Reflux Interview

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    All right. Well, hello everyone. Tis is Joe Barton with Barton Publishingand my guest today is Dr. Scott Saunders. Scott, how are you today?

    Im fne, thanks, Joe.

    All right. Well, weve fnally got our recording sotware working herethanks to FreeConerenceCall.com. And so today we are going to talkabout acid reux medications and the pros and cons and everything inbetween. So, Dr. Saunders, Im going to just kind o let you take this overand maybe give a little introduction to acid reux medications, and thenIll have some questions or you.

    Okay. Well, that should be easy. Acid reux is a very common problem. Justto sort o let people know how common this problem is, the medications,when they frst came out or acid reex, including Zantac, agamet, andthose, many years, 25 or 30 years ago, very quickly became the most soldmedications in the world. In act, beore Prilosec came out, which is thefrst proton pump inhibitor, Zantac was the biggest selling medication inthe whole world. So these are big. Tis is a really common problem andpeople deal with it all the time, so the medications are used requently.And now we have several o the proton pump inhibitors that are over the

    counter, and these are much stronger than the older medications, whichwere histamine blockers that slowed down the acid. Te new ones blockthe acid completely. Tey stop whats called the proton pump, which iswhat makes the acid in the stomach. It just stops it. So it works verywell to lower the acid and raise the pH o the stomach. And there area lot o consequences to this that people dont think about. Tere havebeen well-known problems with whats called achlorhydria, and thats

    INTERVIEW WITH DR. SCOTT SAUNDERS, MD

    Permanent Natural Cure for Acid Reflux

    Barton Publishing

    Joe Barton

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    when people dont make stomach acid. And this is a disease thats beenknown or many years, and it causes certain kinds o problems such asvitamin defciencies Vitamin B12, the B vitamins especially, but also

    minerals. Many minerals require acid in order to be produced. So thisis the medications are great short-term medications. People have anulcer; they need to heal the ulcer. Teyre used appropriately in that kindo a situation theyre great. But the problem comes when theyre usedlong-term, when people say, Oh, Im getting acid reux. Here, Ill takeanother one, take another one. Because with the proton pump inhibitorsyou have to take them every day in order or them to be useul. Its notsomething you can just take when you eel the acid coming on, becausethey take a day to start working.

    So, maybe some more details on what you mean by short-term versuslong-term.

    Oh, yeah. Short-term would be a week, maybe even a couple o weeks. Isomeone actually had an ulcer, they may be on a proton pump inhibitoror three weeks or even as long as a month, and that would be an

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    appropriate use o the medication. And it works great. Te stomach healswell. Its pretty well documented. And it does stop the acid and allow the

    stomach to heal, so thats good. Long-term would be more in terms opeoples continued use, ongoing, everyday or years. Ive had patients onthese proton pump inhibitors or many years. Tey say they cant go othem because they every time they go o them, they get the acid reuxback again.

    Right. Tat seems pretty common. A lot o people take these medicationsor a lot longer than what theyre actually prescribed or or intended or. Yousaid that it can cause defciencies in minerals and vitamins and things, sowhat are some examples o defciencies that youve seen?

    Most o the ones Ive seen are Vitamin B12. And what happens is theresa protein in the stomach called intrinsic actor that has to bind the B12 inthe stomach in order or it to be absorbed later down the small intestine.So i you dont have this, then you dont absorb Vitamin B12 at all. Andwhen you block the proton pumps and you dont have the acid in there, youdont make this intrinsic actor either, so you dont get Vitamin B12. And

    the eects o that are anything that creates energy in the body, the mostcommon being neuropathies the nerves dont work right or people dontthink clearly. Ive even had one case o a young man with schizophreniawho was cured, essentially he was o all his medications with just shotso Vitamin B12. So Vitamin B12 is a very important vitamin, and yet itscommonly its easy to become defcient i youre taking these medicationslong-term.

    So with Vitamin B12 defciency, does that come with

    general lack o energy, too? Is that one o the symptoms?And like you said, kind o some brain og, or?

    Yeah, general lack o energy, brain og. And when itgets really bad, then the nerves stop working and youget neuropathy the numbness in the hands and eet,tingling, those kinds o problems.

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    Yeah. So lets talk about acid reux. And, you know, some people mostpeople think its caused by too much acid production in the stomach, but

    why dont you talk about that a little bit?

    Acid reux isnt really because acid is being produced in the stomachWhat acid reux really is, is that the contents o the stomach are gettingup into the esophagus. Now, the stomach has a lining that has a protectivelayer around it, has a mucous layer and then the cells are resistant theyhave proteins that are resistant to the acid, whereas the lining o theesophagus doesnt have that. So i any o those stomach acids get up intothe esophagus, then it causes burning and irritation. And when thats achronic burning and irritation, it can even lead down the road to whatscalled Barretts Esophagus, and even esophageal cancer. And so it cancause a lot o problems, having this chronic reux. Its not just a benignproblem. Its something that really should be dealt with.

    Yeah. So, one o the natural remedies that we talk about in the report isapple cider vinegar. And to most people, that doesnt make any sense. Butcould you maybe talk about why that works or a lot o people and in what

    situations it would work?

    Yeah. Remember when I said the acid is notreally the issue? Te issue is getting up into theesophagus. So what the apple cider vinegar doesis it actually increases the acid. And the reasonor that is because a lot o people with acid reux,and especially as we age, we produce less acid inour stomach. And the decreased acid is one o

    the causes o acid reux. So you take the applecider vinegar and you increase the acid goingthrough the esophagus and the sphincter closesmore so it doesnt get up into the esophagus.

    Interesting. And so, what percentage o people that have this acid reuxwould you say typically have not enough acid?

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    Its hard to say because studies arent done in large groups o people. Butits pretty sae to say around 50% or hal the people who have this problem

    have a lack o acid and not too much acid. In act, even the ones that donthave a lack o acid, their problem is not because they produce too muchacid. Its because the acid is getting into the esophagus. So the amounto acid in the stomach is, most o the time, just fne. Its not too muchTere are some people in act, I had one case airly recently o a manwho just kept producing acid. Even when hes not eating, hes makingacid. Normally we make acid when we eat. Tats how the juices o thestomach help us digest our proteins, primarily. But there are some peoplewho keep producing acid, even when theyre not eating. And this has todo with there are a lot o actors, some genetic actors, there are somehormonal actors. And so what they oten end up doing is doing a surgerywhere the cut the nerve to the stomach so that the brain wont tell thestomach to make acid anymore. And that works, until the nerve growsback, which it oten does, and then they end up with the same problemagain.

    Yeah. Tats probably not the most desired way to treat acid reux, Id say

    Any type o surgery youd want to avoid, so

    Yeah, at frst I thought it was going to be a permanent solution, but iturns out its not a permanent solution.

    Yeah. So the esophageal ap thats what I call it, I dont know i thatsthe technical term or not but that kind o keeps the stomach contents inthe stomach where it belongs, right?

    Right.

    And so when that gets like, oh, roughed up or loosened up, thats whenthe excess acid and other things come up into the esophagus?

    Yes. And the problem is that its loose. And then so the obvious questionis, well, what makes it loose, and why did it get loose? People will have

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    stress. Te hormones rom the adrenal glands, such as cortisol, are releasedwith increased stress, and they relax the sphincter. And then the brain

    also works on that under stress the brain relaxes the sphincter. So its aairly common problem. Teres actually two ways that that sphincter isrelaxed so that the acid can get up into the esophagus.

    And I know one o the remedies that we recommend is raw natural honeyand I dont know the exact science about this, but supposedly it coats thelining and somehow it heals that esophageal sphincter. Im not sure i youknow much about that or how that works, but is that one o the remediesthat you recommend or people, and is that how it works?

    Its hard to know how it works. Tere are several possibilities. But thehoney has enzymes in it, and whether its the enzymes or whether its thesweetness o it or the thickness o it, its hard to know exactly. But it doeswork and I have recommended it successully. Te frst one I recommendis usually the apple cider vinegar because o the large number o peoplethat have low acid in their stomach causing the problem. But that doesntwork all the time. So yeah, honey is oten recommended, as well.

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    Could you maybe talk about another remedy or two that you recommendor this? I dont know i you get into like apples, because I know I hadmy own case o acid reux the other night. I had pizza a little bit too late

    at night and I woke up and it was like, Oh, where did that come rom?Because I dont usually get it. But I remembered my dads remedy and Ithought, Well, Ill try the apple. And sure enough, that helped it rightaway.

    Yeah. I oten tell people, i they have just nighttime problems, a hal anapple beore bed is a good way to stop that rom happening at nightAnd along with that is the I recommend fber. When people eat highamounts o fber in their diet, their stomach empties aster, so they dont

    have a ull stomach, so they arent having a lot o pressure in their stomachwhen they go lie down, so nothing is leaking up into the esophagus.

    Okay.

    And that goes along with another thing that I usually recommend, andthat is to shrink down the size o the stomach. Tere are a lot o people

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    that have acid reux; about one-third o them have a hiatal hernia. Andwhat that is, is the stomach pushes up through the muscle. Where the

    sphincter is, is the diaphragm muscle, and the stomach will actually pushup through there and be up in the chest, so part o your stomach is upin the chest. Its called a hiatal hernia. And the reason that happens isbecause the stomach has grown too big. People we, in the United Statesat least, we east a lot and never amine. Te bodys made or east andamine. So its okay to east but its important to amine, as well. And sowe east three meals a day. We fll up three meals a day. And what happensis our stomach grows and gets bigger and bigger and bigger. Even peoplewhove had stomach reduction surgeries where theyve cut three-quarterso the stomach out, so you have this little 50 cubic centimeter stomach,and within ten years they can grow that stomach back again and itll be aull, huge stomach again. Well, so when we stretch out our stomach likethat, thats one o the reasons why all o this extra stomach gets pushed upinto the thoracic cavity where the lungs are. And thats one o the reasonsor having this reux is having a hiatal hernia. So the way to get aroundthat is to shrink the stomach. And the way you shrink the stomach is byeating less, frst o all, and then second o all, by eating more fber so the

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    stomach empties aster. So things like you mentioned pizza. Pizza ispure calories. Its got protein, at, and carbohydrate, and almost nothing

    else. And so i you fll up on pizza, its going to take a long time orthat stomach to empty, because it empties according to the calories in theood. Whereas i you fll up on high fber, i youre eating broccoli andcabbage soup and lettuce and salad and all that kind o stu, then youhave a lot o fber in there that youve flled up on. And yes, youve flledup the stomach, but it empties airly quickly, and that helps shrink thestomach and prevents the reux.

    And youre also getting a lot more nutrients with those oods, as well.

    Yes.

    Plus, weve talked about beore the benefts o asting, and I think yourecommended once a week I mean, theres dierent ways you can ast.You can do a whole day or I know whats worked well or me is astingat night ater suppertime, not having a late-night snack or anything likethat. But you know, maybe talk a little bit more about the asting and the

    benefts with anti-aging and all the new inormation that were learningabout that.

    Tis is actually really exciting inormation.Tis is thousands o years old, the idea oasting. In act, in ancient Israel, rom theearly Bible times, asting was an importantpart o their religious observances. But whatwere fnding out now is its probably the

    single most important thing you can do oryour health is periodic asting. And whatit does is it makes us ecient. Te bodyis made or east and amine. And i youthink o the way human beings have livedor thousands o years, theyve lived witheast and amine. When the harvest comes

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    in, youve got a ton to eat. And Grandmas always saying, Eat somethingyoure going to starve! Eat, eat, eat! And theyre trying to push ood down

    you because they know that the harvest just came in, and in three monthsor our months, when those potatoes are all ull o mold and wrinkled upand no good anymore, and the ruits only going to last so long, and whenits all gone, youre going to need those at stores to live on until the nextharvest comes in. So, human beings lived like that or thousands o yearsAnd i they could kill a wild animal and have some meat or a while, andthen they might not be able to get one or a week so they wouldnt haveanything to eat or a week. Tat kind o thing was much more commonbeore the modern era. In the modern era, we have ood all day, every day24 hours a day. You can go to restaurants and drive-throughs 24 hours aday today, and theres all this ood available. Everywhere you go, theresood available. So we east all the time and we dont amine. In order orus to become ecient at using our energy, we need asting. So, how to dothat. Tere are several dierent ways. Tere are books written on how todo it. Te research that was done on monkeys, they ed them every otherday. So they asted every other day, simply. Other research with otheranimals said that 50% (*19:09) very benefcial. Tey lived 30% longer

    Tey had less cancer, heart disease, less metabolic diseases like diabetes

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    and cholesterol and all that kind o thing. In act, the monkeys were somuch better eating every other day, that the simian researcher that was

    taking care o them, hes looking at them going, Wow. Ater nine yearsthe ones eating every other day, they didnt have any gray hairs, theylooked younger, they were more active, they didnt have any metabolicdiseases, they didnt have any(*19:44). And someone said, Are there anyproblems? He said, No, (*19:50). Ater two weeks o eating every otherday, then he said, Forget it, lies too short.

    Yeah.

    And there are groups who believe that they should eat very tiny amountso ood, so they live on 300 to 500 calories a day(*20:07). But it doesnthave to be that way. It could be very simple. You could ast once a monthor a ull day. And I know someone that does three days once a month,and he just drinks water or three days. And i you do a one-day ast, youcan drink water but you dont have to. One thing I dont recommend,though, is the juice ast. A lot o people say, Oh, the juice ast is reallygood. And thats okay or other reasons, but in order to make to help

    peoples metabolism, they really dont need the sugar in the juice. Teyjust need water and they need to be able to use their own at o theirbodies, to burn that or calories. And thats where the benefts come inor the asting.

    Yeah, I notice when I ast, just the mental clarity, and its just amazing. Ican obviously tell a big dierence. Im able to ocus better and just yeah,tremendous.

    People are araid o asting today. Te doctors are araid o asting todayTey will actually tell their patients, Oh, dont ast. Its bad or you,without any evidence at all, because its defnitely not bad or you. Buttheir ear o asting is people think theyre going to starve or get somedisease. And ater World War II, there was a man named Nathan Pritikinwho was doing some research on people, on their diets and that kindo thing. And those who were starved in prison camps during World

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    War II, everybody thought, Oh, those guys, theyre going to die. Teyregoing to get some horrible disease and die. Tey lived longer! And they

    lived better they had less cancer and less diabetes. And so thats how thePritikin Centers got started was studying those people.

    I want to touch on a little bit o oh, a controversial subject here withdoctors and prescribing medications. And we probably have quite a ewo our customers that, you know, maybe arent sure how to approach theirdoctor, because ultimately their desire is to get o o medication. And Iknow we cant give any specifc medical advice we dont have a doctor/patient relationship here but maybe give some tips, what you mightsuggest or somebody on how they can approach their doctor or how theycan know whether or not they need to take these types o medications oracid reux.

    Okay, thats its not really hard. People worry about oending theirdoctor. I you approach it rom this point o view i you go to the doctorand say, I need some advice. I have this problem and I really dont wantto take medication long-term, and I want to be able to but i thats

    what I need, at least temporarily, I need to know that. So i I have a

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    bleeding ulcer, then yeah, Im probably going to be on a proton pumpinhibitor or a period o time. And, how do I know when to stop? Well

    you know, you might have to have a scope go down into your stomachand look at it. But when you talk to your doctor, look at your doctor as anadvisor and say, I need some advice on this problem. Doctors love that!And you know, I need help. And then go in doctors really dont likepeople to do whatever they say Whatever you say, doctor, Ill do it you know, that kind o thing. Its much more un to have somebody whosthinking, who has an idea o what they want and to say, I need help. Ineed advice with this problem, and Whats the best way to handle thisproblem? And most doctors will respond very well to that. Tese daysIve ound the younger doctors especially are much more willing to lookat alternatives and say, I this works or you like, I the apple cidervinegar works or you, go or it. Do that.

    Yeah. Yeah, thats encouraging. I know a lot o people think that doctorshave this strict regimen and, you know, you have to do this, this way. ButIve been seeing that, too, that theyre a lot more open to alternatives and,Hey, i its working or you, then great. Because a lot o times, they dont

    want you on drugs i you dont need to be, either, so

    Right. Ive ound that many o especially the younger doctors.

    Yeah. And I guess i you do have a doctor thats resistant to having youtry that, I guess you could always try to fnd another doctor, too. Its notlike most people are stuck with one doctor, so

    Yeah, and that is very wise advice, because i someones not i your

    advisor isnt advising you properly, i you dont think theyre advising youproperly, then well, it would behoove you to fnd an advisor that will.

    Yeah. All right, well, this has been great inormation and I appreciatetalking with you on all the dierent subjects that we covered tonight. Ithink anybody that has acid reux is going to come away with a wholearsenal o how they can conquer this. So i you have any last things to say

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    and then well wrap up here.

    Okay, theres just one more thing I wanted to reiterate that was somethingwe discussed. And that is, what we discuss in the Remedy Report are orpeople who have short-term problems, occasionally problems with acidreux, that kind o thing. And then the other part that we discussedtonight is the permanent fx or it. So whatever else you do, i youre takingmedications, prescribed medications or otherwise, or i youre using applecider vinegar or honey, or example, those are more you look at those asshort-term, or i you occasionally get it, okay, you can deal with that. Butor people who have an ongoing, constant, chronic problem, sometimestheyve got to see their doctor, theyve got to get a scope down there, andtheyve got to work out why its there, because some people have it becausethey have you know, knock on wood that its not, that it doesnt applyto you but like stomach cancer or something like that. You have to lookand see and say, Why? Why didnt it go away? Ive tried everything inthe Remedy Report and it didnt work. Well, weve got to know why. Soits youve just got to know.

    Right.

    So dont think that just because you can get it over the counter, like aPrilosec, that its supposed to work. And i it doesnt work, youve got tofnd out why. And i its not going away, then youve got to fnd out why.

    Tats very important. Tats key. I there is a serious problem going ona lot o times these symptoms can be masked, but that ultimately isnthelping you any.

    Exactly. Tats the key there.

    Yeah. Okay, well, thanks again, Dr. Saunders. I really appreciate it and Iknow this is going to help a lot o people.

    Youre welcome, Joe.

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