Some months ago, I started a specialized diet; it contains relatively few carbohydrates, and my persistent heartburn went away. I didn't think much of it until I discovered the writings of Dr. Wolfgang Lutz, who notes that:
"Distressing heartburn is often the first symptom to disappear following withdrawal of carbohydrates from the die However severe, and even if made worse by factors like the back-flow of gastric juice into the esophagus in hiatal hernia, the chances of success are good. If patients come back with the complaint that the diet is no longer effective and their heartburn has returned, a closer look usually reveals that some carbohydrates have again crept into the diet. Or a gastrointestinal infection cam be suspected - and treated."
I'm a biochemist, and I don't know enough gastroenterology to figure out why this happens. My only theory is that carbohydrates increase the osmolarity of the stomach contents enough to draw more acid from the stomach walls (as proteins and fats would have a much lower contribution to osmolarity), but that seems simplistic at best.
Anyone have any insights or theories as to why this is? Thanks in advance.
Good observation. Many others have found the same thing. I believe the reason is because carbohydrate malabsorption feeds small intestinal bacterial overgrowth - producing gas that drives acid reflux. I have listed nine bullet points of evidence withh numerous references for my theory in an article on GERD and asthma at DigestiveHealthInstitute.org.
Norm Robillard, Ph.D.
Founder Digestive Health Institute
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.