GERG, or esophageal reflux, is one of the most misdiagnosed conditions in this country. Reflux can be caused by Hyperchlorhydria, Hypochlorhydria and Achlorhydria. Hyperchlorhydria is the over production of Hydrochloric acid, by the guts parietal cells. Hypochlorhydria is the reduction in the strength of the Hydrochloric acid (HCL). Achlorhydria is the complete absence of Hydrochloric acid, in the Gut. All three of these condition can cause the following symptoms: reflux, gas, belching, bloating, nausea, abdominal pain, irregular stools, diarrhea and/or constipation, etc. It is virtually impossible, to make an accurate diagnosis, from the symptoms, because they are common to all three conditions. Unfortunately many doctors assume that a patient, with reflux, is over producing acid (hyperchlorhydria), when in fact, the opposite may be true. This incorrect assumption will most likely require that the patient be prescribed an acid reducing medication (PPI). When patients that are not producing strong enough HCL, are place on Proton Pump Inhibitors (PPIs), they will become Achlorhydric.
Both Hypochlorhydria and Achlorhydria will cause malabsorption of the necessary vitamin, minerals and micronutrient to keep the body healthy. Strong HCL is required, in the gut, for breaking down and sterilizing nutrients. Strong acid is absolutely necessary for the Peptic enzymes to break down proteins into peptones. Peptones are necessary in the formation of the amino acids. The breaking down and conversion of proteins destroys the allergens that are in many proteins. The peptic enzymes are most active in the conversion process when the strength of the HCL is at 1.0 pH. AS the strength of the acid decreases the peptic enzymes become less active in the conversion of proteins. At 5.0 pH the peptic enzymes are completely inactive in converting proteins. In addition, the pyloric sphincter, at the base of the stomach, starts to relax, when the pH of the gastric fluid is at 4.0 to 4.5 pH. When the pyloric sphincter relaxes, the contents of the stomach are prematurely dumped into the small bowel. The premature dumping, of unsterilized and unconverted nutrients, will cause allergic reactions and allow bacteria and pathogens to enter the small bowel. Hypochlorhydria will allow bacteria to proliferate in the stomach, small and large bowel. When the pyloric sphincter is relaxed, caused by Hypochlorhydria, fluid from the duodenum and bowel will reflux back into the gut and esophagus (pyloric insufficiency). Hypochlorhydria can be caused by, Proton Pump Inhibitors (PPIs), antibiotics, antihistamines, sedentary life styles, diet and other medication. Before taking any type of medication for GERD, ask you doctor to give you a pH diagnostic test, to find out exactly what is causing your reflux. There is a lot more info on the web, check out digestiveblog.com, or search for pH diagnostic testing, pH capsule test, or pH gastrogram.
Reply To: GERD/hiatal hernia and exerciseDoc_Josh2016-03-10T13:15:23-04:00