What's the Root Cause? by Dr Vikki Petersen

Reflux Won’t Go Away? These 9 Hidden Triggers Could Be Why

Root Cause Medical Clinic

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Acid reflux and hiatal hernia both are extremely common. The main triggers are not well known. So let's start with the triggers, then move on to the solutions.

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The Reasons Underlying Your Acid Reflux:
1. Weak LES (lower esophageal sphincter/valve)
2. Hiatal Hernia
3. Delayed stomach emptying
4. Low stomach acid - yes LOW!
5. Poor eating habits
6. Obesity, especially belly weight
7. Vagus nerve dysfunction
8. Stress - chronic
9. Microbiome imbalance

The 9 reasons share common underlying root causes which is good news, because what's good for one is also beneficial for others.

1. A weak LES can be causes by obesity, a hiatal hernia, increased intra-abdominal pressure, and certain trigger foods such as alcohol, caffeine, chocolate, mint and fatty foods.

2. A Hiatal Hernia is definitely a cause of reflux, but the good news is that addressing these 9 factors (or whichever of them applies to you) will also improve your hernia.

3. Delayed gastric emptying means the contents of your stomach are moving through too slowly. You'll feel overstuffed, bloated, gassy and uncomfortable. The causes include vagus nerve dysfunction, low stomach acid, microbiome imbalance, and chronic stress. Again, these are all treatable naturally.

4. Low stomach acid may sound surprising when you have acid reflux, but you can still have the symptoms of reflux with low acid levels. The causes include long-term use of PPIs, chronic stress and aging. I cannot prescribe for you nor do I intend to, but finding out if this is a problem for you is fairly easy with a trial of apple cider vinegar or hydrochloric acid capsules. Talk to your doctor about how best to try this and if it makes sense for you.

5. Poor eating habits is of course a huge culprit for Americans. We eat low fiber and high processed foods, bad oils and high sugar. Getting back to real food, balanced with protein, fruit, vegetables, fiber and healthy fats is not difficult to do and well worth your effort.

6. Obesity, especially around the mid-section creates a lot of pressure in the abdomen and is a main contributor to acid reflux and hiatal hernia. It takes some time of course to determine the best route to lose that weight, but everything mentioned above is a good start.

7. Vagus nerve dysfunction puts you in fight or flight mode and prevents the sphincters/valves of your gut from working properly. It can also trigger heart palpitations and anxiety.  There are exercises to do for the vagus nerve which are very easy: eye gaze, humming, gargling that you can try. We also utilize a vagus nerve stimulator that I can give you information about to get a discount.

8. Chronic stress causes the vagus to not function optimally, which we just reviewed, but it also upsets the microbiome which we are about to discuss, in addition to offsetting hormone imbalance. The cause of the chronic stress must be identified and treated naturally, and may require a rebalancing of hormones.

9. Dysbiosis, or an imbalanced microbiome, is the cause of the increased intra-abdominal pressure but also inflammation and hormonal imbalance. It has far-ranging effects upon your health but isn't difficult to normalize once you've tested it and identified what precisely the imbalances are. 

The treatment we utilize is natural, drug-free, and it works. But it's not a quick fix. It takes time. You just need some patience to identify which of these 9 causes that we just reviewed applies to you and find a clinician who is well versed in how to handle them. 

If you'd like help we're here - the best next step is to contact us for a consultation