Yoga to Cure GERD

So in my search for a GERD cure, I read some stuff about how Yoga can help with GERD.  There's a number of yoga postures that people recommend to help with digestion.  So I went to Youtube and grabbed some videos.  It's really a simple search for Yoga and GERD.  I did some of the postures, and it was alright but didn't really stick with it.

After that, I was talking to a friend of mine who goes regularly to Bikram Yoga, and she finally convinced me to go:

Bikram Yoga is a series of twenty-six Hatha Yoga postures and two Pranayama breathing techniques designed to provide a challenging, invigorating, rejuvenating and effective yoga experience. During this 90-minute class, you will work every muscle, tendon, ligament, joint and internal organ in the entire body, giving you an incredible sense of well being.

There's Bikram or Hot Yoga studios around the world, so you can definitely find them, hopefully not too far from you.

I've been doing Bikram Yoga for the last 40 days or so, and I can tell you, I feel amazing:  I've lost weight, posture is better, stomach feels stronger, and have increased my overall flexibility.

It's to the point that I really don't feel like I have GERD anymore, at at least the symptoms have virtually disappeared.  About 3 weeks after I started doing Bikram, I started to: drink alcohol again, eat spicy food, eat closer to bed time, and eat bigger meals.  I do try to keep my portions smaller than before, but overall I'm to what to me is normal.

Kicking the Omeprazole / Nexium / PPI Habit

So, lately I've been wondering if it would have been better to not stop my nexium/omeprazole (started on Nexium) medication.  I went on a hunt to see what other people found to work best.  In reading, I found that simply stopping the PPI or H2 blockers because this may cause a sudden and nasty rebound effect.  It seems that gradually stopping may work best.  Take a look at the following schedule that was suggested for stopping Omeprazole:

1.

Week 1: Alternate 20mg of Prilosec (Omeprazole) with 100mg Prilosec
Week 2: 10mg Prilosec
Week 3: Alternate 10mg of Prilosec with 80mg Pepsid (Famotidine)
Week 4: 80mg Pepcid
Week 5: Alternate 80mg Pepsid with 40Mg Pepsid
Week 6: 40mg Pepcid

2.

Week 1 : alternate 10 mg Prilosec with 20 mg Pepcid
Week 2 : alternate 20 mg Pepcid with 10 mg Pepcid
Week 3 : same as week 3
Week 4 : 10 mg Pepcid
Week 5:  Use Apple Cider vinegar, DGL Licorice & ginger.

3.

Week 1: 40mg Omeprazole
Week 2: 20mg Omeprazole
Week 2: Alternate 20mg of Prilosec (Omeprazole) with 10mg Prilosec
Week 3: Alternate 10mg Prilosec, 40mg Pepsid
Week 4: Alternate 40mg Pepcid (Famotidine), 20mg Pepcid
Week 5: 20mg Pepsid, 10mg Pepcid
Week 6: 20mg Pepsid, 10mg Pepcid
Week 7: 10mg Pepsid
Week 8: 10mg Peps, Off (take DGL Licorice, apple cider vinegar at night, ginger)

4.

Take your Omeprazole/Nexium/Etc. capsule and begin to remove 1, then  2, then 3,  then 4, etc., of the capsule's content every day, until you're down to none.  This takes some effort, but has been known to work.

Alkaline Water Healing Properties for GERD

Unlike conventional drinking water, pH 8.8 alkaline water instantly denatures pepsin, rendering it permanently inactive. In addition, it has good acid-buffering capacity. Thus, the consumption of alkaline water may have therapeutic benefits for patients with reflux disease.
Other Warnings
Do not consume alkaline water with any medicines, supplements, or other additives. The alkaline water is reactive, and can form potentially dangerous by-products when mixed with a drug or other chemical compounds.
You should store ionised water in sealed glass bottles rather than plastic bottles, because it is reactive and can react with some plastics. It also reacts with the air and loses its ionisation if it is left exposed (of course, the alkaline minerals remain).


Others say that alkaline water helps:
http://www.alkalinediseasecure.com/acid-reflux/

From what I've read, it seems that alkaline water may help but only where you in fact have High Stomach Acid GERD.  Where you have Low Stomach Acid GERD, it appears that alkaline water may make the problem worse.

So, if you've determined that you have High Stomach Acid GERD, which you can do by doing the HCL test, then you may want to try alkaline water.  When you do, make sure you pay attention to how you feel and how your body reacts to the alkaline water.

Papaya Good for GERD? The Jury's Still Out

There's tons of articles, blogs, and websites out there that talk about the benefits of Papaya fruit and GERD:

Papaya is a powerhouse fruit that is not used nearly enough in our society. Papaya is an excellent natural remedy for acid reflux disease.  It is not only a low acidic food, but contains an enzyme called papain that is designed specifically to help with digestion.  It also consists of potassium which is helpful in providing  an healthy bacterial setting for your intestines.  This eases the digestive process and helps your stomach not work as hard.  This is the underlying source of health to fix the disease process. 

Papaya also has more than the recommended daily allowance of vitamin C.  vitamin C also helps with digestion.  You don't necessarily have to eat papaya to get it's benefits.  You can also buy a papaya enzyme supplement.  My family uses this to get our papain and it comes with a mint taste. 

and

Papaya : If you have access to fresh papaya, eat half of one for breakfast every morning with half a cup of yogurt and you will see a huge improvement in the amount of acid your body is producing. Papayas contains papain which will aide in the digestive process along with the live cultures in the yogurt. Squirt a slice of lemon over the flesh of the papaya for added flavor and Vitamins before eating, or sprinkle with a Tablespoon of wheat germ for a nutty flavor. If papaya is not available in your area, pick up some papaya tablets at the health food store. Read the label to be sure they do not contain any salt, sugar or sorbitol (sugar substitute).

However, after more digging, it seems there's still no real evidence, or consensus on Papaya: 

Papaya Enzyme 
One of the alternative treatments for GERD that you may have heard about is papain, or papaya enzyme.Papaya enzymes occur naturally in the fruit of the papaya plant, and they have well established proteolytic properties, meaning that they help digest proteins. For this reason, one of the historical uses of papaya has been as a meat tenderizer -- marinading tough cuts of meat in papaya for several hours can soften the muscle fibers, making the meat easier to chew.

Enzyme FunctionThere simply isn't any scientific evidence that papaya enzyme can help reduce symptoms of GERD. In part, this is because enzymes are very reaction-specific, as explained by Drs. Mary Campbell and Shawn Farrell in their book "Biochemistry." Enzymes with roles in metabolism don't play a part in digestion. Enzymes that digest fats can't affect carbohydrates. In the specific case of papaya enzyme, because it digests protein, it has by definition no effect whatsoever upon acid production or reflux.

Other Considerations

A further reason that papaya enzyme can't affect or reduce your GERD is that enzymes operate within a very narrow range of temperatures and acidity levels. Very few enzymes can survive the highly acidic interior of the stomach, and papaya enzymes aren't among them. As such, when you consume papaya enzyme, your stomach acid renders it inactive. You simply digest the enzyme, which is itself a protein, as you would any other dietary protein.

For now, I've added papaya to my list of items to buy at the super market.  We'll see how it goes.

Garlic Helps with GERD

You may have read in many places how garlic should be avoided if you have GERD.  However, I've read tons of blogs where people have said the opposite.  I found this article that may help to explain why garlic may or may not help:

Eat Garlic & Parsley: This is one of the biggest myths you will see on line, not to eat garlic. Garlic is one of the great plant healers. The garlic must be crushed or chopped up to release the components. Don't buy garlic that is shipped in from over seas. All garlic that comes into America from over seas has to be irradiated before entering the country. This kills the healing properties. Only buy local grown garlic. Parsley is another great healer. It is not only for garnish. Get fresh parsley, mince it up with the garlic and add it all fish, chicken or meat dishes. Add parsley minced (stems too) to all types of salads, soups and stews. Add a handful into the juicer when juicing other vegetables to pack a healthy punch.

 So, I ran to the store and bought myself some locally grown garlic.  I can't say it's cured me, but it definitely has not hurt.


Also, take a look at more information:

How Garlic Works

• Garlic contains the enzyme allinase and alliin, an amino acid. When a garlic clove is attacked by bacteria or crushed, the enzyme reacts with the amino acid to produce allicin. The new compound is known to fight off bacterial infections, such as those which cause acid reflux symptoms.

Using Garlic

• In order for allicin to be produced, a garlic clove must be damaged, either through biting, chewing or crushing. To relieve acid reflux, you should chew garlic thoroughly before swallowing, or blend a clove with fruits or vegetables in a juicer and consume immediately.

Prevention/Solution

• Whether garlic will be good or bad for acid reflux relief depends on how it is consumed. Despite the known health benefits, in some instances, garlic remains listed as a food to avoid to prevent acid reflux, as are other foods used to create spicy, highly seasoned dishes. These types of foods aggravate the condition rather than help it.

I think the reason why garlic is still listed is because we're all so use to just buying garlic from the super market.  According to articles, this garlic has lost all its original healing properties because import regulations require that the garlic be irradiated (exposed to radiation).

GERD Remedy: Apple Cider Vinegar

I think if you do a search of the internet you'll find that Bragg's Apple Cider Vinegar (ACV) is considered almost a universal cure.  I tried it myself and it did provide some relief, but just not enough.  Nevertheless, there's plenty of people that swear by ACV and how it both helps and removes their symptoms.  Just note, that, currently, there's no studies to support if ACV does or doesn't help with acid reflux.  

Some people say that ACV helps to tighten the Lower Esophageal Sphincter (LES).  The LES is the valve separating the stomach and the esophagus that when weak is said to be the reason why stomach acids flow back up towards your throat.  Some people say ACV encourages the production of acid in your stomach, and so helps if you have low stomach acid.  Others still say that ACV helps in the digestion of fats.

What Kind of ACV

People recommend Bragg's raw unpasteurized apple cider vinegar because it retains the natural enzymes that are lost during pasteurization. You can try finding other brands, but Bragg's seems to be the most popular.  Just make sure it's organic and raw unpasteurized.

How to Drink It

1. Try two tablespoons with a glass of water.  If you hate the taste then mix in a tiny bit of honey.

2. Another GERD remedy I found:
Heaping teaspoon of bee pollen granules. (Let them soak in 8 to 10oz of Purified or Alkaline Water for 15minutes
1/4 teaspoon pure cinnamon (I use Saigon)
1 tablespoon Bragg's Organic Apple Cider Vinegar with the Mother
Mix them together after the bee pollen granules have soaked, and drink it down. Don't sip, gulp.  

Possible Side Effects

1. Teeth Enamel Damage - Make sure to dilute the vinegar.
2.  Apple cider vinegar is suspected to negatively interact with:

• Diuretics
• Laxatives
• Heart disease medication
• Diabetes drugs

3. DO NOT TAKE IF YOU SUSPECT AN ULCER.  ACV can seriously aggravate your ulcer.  Check with your doctor before taking ACV to make sure you're not making your condition worse.

What are H2 Blockers and GERD

Many of us run to the pharmacy as soon as we feel any kind of heartburn. When we get to the pharmacy, we're bombarded by different remedies.  One type of remedy we can take are called H2 Blockers.

I thought maybe you'd like some more information on these drugs:

Examples of H2 Blockers

Generic Name	Brand Name
cimetidine	Tagamet
famotidine	Pepcid
nizatidine	Axid
ranitidine	Zantac

H2 blockers (also sometimes referred to as acid reducers or H2 receptor antagonists) are available in nonprescription and prescription forms. Prescription forms are stronger than the nonprescription forms.
H2 blockers are usually taken by mouth, although some can also be given as an injection. Two doses (morning and evening) are generally recommended to control both daytime and nighttime symptoms. Doctors sometimes recommend a single dose, taken at bedtime, for people who have difficulty remembering to take their medicines.

How It Works

H2 blockers reduce the production of stomach acid. This makes the stomach juices less acidic so that any stomach juice that gets into the esophagus is less irritating. This relieves symptoms and allows the esophagus to heal.

Why It Is Used

H2 blockers are used to treat the symptoms of gastroesophageal reflux disease (GERD). They may be prescribed for your symptoms without any diagnostic testing if your symptoms point to GERD.

• H2 blockers may be used together with antacids.
• Nonprescription H2 blockers may be used for up to 2 weeks for short-term symptom relief. But if you have been using nonprescription medicines to treat your symptoms for longer than 2 weeks, talk to your doctor. If you have GERD, the stomach acid could be causing damage to your esophagus. Your doctor can help you find the right treatment.
• H2 blockers may be used on a long-term basis to relieve persistent GERD symptoms.

How Well It Works

All of the H2 blockers in this class are about equally effective.
H2 blockers heal the damage done to the esophagus by GERD (esophagitis) in about 5 out of 10 people.

H2 blockers also work to help symptoms of GERD. But the number of people who take H2 blockers and who have no GERD symptoms is usually less than 5 out of 10 people. That means that of the people taking H2 blockers, more than 5 out of 10 still have some GERD symptoms.

Side Effects

H2 blockers have been in use since the late 1960s. H2 blockers are well studied and are considered very safe.
Minimal side effects occur with use of H2 blockers. Side effects may include:

• Headache.
• Dizziness.
• Diarrhea.
• Constipation.
• Nausea.
• Vomiting.

See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)