </SPAN>However, there are certain =
things to=20
consider first.<SPAN style=3D"mso-spacerun: yes">&nbsp;&nbsp; </SPAN>It =
is=20
important to receive massage in a way that does not exacerbate symptoms. =
This=20
might mean receiving massage on a chair or in a semi-reclined position =
and only=20
after two hours of eating a meal.<SPAN style=3D"mso-spacerun: =
yes">&nbsp;=20
</SPAN>Work around the abdominal area is locally contraindicated in =
extreme=20
circumstances or light work at most, depending on the severity of the=20
client.<SPAN style=3D"mso-spacerun: yes">&nbsp; =
</SPAN><o:p></o:p></SPAN><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New =
Roman'"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormalCxSpMiddle style1><B><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New Roman'">Written =
By:<SPAN=20
style=3D"mso-tab-count: =
1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN>David Graves, ND<SPAN=20
style=3D"mso-tab-count: =
2">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN><SPAN=20
style=3D"mso-tab-count: =
1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;=20
</SPAN><A =
href=3D"http://www.familynd.com/">http://www.familynd.com/</A><SPAN=20
style=3D"mso-tab-count: =
1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN><A=20
href=3D"mailto:gravesnd@gmail.com">gravesnd@gmail.com</A><o:p></o:p></SPA=
N></B></P>
<P class=3DMsoNormalCxSpMiddle style1><B><SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New =
Roman'">Contributor:<SPAN=20
style=3D"mso-tab-count: 1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
</SPAN>Edward R. Cefalu,=20
NCTMB/CMT&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=20
<A href=3D"http://www.edcefalu.com/">http://www.edcefalu.com/</A><SPAN=20
style=3D"mso-tab-count: =
1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;=20
</SPAN><A=20
href=3D"mailto:ed@edcefalu.com">ed@edcefalu.com</A><o:p></o:p></SPAN></B>=
<SPAN=20
style=3D"LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New =
Roman'"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormalCxSpLast><SPAN=20
style=3D"FONT-SIZE: small; LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New =
Roman'; mso-bidi-font-style: italic">References:=20
1. F. Ferri. <I>Ferri=92s Clinical Advisor</I> 2008, 1<SUP>st</SUP> ed.; =
2.=20
Yarnell. <I>Gastroenterology</I>, 2000<B><o:p></o:p></B></SPAN><SPAN=20
style=3D"FONT-SIZE: 9pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Times New =
Roman'; mso-bidi-font-style: =
italic"><B><o:p></o:p></B></SPAN></P></DIV></BODY></HTML>

