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Heartburn Mystery ~ A Hiatal Hernia?

“Heartburn remedies are not helping. I have heartburn all the time and medications are not helping either”…..

Dr. Kasia Kines, Nutritionist, CEO and founder of EBV Educational Institute
Virtual clinic serving the US and globally
[email protected]

Heartburn – additional comment to the video: A correction to a comment I made is that it is important to evaluate the cause of HH with a trained clinician that is experienced in visceral manipulation – I simplified the “tucking it in” procedure that I understand is very popular, but this will not be sustainable by itself without knowing what is behind it and working on those factors and may not always be safe in isolation. Please make sure you get a proper evaluation by a person experienced in visceral manipulation. That will not be me, naturally, as I am a nutritionist!

Could that Heartburn be Hiatal Hernia?

Acid reflux, heartburn or GERD are common complaints. Sixty percent of the adult population will experience some type of gastroesophageal reflux disease (GERD) within a 12-month period and 20 to 30 percent will have weekly symptoms (HCUP). According to IMS Institute of Health Informatics, in 2010, Nexium was the 2nd best-selling medication in the US, while Prilosec was the 6th most frequently prescribed medication. While studies are lacking, there are claims that hiatal hernia accounts for a substantial percentage of heartburn complaints.

Heartburn can be caused by many factors. Today I want to discuss hiatal hernia because I am surprised how often I see it clinically, and it can bring heartburn relief if it is the cause of your heartburn.

Acid reflux (and hiatal hernia) remedies: Acid reflux is typically treated with medications. Unfortunately, PPIs (proton pump inhibitors such as Nexium or Prilosec) used to block the gastric acid and provide heartburn relief were originally approved for up to 12 weeks only. Long-term PPI suppression of gastric acid carries a number of serious health risks, e.g. Clostridium difficile, colitis, and community-acquired pneumonia (Hauben, 2007), the latter increased in risk already within 30 days on PPIs. PPIs can lead to bacterial overgrowth such as SIBO and deconjugation of bile acids (Theisan, 2000) as well bacterial dislocation from the oral cavity (Laheji et al, 2004). PPIs also increase risk of hip fractures (Targownik et al 2008). In one study, women over 50 taking PPIs for over a year had a 44% increased risk, while a longer term high dose increased that risk by 245%. Yes, that is over 200% – it is not a typo. Among many vitamins and minerals that rely on gastric acid, B12- deficiency induced by PPIs is the gravest risk (Herzlich, 1992).

If you suffer from heartburn, acid reflux or GERD consider purchasing an “Ask Kasia” session and get to the root of the problem.

Eat Well. Look Great. Feel Spectacular. Naturally!

Kasia Kines

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Dr. Kasia Kines, Nutritionist, CEO and founder of EBV Educational Institute
Virtual clinic serving the US and globally
[email protected]

6 Comments

  1. Posted on February 25, 2016 at 11:22 AM by Kim Cooperman

    Thanks for this Kasia! Had seen all the info on this except the VERY IMPORTANT manipulation, rebounding and gurgling! Will start immediately! Seems like I can actually manipulate something on my own… at least to cause some burping.
    It has been a LONG HAUL… and a long story, but the short version is 9 intestinal ulcers (camera endoscopy), combined with gastritis and most likely GERD/hernia. Yes, had head injuries more than once. Add to that double mutation at MTHFR and severe nutritional deficiencies (no wonder!). Have wonderful FM docs now. I’m much better but still not quite fixed. Thought you might want to hear that I was not crazy. LOL! Thanks again – great info, especially for those who do not understand how the gut works. Hugs!

  2. Posted on February 25, 2016 at 11:51 AM by Susan Gins

    Congratulations Kasia! This is a fantastic presentation. My husband has chronic heartburn and probably a hiatal hernia but would he listen to me?
    No way. He was listening to you and very impressed how knowledgeable you are!
    I agree 100%.
    Great job! and thank you for sharing!

  3. Posted on February 25, 2016 at 8:16 PM by Kasia Kines

    Hello my dear Susan!! Coming from my nutritionist mentor your comment means so much to me. I hope he will use some of the tools. Will he jump and see what happens??? I am thrilled he watched it. Isn’t it amazing how our husbands see as not as nutrition experts but as their loving wives!!!

  4. Posted on February 25, 2016 at 8:21 PM by Kasia Kines

    Fantastic – I am really really glad you had a chance to see this and connect the dots. I made this video because over the years i have become really frustrated for patients and the revolving door without looking for causes. I have to credit the one and only Dr Gerald Mullin who taught me about hiatal hernia years ago!!! When people say you are crazy, the brain is probably affected by the gut. We always have to get right back to the gut and repair that to improve the brain. yes, brain injury, even slight, can affect the big vagus nerve and even induce leaky gut. Go figure!!!! You re going in the right direction!!!! I really appreciate your feedback – thank you and I hope you will start jumping!

  5. Posted on February 25, 2016 at 10:56 PM by Olga

    Thanks so much for this!! When I was growing up I remember my grandfather always rubbing his chest/stomach and keeping a spoon and a bottle of milk of magnesia at his bedside table.
    We also had a neighbor who was diagnosed with HH and every so often it was so bad that she thought she was having a heart attack and would call 911 just to be told she had no heart issue. Everyone should read this so they will know how to help people!! Thanks again!!

  6. Posted on February 27, 2016 at 1:08 AM by Kasia Kines

    Dear Olga,
    thank you so much for your response. I am so frustrated with exactly the degree of pain, fear, anxiety and uncertainty that people experience and the degree to which this is NOT being addressed and helped. So many people could live better lives if they knew this. Now you know how to help someone if you suspect they are there. Send them here to see this video!!!! And let’s have them jump!!!

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If you want to transform your life, if you want health and wellness, if you want peace of mind, there isn’t a better investment than working with Kasia.~ Beth