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Is acid reflux really SIBO?

By Dr. Davis | July 10, 2019 2 Comments

Up to two thirds of people with the common condition, acid reflux or reflux esophagitis, have small intestinal bacterial overgrowth, SIBO, as the underlying cause. Ironically, stomach acid-suppressing drugs like Aciphex, Protonic, and Prilosec may reduce symptoms of acid reflux but actually worsen the cause, i.e., SIBO. This is because stomach acid is a barrier against the entry of microorganisms from food, as well as a deterrent to microorganisms trying to ascend from the colon: the longer you take these drugs, the more likely you develop SIBO or worsen SIBO.

Let’s put aside the question of whether there is hyperchlorhydria (excessive stomach acid) vs. hypochlorhydria (lack of stomach acid typically due to H. pylori infection of the stomach or autoimmune gastritis from wheat/grain consumption) and focus only on acid reflux and reflux esophagitis in which stomach acid is permitted to regurgitate, or “reflux,” upwards past the gastroesophageal sphincter and up into the esophagus where acid is very corrosive.

The ultimate treatment for many people suffering with acid reflux is therefore not an acid-blocking drug, though they can be used for near-term relief, but to address the SIBO. Recognize, then manage SIBO, and many people can avert not only continued acid reflux but all the other consequences of uncorrected SIBO such as diverticular disease, fibromyalgia, autoimmune diseases, neurological diseases, prostatitis, urinary urgency, irritable bowel syndrome, and colon cancer. And you can accomplish this on your own without the interference of the doctor or the healthcare system.

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Filed Under: Acid reflux, SIBO Tagged With: bowel flora, microbiota, probiotic, sibo, small intestinal bacterial overgrowth, undoctored, wheat belly

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About Dr. Davis

Cardiologist Dr. William Davis is a New York
Times #1 Best Selling author and the Medical Director of the Wheat Belly Lifestyle Institute and the Undoctored Inner Circle program.

Nothing here should be construed as medical advice, but only topics for further discussion with your doctor. I practice cardiology in Milwaukee, Wisconsin.

Comments & Feedback...

  1. Dawn

    July 11, 2019 at 2:38 pm

    What can you tell me re gout and Wheat Belly? Most things I read say whole grains and not white breads. We all know on WB this is all taboo.

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    • Bob Niland

      July 11, 2019 at 6:57 pm

      Dawn wrote: «What can you tell me re gout and Wheat Belly?»

      That conventional advice is likely useless or destructive, and that there is a case to be made for using allopurinol, and monitoring uric acid, until we gain more insight.

      The suspicion is that gout is a consequence of a specific dysbiosis not yet nailed down.

      My personal ponder is that since uric acid is downstream of fructose, that even though you might be strictly limiting fructose exposure, there are a number of gut bacteria that can metabolize fructans and fructo-oligosaccharides to fructose. I can probably generate a list of you want to check it against a sequencing of a poo sample.
      ________
      Blog Associate (click my user name for details)

      Log in to Reply

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