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How Antacids Are Making Your Heartburn, GERD or Acid Reflux worse!

antacidsIf you’ve ever suffered from heartburn, Zantac and Ranitidine might have been your knights in shining armor and if you’ve never had the misfortune of going through this, the aforementioned Over-The-Counter (OTC) drugs are used to cut down the production of acid in the stomach. There are many other OTC antacids such as Gelusil, that neutralize the acid in the stomach. While self-prescribing for relief from heartburn or GERD, have you ever considered that these antacids might actually be making your condition worse?

What is Heartburn or GERD?

Heartburn or GERD is characterized by a burning sensation in the chest. This burning sensation is caused due to the acid reflux that happens when contents from your stomach move up into your esophagus (food pipe). Most of us associate this with high stomach acidity and reach out to over the counter antacids for quick relief.

Heartburn or GERD is not caused due to high levels of stomach acid. The incidence of heartburn and GERD increases with age, while stomach acid levels generally decline with age. Just as studies show acid secretion declines with age, it is also well established in scientific literature that the risk of GERD increases with age. In fact, when stomach acid is measured in people suffering from heartburn and GERD, it is almost always low, not high.

Why Do We Get Immediate Relief From Antacids?

I agree, symptoms of heartburn and GERD are caused by stomach acid refluxing into the esophagus. What’s crucial to understand is that any amount of acid in the esophagus is going to cause problems. That’s because the delicate lining of the esophagus isn’t protected against acid like the stomach lining is. You don’t have to have excess acid in your stomach to have heartburn.

Also, symptom relief doesn’t imply that the underlying cause of the problem has been addressed. 

Stomach acidity may not be the actual reason for your heartburn. Instead, the prevailing scientific theory is that GERD is caused by a dysfunction of the muscular valve (sphincter) that separates the lower end of the esophagus and the stomach. This is known as the lower esophageal valve, or LES. The LES normally opens wide to permit swallowed food and liquids to move down easily into the stomach. If LES is working efficiently, stomach acid will not enter your esophagus. If the LES is malfunctioning, as it is in GERD, acid from the stomach moves up back into the esophagus and damages its delicate lining. It doesn’t matter how much acid there is in the stomach. Even a small amount can cause serious damage. Unlike the stomach, the lining of the esophagus has no protection against acid.

What Causes the LES to Malfunction?

Increase in Intra-Abdominal Pressure (IAP) can cause your LES to malfunction. Acid reflux occurs when pressure causes gastric distention (stomach bloating) that pushes the stomach contents, including acid, through the LES into the esophagus. Overeating, obesity, smoking, bending over after eating, lying down after eating, and consuming spicy or fatty foods may be contributing factors.

How Do Antacids Make This Condition Worse?

Malabsorption of carbohydrates leads to bacterial overgrowth, resulting in increased Intra-Abdominal Pressure which drives reflux. Low stomach acid, as caused by your antacids, can contribute to both bacterial overgrowth and carbohydrate malabsorption.

One of the chief roles of stomach acid is to inhibit bacterial overgrowth. But when stomach acid is insufficient and the pH of the stomach rises above 5, bacteria begin to thrive. Stomach acid (HCL) supports the digestion and absorption of carbohydrates by stimulating the release of pancreatic enzymes into the small intestine. If the pH of the stomach is too high (due to insufficient stomach acid), the pancreatic enzymes will not be secreted and the carbohydrates will not be broken down properly.

The fermentation of carbohydrates that haven’t been digested properly produces gas. The resulting gas increases IAP, which is the driving force behind Acid Reflux or GERD. 

FDA Cautions Against Common Heartburn Drugs

In September 2019, FDA has communicated about the detection of an impurity, which is a carcinogen (cancer-causing agent), in common heartburn medications (ranitidine, commonly known as Zantac, and nizatidine) available over the counter or by prescription. Several countries have banned these medications.

Minimise or avoid use of OTC medications. Use proper lifestyle modifications to manage and treat your symptoms. Reducing bacteria loads and limiting carbohydrate intake have both been shown to greatly improve, and in some cases completely cure, acid reflux and GERD.

We hope this article helps you make the right choices. Do leave your thoughts in the comments below. For more sessions on how to ease GERD and Acid Reflux, check out Healthy Reads or ask a GOQii Coach by subscribing for personalized coaching here: https://goqiiapp.page.link/bsr 

#BeTheForce 

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Your Heart and You 2: Habits for a Healthy Heart

heart healthAakash wondered why every Hollywood and Bollywood movie stressed on the “heart”. Some dialogues bothered him:

“My heart aches at the way you have treated your friends.”

“Don’t you feel anything? Are you heartless?”

What Affects Heart Health?

It is interesting to note that a heart attack is usually the result of an emotional outburst or a very emotionally charged situation. While, many of us have similar experiences, some are potent to handle such sudden shocks which the heart receives. This depends on the emotional and mental health of a person, dietary habits, sleep quality, the capability of handling stress, faulty habits, etc.

The heart apart from pumping blood and ensuring every cell receives blood and oxygen, governs largely the emotional and physical wellbeing of a person (it also overlaps Anahat or Hridaya chakra in Indian Vedic understanding). So, a healthy heart depends largely on the emotional and mental well-being of a person as well as nutrition.

It is now a known fact that feelings of stress, anxiety, etc. adversely impact the overall health of a person, especially the heart. As stress increases, the cortisol levels (stress hormone) impacts all the hormones and organs, all the basic physiology including cardiovascular system.

These emotions create a chain reaction in the body — stress hormone levels increase, blood vessels constrict, blood pressure rises, and the immune system is weakened. If we consistently experience these emotions, it can put a strain on the heart and other organs, and eventually lead to serious health problems.

In my previous article, I spoke about the signs of heart disease to watch out for. Here, let us look at healthy habits for a healthy heart!

Do the Following to Ensure a Healthy Heart

  1. Be happy: If you cannot feel positive and good, simply recall a time when you felt sincere appreciation and try to recreate that feeling. Look at photographs of happier times, keep a diary where you record your positive events and feelings from your life.
  2. Exercise: Get regular with yoga, especially pranayama and exercise. Exercising helps heart muscles become more efficient at pumping blood throughout the body. It allows body’s tissue (including the heart) do a better job of pulling oxygen from the blood. This allows your heart to work effectively under stress. It also helps the body make more branches and connections between these blood vessels (collaterals), so there are other routes for the blood to travel if the usual path is blocked by narrow arteries or fatty deposits. Instead of a 45 minutes workout, it is best that the body is moving every half an hour! A small 2 mins walk every half an hour is also helpful as along with cardiovascular system it also keeps our lymphatic active. However, if you have a heart condition, please take the advice of your doctor before taking strenuous exercises or pranayama.
  3. Do what you like doing and stop what you don’t! It will help you keep your stress levels in check and be happy!
  4. Take care of what you eat: Have a good portion of breakfast, followed by small meals, lunch and dinner 2-4 hours before you sleep. Follow the advice of your nutritionist/doctor, if something special has been designed for you!
  5.   Vegetarian food is easily digested by the body. It will also help you cut back on higher calorie foods such as meat, cheese and snack foods. Whole grains play a role in regulating blood pressure and heart health. Add flaxseeds to your diet as they are rich in fiber and omega-3 fatty acids.
  6.   Limit unhealthy choices: Reduce or stop refined oils, refined sugar and aerated drinks.
  7.   Choose low-fat protein sources like flaxseed, walnuts, soybeans and canola oil. Legumes, beans, peas and lentils are good sources of protein and contain less fat and no cholesterol, making them good substitutes for meat.
  8.   Reduce the sodium in your food: You can replace your normal salt with rock salt or pink salt.
  9.   Quality is better than quantity: If your body feels fresh and charged after 4-5 hours of sleep, it implies quality sleep. But tiredness even after 6-8 hours of sleep is worrisome. Usually deep breathing before sleep, dinner 4 hours prior to sleep helps one sleep better.

Heart is the biggest miracle which works every moment to keep you alive! Cherish it by living healthy. For more on heart health, check out Healthy Reads or get a doctor consultation by subscribing to GOQii here: https://goqiiapp.page.link/bsr

#BeTheForce

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Your Heart and You: Signs of Heart Disease to Watch Out For

heart diseaseMishita, 55 years, was feeling low and depressed for quite a few months. Since the past 2 days, she began feeling slight restlessness, palpitations, and a suffocating feeling followed by mild chest pain radiating to her left shoulder. Since she was alone, she called her daughter to express these symptoms. Her daughter immediately called their neighbour. As her neighbour had basic knowledge about heart symptoms and heart disease, she was saved from a major heart attack but early signs of arteriosclerosis were detected. She started following lifestyle changes and now is happy, healthy and almost off medicine!

How & When Does Heart Disease Develop?

Heart disease mostly develops over a period of time due to an unhealthy lifestyle. One may have early signs or symptoms long before a serious heart problem. In my practice, I have seen that the body, including the heart, will give several signs, before it deteriorates. It’s up to you how much you listen to your body.

Heart disease describes a range of conditions that affect the heart. It could be a disease related to blood vessels such as coronary artery disease, especially arteriosclerosis (lumen of arteries supplying blood to the heart is reduced in size and finally get occluded, leading to myocardial infarction) or arrhythmias (irregular rhythm of heartbeats which is due to an issue in the current flow of heart circuit) or one could be born with a heart disease as well – congenital heart defects, among others. There are 2 dimensions which affect heart, physiological constitution and emotional constitution of an individual.

Psychoneuroimmunology has proven that a person who is sad, depressed, unhealthy and unhappy will be at risk of a heart attack, or shall I say, a number of diseases. Emotional, mental and physical wellbeing are the keys to lead a good life.

Signs To Watch Out For

I will be discussing some common symptoms of a heart attack since the number of people suffering from the same is increasing. One should immediately take medical advice if you have any of the following symptoms, at any age:

  • Chest Pain: Discomfort or pain in the chest area which may include left, center or sometimes even the right side which may also radiate towards the left shoulder, left upper back, jaw or sometimes even chin area. There are many causes of chest pain that have nothing to do with the heart but it is still the most common symptom of poor blood flow to the heart cells due to any cardiac ailment which leads to a heart attack ( Myocardial infarction).
  • At times it is like a crushing pain, while others feel only mild discomfort.
  • It might feel heavy or like someone was squeezing the heart. One may also feel a sharp, burning sensation in the chest or epigastric area
  • At times, the pain under the breastbone (sternum), or on the neck, arms, stomach, jaw, or upper back may be the only symptom, which one should not ignore.
  • Chest pain from angina often occurs during or post-activity or sudden emotional experience and goes away with rest or a medicine called nitroglycerin.
  • Bad indigestion can also cause chest pain but that does not amount to heart trouble! However, any symptoms you experience is the body’s language of communication, so ignore none.

Certain other features could be extreme anxiety, fainting or loss of consciousness, lightheadedness or dizziness, nausea or vomiting, palpitations (feeling like the heart is beating too fast or irregularly), shortness of breath, profuse sweating, which may be very heavy.

In case of other comorbidities like diabetes, hypertension, hypercholesterolemia, etc. one might experience fatigue, shortness of breath, general weakness, or change in skin colour.

Symptoms Which Need Cardiac Attention

  1. Shortness of Breath: When the heart can’t pump blood as well as it should, blood backs up in the veins that go from the lungs to the heart. Fluid leaks into the lungs and causes shortness of breath. This is a symptom of heart failure. One may notice shortness of breath during activity, while resting or when lying flat on the back – it might wake you up from sleep.
  2. Continuous coughing or wheezing could be a sign that the fluid is building up in the lungs. One may also cough up mucus that is pink or bloody.
  3. Swelling in the Legs, Ankles, or Feet: because the blood flow slows and backs up in the veins in the legs. This causes fluid to build up in the tissues. One may also experience swelling in the stomach or notice some weight gain. This is mostly seen in congestive cardiac failure.
  4. Narrowed Blood Vessels could mean a higher risk of a heart attack & can occur when cholesterol and other fatty material (plaque) builds upon the walls of the arteries. It is also the cause of hypertension.
  5. Fatigue: Tiredness can have many causes. It could be a sign of heart trouble when one feels so tired that regular activities are not conducted or when the feeling is sudden and leads to severe weakness
  6. Palpitations: If the heart can’t pump blood normally, it may beat faster to try to keep up. It might feel that the heart is racing or throbbing. A fast or uneven heartbeat can also be a sign of arrhythmia. This is a problem with your heart rate or rhythm.

The heart is an organ which does not rest until you rest in peace. You need to maintain a healthy lifestyle to maintain a healthy heart. Diet, sleep, stress levels, emotional state, exercise or physical activity are the parameters which monitor your heart health. You need to monitor these parameters consciously. If you experience any of the above symptoms, seek medical assistance.

Don’t let the rhythm of your heart be affected. As in most cases of the heart, prevention is the only cure!

Watch out for Part 2 of this article. For more on heart health, check out Healthy Reads or get a doctor consultation by subscribing to GOQii here: https://goqiiapp.page.link/bsr

#BeTheForce

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What is Resting Heart Rate & How Can You Improve It?

Resting Heart Rate

If you want to know more about heart health, your Resting Heart Rate can tell you a lot! As we all know, our heart is responsible for providing blood and oxygen to each and every organ in the body and if there is any trouble in the heart, automatically the rest of the body will be impacted too.

What is Resting Heart Rate?

Resting heart rate (RHR) is known as your base or lowest heart rate. It can be defined as the number of times your heart beats per minute while you’re resting or not active. The normal resting heart rate reading should be in between 60 to 100 beats per minute (BPM). The term use for a heart rate below 60 bpm is called Bradycardia while a heart rate above 100 bpm is called Tachycardia. Usually, children tend to have a higher heart rate than adults. It is because of their faster metabolism. For a newborn, resting heart rate around 100 to 150 bpm is considered normal.

How Can You Measure It? 

Measuring heart rate is the same as checking your pulse. Currently, there are different ways to measure it – you can even measure it using your fitness tracker or band. You can also use the ancient method wherein, you place your index and middle finger on your wrist just below the thumb, or along either side of your neck, so you can feel your pulse. Remember not to use your thumb to take this measurement as it has its own pulse so you might not get the accurate measurement. Use a watch to count the number of beats for 30 seconds and double it so you will get the reading for per minute. Repeat it twice or thrice to make sure you get the accurate measurements. 

To get the proper readings, it is advised to check your resting heart rate as soon as you wake up before carrying out any other work or activity. 

Factors That Affect RHR 

Daily activities such as walking or drinking a cup of coffee, medications, hormones, body size, stress and activity level can change your resting heart rate. Some major factors include: 

  • Age
  • Lack of sleep
  • Dehydration
  • Stress
  • Obesity
  • Health conditions, lung disease and diabetes
  • Some medications like Beta blockers & calcium channels
  • Temperature
  • Exercise

Generally, lower heart rates are considered better as it shows your heart is working well with no extra effort. On the other side, a higher resting heart rate shows your heart has to work extra hard to pump blood.

Ways to Improve or Lower Heart Rate

  1. One of the reasons for increased RHR as one ages, is the lack of or less physical activity. As aging is a natural process, we can improve its impact on heart health by adding 30 minutes of walking or any other low impact exercise like cycling, swimming and dancing. Of course, your heart will beat fast during the activity and for a short time after that, but practicing it every day will automatically help in reducing your elevated resting heart rate.
  2. Guided breathing practices, yoga, tai chi, meditation, long walks and reading are all great ways to calm your mind and body, which will help in controlling your heart rate.
  3. Always try to get at least seven hours of sleep every night so your body gets sufficient time to recover from stress.
  4. Keeping yourself well hydrated helps blood flow through the body and makes the functioning of the heart easy as well. 
  5. Those who smoke have a higher RHR. Quitting brings it back down. 
  6. Keep a watch on body weight. The larger the body, the more the heart has to work to supply it with blood. Losing body weight helps in lowering elevated RHR.

It’s important to maintain an active lifestyle with regular aerobic exercise, a balanced diet, quality sleep and hydration. By measuring your resting heart rate regularly, you can see both your long-term progress and daily fluctuations in it. When your resting heart rate decreases as a result of training, it’s a sign that your cardiovascular health is improving.

We hope this article helps you make heart-healthy choices! Do let us know your thoughts in the comments below. For more on heart health, check out Healthy Reads or tune in to LIVE sessions by experts on GOQii Play. 

#BeTheForce 

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