Say goodbye to discomfort as in this video Dr. Pal explains heartburn causes & tips to prevent acid reflux #heartburn #gerd ...

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Say Goodbye to Heartburn: The Complete Guide to FIX Heartburn (GERD) &amp; Acid Reflux

hello guys this is Dr palik in this video we're going to talk all about heartburn what is heartburn what are the tests that is used to diagnose heartburn what are the simple steps that you can use to prevent heartburn my friend s Kumar is like they you've been talking about weight loss for all this long you are a gastrologist you need to talk about gastroentrology Related Disorders for the first time ever in his life he has given me a very good suggestion because I've not been talking about GI Related Disorders at all let's dive deep into it so what is good gastro stands for stomach esophagus stands for a food pipe reflex diseases reflex of contents from the stomach into the esophagus we commonly call this as heartburn my friend SAR Kumar gets heartburn once in every 3 months whenever his neighbor buys a business class ticket buys a Disney vacation or buy a Tesla car so when you eat something the food goes from the mouth into the food pipe gets into the stomach right in the junction of the foot pipe on the stomach there is a valve called Lower esaal spinter muscle otherwise called Lees so this muscle actually acts as a door whenever you eat food it goes through the esophagus into your stomach and the foot cannot come back up into the esophagus again because this door closes so when this door or this muscle is not working properly and it is not closing that is where the problem starts this is like people getting into the elevator and going upstairs with the door open there is no automated voice message that says please close the door to close the alas so this door is not closing correctly because we have opened our mouth door to incorrect Foods so when this door is not closing properly what can happen acid can come up into the esophagus causing heartb burn the actual food contents can actually regurgitate from the stomach all the way into the esophagus and the acid can even travel all the way up to the back of the throat causing sore throat and your allergic symptoms can get worsen as well and that's why most of the symptoms are worse after meals and after lying down because when you lie down the door is wide open my arami has a heavy meal and takes a nap by lying down in The Office lounge he developed so much heart burn that will trigger the office fire alarm so why is this door not closing when we were born the doors were closing properly there were no reflex problems at all but in due course of time there has been increased intraabdominal pressure when there is more pressure in the stomach it pushes the door to open so that all the stomach contents can come back into the foot pipe if you think about it one most important factor for increased intraabdominal pressure that we have been talking about in our channel is belly fat anything that cause pressure in the stomach can cause heartburn that's why pregnant women most of the time times will have heartburn because of the increased pressure because of the pregnancy same concept applies when you eat heavy meal the larger portion of the meal creates that pressure opening the door other factors include lying down right after a meal alcohol smoking excessive fried fots in few people certain triggering factors like chocolate onion garlic all these specific items can also trigger heartburn in few patients listing all these reasons for heartburn I asked my loyal subscriber suban what is the reason for your heartburn he said except for pregnancy I would have selected All the Above So how common is this heartburn or girl as a gastroenterologist I can tell you every other patient I see there is some element of heartburn at a different level of severity and I strongly believe that this is because of the increase in the abdominal adiposity or the belly fat because the increased pressure is pulling down the esophagal spinter muscle and increasing the acid exposure in addition to this just the presence of belly fat suggests that there is increase inflammation in the body and that itself is a risk factor for reflex disease as well if you take any disease most of the time it will come down to your belly fat and that is why this channel has been focused on reducing your belly fat to all my patients who are coming to my office with heartburn I prescribe acid suppression medication and I give my channel link to subscribe every so why are be worried about this here and there heartburn is not a big deal right the reason that this sometimes can be concerning is that if you have heartburn on a regular basis for more than 5 years 10 years the acid exposure in the lower esophagus keeps increasing causing damage of your lower esophagus think like acid is eating up your lower esophagus causing inflammatory changes and that could be a precancerous condition called barats esophagus and if this keeps happening for like 15 years 20 years this could potentially turn into esophagal cancer does this mean that every heartburn patient is going to get esophagal cancer absolutely not the risk of precancer changes increases only when the symptoms are long and severe so that's why when we see a patient with heartburn for more than 5 to 10 years we recommend doing an upper endoscopy which is a camera test then go through your throat to look into your esophagus to actually see how much damage has been happening in the lower end of the esophagus and a cool thing is we can also see inside the stomach about what you ate my friend SAR is saying I ate chicken fried rice yesterday I'm not feeling well can you do an endoscopy to look into the stomach to see whether the chicken fried rice is still there so that I can get a refund from the restaurant so we talked about why there is heartburn and what is the risk of having a heartburn for a long time now let's talk about how to prevent or treat so number one if you decrease the pressure inside the abdomen then door is going to close so you're not going to get hardbone how are we going to decrease the pressure on the abdomen by decreasing the belly fat by eating small and frequent meals and not eating like two buckets of Biryani at the same time my Bengali friend abui chakra is saying I will never get heartburn because I'm not going to be pregnant I said hey you already look like you are pregnant right so the first thing that you should do is to decrease your belly fat so follow our Channel if fasting is something that you like try to adopt the technique or any kind of weight reduction technique that will decrease your belly fat will improve your heart bur significantly and number two slow down down and eat smaller meals rather than gulping everything at the same time nowadays more people are eating in the driver's seat in the car than the dining table I saw my patient Aro kisami at a red light signal we both stopped at the same time under the red light he was eating a big sandwich and when he saw me he put the sandwich down this is where a simple solution like mindful eating is going to help your heartb significantly sit down when eating slow down chew properly do not not focus on anything else that 5 10 minutes just focus on the food you'll be amazed by the amount of response that you're going to get one place where mindful eating is almost impossible is at a marriage dinner Hall where people stand behind you looking at your mouth and you expected to gulp all the varieties in one shot so that you can leave and they can come and sit and number three eating close to bed time exactly same thing that we have been repeatedly emphasizing in the channel if you eat around sun at around 7:00 p.m. 7:30 and if you go to bed around 10 10:30 your heartburn symptoms are going to go down significantly as we have been emphasizing your dinner has to be the lightest meal of the day and give your stomach some time to digest at least 2 to 3 hours before you go to bed instead we eat heavily we sleep and we wake up 3 hours after in the middle of the night to eat snacks which was kept at one arm distance before you go to sleep and the next important point is about hydration anything bubbly anything carbonation can worsen the symptoms alcohol is a strict no no on the contrary if you drink a lot of water it will help in digestion it will actually improve your heartb symptoms as well if you walk towards the water doctor you don't have to meet the actual doctor and sometimes if your clothes are very very tight and that can trigger these reflex symptoms as well after seeing this suggestion my loyal subscriber subani is asking his parents to buy clothes for him because parents buy always is lose clothes and the biggest mistake is smoking smoking increases the risk of esophagal cancer and if you have heartburn to start with it might expedit the progression to esophagal cancer pretty fast my patient arami accompanies his manager for a smoke during break to G good rating in his appraisal now I am conducting a health risk appraisal for both of them and when it comes to foods to avoid it is mainly individualized few studies suggest that citrus fruits tomatoes onion garlic chocolate coffee can trigger heartburn but it differs from Individual to individual in general we say to avoid Ultra processed food highly fried foods highly fatty foods because your door might not like it and when it comes for foods to include I always recommend three different categories of foods to all my heartborne patients one is yogurt we love yogurt because yogurt is a good source of good gun bacteria and eventually it will decrease the infl infation in your body sometimes it can soothing the irritated esophagus and can be a good source of protein as well and number two fiber rich foods like whole grains nuts and seeds can give you so much fiber that you will not eat that much and also it will keep your stomach full absorbing the acids or decreasing the acid exposure and the third category is water foods and out of this my two favorites are watermelon and cucumber it gives you so much of hydration and I have seen in my practical experience that this has increase heartburn in few of my patients as well if you like watermelon if you like cucumber that might be the way to go and the most important question I get is who needs endoscopy like a camera test to look into your esophagus not everybody only if you have alarming symptoms like difficulty in swallowing weight loss or any other significant symptom that your doctor might think that you might need this camera test and the camera test can also determine if you are having the symptom for a longer time more than 5 years more than 10 years how much damage has happened in the lower esophagus tell me in the comment section what foods will cause heartburn for you please tell me in the comment section if you want to talk more about GI topics remember one belly at a time it is absolutely important I'll see you next video bye

Dr.

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