DAY 40 – Reflux: A Euphemism for Vomiting

This is not a joke about puking. This is serious; and you would be wise to read it.

Much of America is vomiting weakly, and regularly. Thanks to euphemisms like “reflux”, and to doctors and patients alike who rarely stop to think about what is going on in the body, Americans are simply taking prescription drugs like Prilosec and Prevacid, or over-the-counter antacids to suppress gastric symptoms.

Merriam-Webster defines “reflux” as, “a flowing back”. One need not be a gastroenterologist to know that what is flowing backward, in this case upward, are the contents of the stomach. When the contents of the stomach are forcefully ejected into the esophagus and out through the mouth, we call that vomiting. When ejection is weak, only able to move a small amount of the stomach contents into the esophagus, or possibly the throat, we call it “reflux”.

To review simple gastrointestinal physiology, ingested foods that are perceived by the body as non-harmful, are accepted and moved down through the digestive tract from the mouth to the anus. One need not be a doctor to know that when the body perceives ingested foods as a threat, the contents of the stomach are moved in reverse, up, and out.

You have probably not thought about it, but children, relatively speaking, vomit much more frequently than adults. The exception would be adults that drink excessive amounts, or unfortunate combinations of alcohols. We might say that children grow out of it, but in reality, the gastrointestinal tract becomes weary from multitudes of perceived threats, and is less able, in adulthood, to mount a forceful response; to vomit.

WebMD, a web-based service that claims to provide “valuable health information, tools for managing your health, and support to those who seek information”(http://www.webmd.com/heartburn-gerd/guide/acid-reflux-symptoms) tells us the following about acid reflux and gastroesophageal reflux disease (GERD):
-More than 60 million Americans [1/5 of all Americans] experience acid reflux at least once a month.
-Heartburn, regurgitation, and dyspepsia are a few of the most common acid reflux symptoms.
-Making a few lifestyle changes and using over-the-counter antacids usually are all you need to control acid reflux symptoms.
-GERD is severe or chronic acid reflux that can lead to complications, such as cancer.

When your gut tells you that it would like to empty itself, it is not wise to simply take a drug, prescription or over-the-counter, to stop the symptoms and block your natural defenses. Common sense dictates that you pause to understand why your digestive tract is running in reverse.

Finally, and don’t miss this one, the most common cause of “reflux” is the ongoing consumption of foods to which one is allergic or intolerant. And dairy products are one of the most common offending foods.

DAY 26 – New Day…Old Story about Drugs Without Conversation

First, let me give you a little background.  I practice a combination of Chiropractic and Functional Medicine. Chiropractic has historically been a practice of “natural” healing, with a strong interest in treating the causes of disease, rather than the symptoms. Functional medicine is personalized medicine that deals with primary prevention and underlying causes, instead of symptoms, in the treatment of serious chronic disease.
(photo - Doctors Mac by owensoft)

The dominant mode of handling patients today in the US is to name their conditions (diagnosis) and then treat the conditions with drugs to stop the symptoms. It is uncommon for causes to be discussed with patients; and patients usually don’t ask.

It doesn’t take a genius to know that covering symptoms with drugs, and not addressing the lifestyle causes of ill health, are a recipe for disaster.

So, let me share with you a simple story from the office that carries, as the kids say, a “ginormous” lesson.

A 58 year-old returning patient reports that thanks to my encouragement, she had gotten her vitamin D level tested by her MD and learned that the level was still low. The MD had also run a single test for thyroid disease, which also showed a problem, and for which he had written a prescription. When I inquired, the patient shared that her neck pain from some months back had improved and that she was taking 1,200 mg per day of oxaprozin that her MD had prescribed to be used for 3 months.

And here is the rest of the story, and the short list of the dangers for the patient;
1)    while the patient’s test results showed low vitamin D, she received no counseling on her associated risk for cancers (including breast and colon), heart attack, stroke, diabetes, autoimmune disease, etc…, and she received no direction regarding how much vitamin D to take and when to retest,
2)    while the thyroid test has undoubtedly found a problem, no further testing was ordered to determine the type and cause of the hypothyroid condition,
3)    thyroid hormone replacement was prescribed with no discussion of the cause of the condition,
4)    given that 90% of hypothyroid conditions are caused by autoimmunity (the body attacking itself) it would have been wise to discuss why the body is attacking itself,
5)    additionally, the patient was not informed that of patients with autoimmune thyroid disease, 50-80% of them also have an autoimmune reaction destroying one or more other tissues of their bodies, such as joints-arthritis, pancreas-diabetes, etc….,
6)    the fact that low vitamin D is associated with autoimmune diseases was not mentioned,
7)    the patient was put on a drug for neck pain without discussion of the cause of her chronic degenerative arthritis; and no long-term functional care program was discussed,
8)    the patient was not advised that the drug, oxaprozin, an NSAID, is known to cause damage to the lining of the digestive tract in some individuals, thereby breaking down the barrier between the gut and the immune system, leading to increased inflammation, and potentially additional damage to the joints in this patient’s neck, remembering that pain in the neck is what the drug was being taken for to begin with,
9)    there was no conversation about the interesting probability that both the arthritis in the neck and the thyroid disease are  both autoimmune based, and that low vitamin D may be a factor in their progression.

All of us, doctors and patients, would be wise to think more and talk more about what causes our illness. We would not just be wiser to do so; we would be safer, and we would be setting a more functional example for our children.

Dr. Young

DAY 20 – Breast Cancer & Vitamin D; can we afford to wait?

From renowned experts on Vitamin D, it is clear that Vitamin D deficiency is a world-wide epidemic. In an article published in the March 23 issue of Archives of Internal Medicine, researchers at the University of Colorado School of Medicine in Denver report that nearly 75 percent of all Americans have low vitamin D levels.

There is enormous evidence that low levels of Vitamin D in the blood correlate with a greater risk of many cancers; including breast cancer.

The next 2 paragraphs are taken from the website of the Vitamin D Council (http://www.vitamindcouncil.org/cancerBreast.shtml). The Vitamin D Council is a group of concerned citizens and scientists who believe many humans are needlessly suffering and dying from Vitamin D Deficiency.

“Breast cancer is the most common malignancy of women in the western world. Many factors contribute to causing breast malignancy (it is multifactorial), though heredity is a major one. Certain diets help to prevent it, such as diets high in vegetables and fruit and low in fat. Adequate calcium is very important. The role of vitamin D in both the prevention and treatment of breast cancer is being intensively explored by scientists, and the results thus far have been promising.

No matter what cancer you have, or are trying to prevent, the question is: should cancer patients be left vitamin D deficient? The current research indicates the answer to this question is no, women with breast cancer should not allow themselves to be vitamin D deficient, and neither should their doctors.” –end Vitamin D Council-

I have been recommending testing of Vitamin D blood levels for my patients since 2004. The overwhelming majority of those I have tested, patients and family, have not had healthy levels of Vitamin D.

There is great interest in our Country in reducing the incidence of breast cancer; and rightly so. And it is time to realize that we can do walk-a-thons, and we can, and must, do more. We can make sure that every woman has her Vitamin D level tested. Women should be tested before being diagnosed with breast cancer, and should surely be tested after being diagnosed.

Who do you know that needs to be tested? Have you been tested?

Be clear; this is not just about breast cancer. Every American man, woman and child needs to have a Vitamin D blood test.

Dr. Young