962 - 6 Overlooked Causes of Heartburn (GERD) And How to Treat

Dr. Ruscio Radio, DC: Health, Nutrition and Functional Healthcare

Dr. Michael Ruscio, DC

Medical, Health, Functionalmedicine, Alternative Health, Health & Fitness

4.5 • 774 Ratings

🗓️ 14 April 2025

⏱️ 49 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode, I’ll cover the root causes of reflux & share the most effective treatments. Tune in!

Work with us! https://drruscio.com/virtual-clinic/

Product mentions:

Thiamega https://www.objectivenutrients.com/products/thiamega/

Vagustim https://vagustim.io/

Watch next 👇

➡️Mona’s Reflux & IBS Symptoms Improved:

https://www.youtube.com/watch?v=Of40W7V8tf8

➡️Natural Treatment For Acid Reflux:

https://www.youtube.com/watch?v=Wfj7vSA1mmk

➡️Thiamine for Gut & Mitochondrial Health - Elliot Overton:

https://www.youtube.com/watch?v=-we9gMcdRe8

Subscribe: https://www.youtube.com/@DrRuscioDC?sub_confirmation=1

Let me know your questions in the comments!

Timestamps

00:00 Intro

01:32 Symptoms

02:35 LES function

04:25 Diet & your gut type

09:01 Inflammation

11:23 Microbiome imbalances

12:50 H. pylori

14:29 Nervous system & vagus nerve

17:18 Physical factors

19:12 Low stomach acid

20:53 Corrective protocol

Featured Studies

📉Pathophysiology & treatment for GERD: https://pubmed.ncbi.nlm.nih.gov/33015827/

📉Epidemiology of GERD: https://pubmed.ncbi.nlm.nih.gov/23853213/

📉Volume, distribution & acidity of gastric secretion on & off PPIs: https://pubmed.ncbi.nlm.nih.gov/26328588/

📉Coffee on LES pressure: https://pubmed.ncbi.nlm.nih.gov/7002705/

📉Caffeine on LES pressure: https://pubmed.ncbi.nlm.nih.gov/16722996/

📉Alcohol & the GI tract: https://pubmed.ncbi.nlm.nih.gov/11151864/

📉Wine, LES & GERD: https://pubmed.ncbi.nlm.nih.gov/9517519/

📉Chocolate & LES pressure: https://pubmed.ncbi.nlm.nih.gov/239592/

📉Menthol Infusion & Ineffective Esophageal Motility: https://pubmed.ncbi.nlm.nih.gov/39397622/

📉Foods Inducing GERD: https://pubmed.ncbi.nlm.nih.gov/28147346/

📉Dietary Intake & Risk of Reflux Disease: https://pubmed.ncbi.nlm.nih.gov/35047433/

📉FODMAP Meals on Transient Lower Esophageal Relaxations (TLESR) in GERD & IBS:

https://pubmed.ncbi.nlm.nih.gov/35565722/

📉 Carb& Esophageal Acid Exposure Time & Reflux: https://pubmed.ncbi.nlm.nih.gov/35973185/

📉Nitric oxide in EE & NERD patients: https://pubmed.ncbi.nlm.nih.gov/35611254/

📉Nitric oxide in the LES of reflux patients: https://pubmed.ncbi.nlm.nih.gov/12630004/

📉Inflammation & oxidative stress in GERD: https://pubmed.ncbi.nlm.nih.gov/18437209/

📉Overlapping GI Disorders & GERD: https://pubmed.ncbi.nlm.nih.gov/33795540/

📉GERD & Esophageal Complications in Ulcerative Colitis:https://pubmed.ncbi.nlm.nih.gov/39200925/

📉GERD & related factors in RA: https://pubmed.ncbi.nlm.nih.gov/23525140/

📉Curcumin & PPIs for dyspepsia: https://pubmed.ncbi.nlm.nih.gov/37696679/

📉SIBO is associated w/ reflux symptom severity & impaired esophageal mucosa: https://drive.google.com/file/d/122T9PMaEDROBoSWxEeX67qc8iNYNDUSs/view

📉Dysbiosis & antireflux surgery: https://pubmed.ncbi.nlm.nih.gov/33475845/

📉H. pylori infection, GERD & complications: https://pubmed.ncbi.nlm.nih.gov/34437710/

📉H. pylori & GERD: https://pubmed.ncbi.nlm.nih.gov/32396919/

📉GERD & stress: https://pubmed.ncbi.nlm.nih.gov/37943748/

📉Cardiac autonomic dysfunction & GERD: https://pubmed.ncbi.nlm.nih.gov/26078576/

📉Dysfunction of the ANS in GERD: https://pubmed.ncbi.nlm.nih.gov/39244825/

📉Vagus nerve stimulation modulates mast cell degranulation following stroke: https://pubmed.ncbi.nlm.nih.gov/38603861/

📉Vagus nerve stimulation dampens gut inflammation:

https://pmc.ncbi.nlm.nih.gov/articles/PMC6790670/#:~:text=In%20conclusion%2C%20we%20showed%20that,but%20also%20other%20inflammatory%20conditions.

📉P072 Vagal Nerve Stimulation to Treat Crohn’s Disease & Ulcerative Colitis:

https://pubmed.ncbi.nlm.nih.gov/37461988/

📉Hiatal hernia size, esophageal body hypomotility & GERD? https://pubmed.ncbi.nlm.nih.gov/38023972/

📉Low FODMAPs diet & GERD: https://pubmed.ncbi.nlm.nih.gov/34051134/

📉Curcumin & PPIs for dyspepsia: https://pubmed.ncbi.nlm.nih.gov/37696679/

📉Melatonin & GERD: https://pubmed.ncbi.nlm.nih.gov/20082715/

📉Prevention of GERD using herbals: https://search.informit.org/doi/10.3316/informit.950298610899394

📉GERD & Probiotics: https://pubmed.ncbi.nlm.nih.gov/31906573/

📉Breathing exercises & GERD: https://pubmed.ncbi.nlm.nih.gov/32233626/

📉Vagus nerve, esophageal motility & pharyngeal symptoms in reflux:

https://pmc.ncbi.nlm.nih.gov/articles/PMC10954818/

📉TEA, Breathing & GERD: https://www.sciencedirect.com/science/article/pii/S1094715921020018

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DISCLAIMER: The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing a treatment.

Music featured: "Modern Technology" by Andrew G, https://audiojungle.net/user/andrew_g

*Full transcript available on YouTube

Transcript

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0:00.0	Welcome to Dr. Rucho Radio, providing practical and science-based solutions to feeling your best.
0:14.8	To stay up to date on the latest topics, as well as all of our prior episodes, make sure to subscribe in your podcast player.
0:22.2	For weekly updates, visit Dr.ruciot.com.
0:25.4	Welcome back. Let's discuss reflux.
0:28.9	And let me lead by saying this.
0:30.7	My level of confidence that you can resolve your reflux if you follow these steps is extremely high.
0:36.6	In the clinic, we see this quite frequently.
0:38.9	We'll cover three cases later that sort of exemplify the success we've had.
0:43.9	Breaking down reflux to six root causes.
0:48.6	And this is something that can be quite dissettling.
0:51.1	In fact, this is going back maybe five years a little over.
0:56.9	Mona, her reflux was so severe, she went to the ER because of the decedling symptoms.
1:03.4	So I'm very empathetic towards how dissettling reflux can be, which is why I'm eager to share
1:10.5	with you this six-component model
1:12.4	that I think will help you resolve your reflux. And I'm defining resolve by not having to shrink
1:20.8	down your diet to nearly nothing, but to be able to use diet amongst other tools so as to
1:27.1	heal the esophagus, the lower esophageal sphincter,
1:30.5	and other underlying causes that will cover momentarily, and then be able to tolerate a wider
1:37.1	variety of foods. So we'll go over the six causes, the corresponding treatments, and then perhaps most importantly, how you
1:46.5	organize this into a step-by-step protocol that's personalized, because not all reflux
1:53.1	has the same underlying causes. It's not complicated, but we need to personalize this to the
1:59.0	individual. So let's get started.
	...

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