1
00:00:00,000 --> 00:00:24,600
Well, welcome back to another episode of You're a Mom on Drugs.

2
00:00:24,640 --> 00:00:26,440
My name is Josh Klaus.

3
00:00:26,740 --> 00:00:28,200
And I'm Jennifer Seltzer.

4
00:00:28,200 --> 00:00:38,160
And we are here to talk about all things drug related, usually the kind that you pop into your mouth, uh, that will help alleviate symptoms that you have in your body.

5
00:00:38,200 --> 00:00:45,640
Um, my name is Josh, like I said before, and I've, uh, got a bachelor's degree in biology and a master's in public health.

6
00:00:45,720 --> 00:00:48,200
And, uh, I'll let you say your credentials.

7
00:00:48,280 --> 00:00:48,680
Okay.

8
00:00:48,680 --> 00:00:58,440
And, uh, like I said, my name is Jennifer Seltzer and I have a bachelor's degree in pharmacy and also a doctoral degree in pharmacy as well too.

9
00:00:58,680 --> 00:00:58,840
Yeah.

10
00:00:58,840 --> 00:01:00,080
So all things drug related.

11
00:01:00,080 --> 00:01:01,560
All, all things drug related.

12
00:01:01,560 --> 00:01:02,960
So this is episode six.

13
00:01:03,000 --> 00:01:04,760
Um, it's going to be the final one of the year.

14
00:01:04,800 --> 00:01:07,680
And we've just so enjoyed y'all coming along with us.

15
00:01:07,720 --> 00:01:12,360
And if you have any suggestions for the next year of episodes to do that, we would love to do them.

16
00:01:12,920 --> 00:01:18,400
Um, the last one is going to be about indigestion and heartburn because we're right around the holiday times.

17
00:01:18,400 --> 00:01:23,160
We're, um, especially as Americans, we'd love to gorge yourself with amazing food.

18
00:01:23,600 --> 00:01:25,600
Um, and sometimes it can be a bit much.

19
00:01:25,640 --> 00:01:38,520
Um, so if you ever basically get into that point where you are, uh, kind of feeling a bit bloated or you've got some acid reflux, uh, we're going to be able to provide you some helpful tools to be able to, uh, to get out of that.

20
00:01:39,000 --> 00:01:47,320
Uh, so before we dive into the conditions that we're talking about today, I figured we'd give an overview of just general digestion.

21
00:01:47,320 --> 00:01:58,520
I don't know if y'all think about what happens when you put food in your mouth and then, uh, the stuff that comes out the other end, but there's really only two pathways for food to go in and out.

22
00:01:59,200 --> 00:02:02,360
One is in your mouth and the other one is out of your, your bottom.

23
00:02:02,800 --> 00:02:08,040
Um, so when you put food inside of your mouth, um, you start to chew it or masticate it.

24
00:02:08,440 --> 00:02:12,880
And there are these three salivary glands that basically start to break down your food.

25
00:02:12,880 --> 00:02:23,680
The whole goal of digestion is to take that food that you're eating, whether it's a cookie or piece of chicken and to turn it into its prime components.

26
00:02:23,680 --> 00:02:27,640
And there's four major components that your body loves to have broken down into.

27
00:02:27,640 --> 00:02:31,080
We have carbohydrates, which are things like sugars and fibers.

28
00:02:31,520 --> 00:02:34,920
We've got fats, which can be like oils or butter.

29
00:02:35,120 --> 00:02:37,320
Um, and we're going to get those into lipid form.

30
00:02:37,320 --> 00:02:44,640
Um, and then we have, uh, protein, which are usually big, long strings of these things called amino acids.

31
00:02:44,640 --> 00:02:48,920
And we want to get those down to the smallest form of either amino acids or peptides.

32
00:02:49,560 --> 00:02:58,160
Um, and then we also have nucleic acids, which makes up things like your DNA and your RNA, which are responsible of your cells, like, uh, producing more of themselves.

33
00:02:58,840 --> 00:03:02,880
So you kind of want to think about these are like the resident Lego blocks of your body.

34
00:03:02,880 --> 00:03:11,400
And then your body uses these Lego blocks to build these really cool structures inside of your body, like your hair or your bladder or whatever it is.

35
00:03:11,640 --> 00:03:14,040
So let's say you eat a piece of chicken, you chew it.

36
00:03:14,080 --> 00:03:16,080
It starts to dissolve in your mouth.

37
00:03:16,120 --> 00:03:32,120
It turns into this thing called a bolus B O L U S, which is like this small ball that then goes down your esophagus, uh, via the epiglottis, which is this thing that differentiates between whether there's something should go to your lungs or, uh, to your.

38
00:03:32,120 --> 00:03:34,880
Your stomach, um, your esophagus goes to your stomach.

39
00:03:34,880 --> 00:03:39,920
You've probably had this experience when you've drank water before and you went down the quote unquote wrong tube.

40
00:03:40,360 --> 00:03:43,360
That was because the epiglottis opened up the wrong way.

41
00:03:43,400 --> 00:03:48,480
And it went to your lungs instead of your stomach, which causes you to go, and it's not a fun feeling.

42
00:03:49,200 --> 00:03:54,080
So then down the esophagus, this chicken goes and it drops into your stomach.

43
00:03:54,080 --> 00:04:02,160
Um, and that is basically the first step towards, uh, I would say second step towards digestion.

44
00:04:02,160 --> 00:04:07,360
Your stomach is super acidic, meaning that it has an acid inside of it.

45
00:04:07,360 --> 00:04:12,160
Now, a lot of people think acid, they think the James Bond movie, like, Oh, I'm getting acid poured on me.

46
00:04:12,160 --> 00:04:14,360
I'm going to dissolve into my, just my bones.

47
00:04:15,080 --> 00:04:22,840
But all an acid is in chemistry terms is something that donates, um, protons are usually hydrogen ions.

48
00:04:22,840 --> 00:04:24,880
Remember hydrogen from chemistry class?

49
00:04:25,160 --> 00:04:27,840
It's in the top left corner of the periodic table.

50
00:04:28,160 --> 00:04:33,120
And all an acid is, is something that donates those things to a liquid or a solution.

51
00:04:33,680 --> 00:04:41,400
And so the more hydrogen you have, the more acidic it is, but it's kind of weird because we use pH to signify acidity.

52
00:04:41,720 --> 00:04:45,920
So actually the lower the pH, it is the more acidic it is.

53
00:04:45,920 --> 00:04:48,720
And that's just because it's on a logarithmic scale.

54
00:04:48,720 --> 00:04:53,280
If you remember that from math and it's actually like 10 to the negative something power.

55
00:04:53,280 --> 00:05:00,280
So if you have a pH of, of one, for example, that is 10 to the minus one of the concentration of that hydrogen.

56
00:05:00,560 --> 00:05:03,520
But if you have 10 to the minus seven, that's a pH of seven.

57
00:05:03,520 --> 00:05:06,880
So 10 to the minus seven is less than 10 to the minus one.

58
00:05:07,200 --> 00:05:13,520
Hence you have, I think that's a million times less hydrogen, cause it's also a factor of 10 scale.

59
00:05:13,560 --> 00:05:18,240
I know just through a lot of math and numbers at you, but this stomach has, it's amazing.

60
00:05:18,240 --> 00:05:23,280
It's got this mucosal lining that prevents the acid from dissolving the stomach itself.

61
00:05:23,280 --> 00:05:30,720
So you have this amazingly acidic environment that's breaking down this food, breaks it down to its component parts, but it's not done yet.

62
00:05:30,720 --> 00:05:33,240
It then goes to your small intestine.

63
00:05:33,320 --> 00:05:37,200
Your small intestine has three sections to it.

64
00:05:38,120 --> 00:05:46,400
And the first section of it is the duodenum and that basically secretes something we call a bicarbonate.

65
00:05:46,400 --> 00:05:50,600
If you've ever taken Alka-Seltzer before it's something to neutralize the acid.

66
00:05:50,600 --> 00:05:52,800
So your, your small intestine doesn't like acid.

67
00:05:52,800 --> 00:06:02,080
So as soon as the stuff from the stomach, which we call CHYME, C-H-Y-M-E, which is the digested food, goes down into the small intestine.

68
00:06:02,560 --> 00:06:04,240
And then it neutralizes the acid.

69
00:06:04,240 --> 00:06:11,080
So then your small intestine can absorb the nutrients that you just digested from your stomach and put it into your bloodstream.

70
00:06:11,080 --> 00:06:13,280
And your small intestine is so cool.

71
00:06:13,280 --> 00:06:22,160
They have these like little finger like things called villi that essentially, if you ever think of like your bed sheets, like really crumpled up onto the bed,

72
00:06:22,160 --> 00:06:24,560
you can like ball up your bed sheets on a bed.

73
00:06:24,560 --> 00:06:27,320
But then when you stretch them out, they can cover the whole bed.

74
00:06:27,720 --> 00:06:29,120
Your small intestine is like that.

75
00:06:29,120 --> 00:06:42,400
It really compresses to increase surface area so that every little nook and cranny of your small intestine has a blood vessel associated with it that can take that nutrient and then bring it to the rest of your body.

76
00:06:42,400 --> 00:06:43,880
Because guess what needs food?

77
00:06:44,040 --> 00:06:54,000
Your brain, your heart, your liver, and it needs to get from your small intestine to the rest of your body, which is what your circulatory system is for, AKA your blood.

78
00:06:54,640 --> 00:06:56,520
But then it's not done yet.

79
00:06:56,520 --> 00:07:00,480
It then goes, passes all the way through to your large intestine.

80
00:07:00,960 --> 00:07:02,840
And it's called large, not because it's longer.

81
00:07:02,840 --> 00:07:04,040
It's actually just wider.

82
00:07:04,040 --> 00:07:05,600
It's also called your colon.

83
00:07:05,600 --> 00:07:12,600
And that is where water retention is happening because a lot of your contents inside of your stomach are very wet.

84
00:07:12,600 --> 00:07:14,480
Your body likes to keep water.

85
00:07:14,720 --> 00:07:19,400
So it actually will reabsorb some of the water from this process back into your body.

86
00:07:20,120 --> 00:07:25,400
And as soon as that's done, whatever your body didn't use, whatever it considers as waste.

87
00:07:25,640 --> 00:07:28,160
And actually a lot of that are dead red blood cells.

88
00:07:28,160 --> 00:07:35,760
And anytime that you are excreting out of your, your, your, your behind, it's brown.

89
00:07:35,760 --> 00:07:36,280
Yeah.

90
00:07:36,280 --> 00:07:36,680
You're right.

91
00:07:36,680 --> 00:07:37,400
I can say rectum.

92
00:07:37,400 --> 00:07:47,360
My mom's given me permission to use the medical term and then it's brown because there's actually a lot of dead red blood cells because your red blood cells turn over like once every week.

93
00:07:47,360 --> 00:07:52,200
And, uh, and then all of the remaining nutrients that you didn't like to process.

94
00:07:52,200 --> 00:07:59,720
For some reason, some of those things are corn and peanuts, which have a hard time getting broken down by your body. If you've ever seen those in your, in your stool.

95
00:08:00,280 --> 00:08:07,120
So that's just to break down a basic digestion of what normally happens when you take a piece of food and you put it inside of you.

96
00:08:07,480 --> 00:08:14,000
Um, you essentially are your food, but the atoms and all the molecules that you eat eventually become a part of you.

97
00:08:14,000 --> 00:08:19,120
So if you're, if you eat a solely chicken diet, you essentially are just a human chicken.

98
00:08:19,120 --> 00:08:28,120
And don't forget to that, as far as eliminating waste, not only do you eliminate through your rectum, but you also, it's also in your urine as well as you.

99
00:08:28,120 --> 00:08:32,920
So those are some of the waste from less stuff that you eat also gets eliminated from your urine.

100
00:08:32,920 --> 00:08:33,320
Okay.

101
00:08:33,320 --> 00:08:35,840
So both pathways, uh, that's really cool.

102
00:08:35,840 --> 00:08:38,840
Um, so that's when things go really well.

103
00:08:38,840 --> 00:08:45,080
And then you eat a piece of food, you're satisfied and you go on with the rest of your day.

104
00:08:45,080 --> 00:08:54,480
But every now and then you'll get something go wrong and I'm going to let my mom kind of get into one of the first things that can go wrong, which is heartburn.

105
00:08:54,480 --> 00:08:55,920
So mom, what is heartburn?

106
00:08:56,720 --> 00:09:02,400
Well, Josh heartburn is it's actually a common gastrointestinal complaint.

107
00:09:02,400 --> 00:09:04,600
So it's stomach and intestinal complaint.

108
00:09:04,600 --> 00:09:21,800
So it's stomach and intestinal complaint, um, and it's defined as a burning sensation in the stomach or the lower chest that can extend up toward your neck and semblance every now and then it can also extend toward your back as well too.

109
00:09:21,800 --> 00:09:28,520
So it's a higher kind of, you know, upper lower chest or higher kind of stomach kind of feeling.

110
00:09:28,520 --> 00:09:31,960
It's a, you know, it's a burning sensation and it's.

111
00:09:31,960 --> 00:09:36,520
And it's interestingly, it's a, it's a symptom of acid reflux.

112
00:09:36,520 --> 00:09:44,760
So that means that there's the stomach contents are coming kind of up into your either esophagus or the upper part of your stomach area and stuff.

113
00:09:45,240 --> 00:09:55,640
But interestingly, it's called heartburn because your esophagus with your, if you look at your anatomy, your esophagus is right behind your heart.

114
00:09:55,640 --> 00:10:04,760
So if you've got this burning sensation and it's felt there, then it feels like your heart is burning, but it's not, you're actually your heart that's burning at that.

115
00:10:04,760 --> 00:10:16,520
You know, most of the time, um, about 40% of the population can, um, experience heartburn intermittently.

116
00:10:16,520 --> 00:10:31,720
Actually, you and I, we were looking at something up this morning and we read that about 60 million people in America can experience kind of this heartburn type feeling or reflux type stuff.

117
00:10:31,720 --> 00:10:40,360
You know, at least once, you know, um, you know, and I think it was in a month or something or maybe one time, you know, in a year or whatever and stuff.

118
00:10:40,360 --> 00:10:49,960
So, but anyway, that's a lot of people. So, um, if it's occasional heartburn that that burning type feeling, it's not a big problem.

119
00:10:49,960 --> 00:10:55,080
It can be managed with lifestyle changes and non-prescription medications.

120
00:10:55,080 --> 00:11:02,520
But if you have more frequent heartburn, then it could possibly indicate some more serious health problems.

121
00:11:02,520 --> 00:11:09,320
And so it's going to, you're going to want to get examined, examined by a healthcare provider under those circumstances.

122
00:11:09,320 --> 00:11:17,320
Um, so, um, would you like me to talk about kind of the pathophysiology behind heartburn at this point?

123
00:11:17,320 --> 00:11:26,280
Or, okay, that would be great because I think for some people, it's also good to recognize, like, if you're just experiencing temporarily versus chronically.

124
00:11:26,280 --> 00:11:32,120
And I think chronically would be described as how much two episodes a week or more than two episodes a week.

125
00:11:32,120 --> 00:11:43,080
I think. Yes. So if you're having this, you know, once maybe after a big meal, it'd be something to keep in mind. Like, okay, maybe some of the lifestyle choices I can change or just realize that life isn't perfect.

126
00:11:43,080 --> 00:11:59,240
And sometimes, you know, these things are going to happen. But, you know, when it does happen, we can talk about the path of pathophysiology and then we can talk about maybe some of the lifestyle choices that can tamper the, uh, the temporary heartburn and then versus the chronic one.

127
00:11:59,240 --> 00:12:15,080
Okay. So, and there are, I think Josh kind of alluded to this a little bit, but so, um, kind of like the stomach, the esophagus has defense mechanisms in place that protect it from the mucosa, mucosa getting damaged.

128
00:12:15,080 --> 00:12:28,920
So the esophagus is also has a protective lining in it. And so it has what we call an anti-reflex barrier at the bottom, which we call the lower esophageal sphincter or LES.

129
00:12:28,920 --> 00:12:41,480
And then there's also some other things that help to prevent, to, to keep acid or I'm sorry, to help, um, promote acid clearance from the esophagus. So things like what we call peristalsis.

130
00:12:41,480 --> 00:12:53,720
So that's that movement of your food, you know, and it kind of does it in, um, kind of like an inchworm kind of thing. It's like it moves a little and then it stops and it moves a little and it keeps going down through your gastrointestinal tract.

131
00:12:53,720 --> 00:12:55,960
And thank goodness you don't have to exert any effort.

132
00:12:55,960 --> 00:12:56,360
No.

133
00:12:56,360 --> 00:13:02,120
It's a thing about your muscles contracting, like when you have to lift something up, but your body does this automatically.

134
00:13:02,120 --> 00:13:03,720
It does. Thank goodness.

135
00:13:03,720 --> 00:13:13,320
The other thing, one of the other things is gravity. So just being upright, you know, you know, allows things to go down and then your blood supply in the esophagus as well too.

136
00:13:13,320 --> 00:13:17,960
It helps to remove things like hydrogen and it provides bicarbonate and other nutrients.

137
00:13:17,960 --> 00:13:27,800
And like Joshua talked about, hydrogen is going to be more acidic and so it can cause more damage, whereas bicarbonate is more neutralizing and it's going to be more protective.

138
00:13:27,800 --> 00:13:44,200
So if you have a disruption in one of those protective mechanisms, either in that sphincter at the bottom or in any of the other types of things, the blood supply or if your peristaltic mechanism is not working correctly,

139
00:13:44,200 --> 00:13:55,640
then you may end up with an increase in your esophagus of acid exposure because remember that the stomach contents is acidic.

140
00:13:55,640 --> 00:13:58,760
And so your esophagus doesn't like that.

141
00:13:58,760 --> 00:14:06,280
And so sometimes, you know, there's different ways that, you know, you again, that it can be damaged and stuff.

142
00:14:06,280 --> 00:14:20,920
So but again, if you have more contact with your esophagus with the stomach content, then this is called reflux.

143
00:14:20,920 --> 00:14:31,880
So that means that you can think about that. The content from your stomach is refluxing back up into the stomach because that valve at the bottom of your esophagus is keeping it from being there and stuff.

144
00:14:31,880 --> 00:14:39,160
And so then if it's there, then it could cause some symptoms that may be uncomfortable.

145
00:14:39,160 --> 00:14:44,520
We talked about the burning feeling in your chest.

146
00:14:44,520 --> 00:14:54,600
You can have pain in your chest when you bend over or you lie down from this, the fact that this protective mechanism is not working.

147
00:14:54,600 --> 00:15:03,160
Or you can even have a burning feeling in your throat or this this hot, sour or acidic taste in the back of your throat.

148
00:15:03,160 --> 00:15:09,240
You can have some difficulty swallowing, belching or burping and feeling that bloating feeling as well.

149
00:15:09,240 --> 00:15:11,960
So there's a lot of the symptoms that can go along with heartburn.

150
00:15:11,960 --> 00:15:16,120
And we can all probably think of at least one time we've experienced this.

151
00:15:16,120 --> 00:15:20,520
Yeah, absolutely. It makes me really grateful that that LES is there.

152
00:15:20,520 --> 00:15:28,200
Because you often think like you forget what's in your body and the stuff that you're really happy is contained and where it is.

153
00:15:28,200 --> 00:15:32,280
And when it comes back up, you're like, oh, my gosh, I didn't even know that was inside of me.

154
00:15:32,280 --> 00:15:37,000
That's right. Because I mean, we all love to enjoy a good meal or a new food or whatever.

155
00:15:37,000 --> 00:15:41,640
But there are there are certain things that that potentially can cause heartburn.

156
00:15:41,640 --> 00:15:44,120
And I'll talk about foods in just a second.

157
00:15:44,120 --> 00:15:49,720
But there's some there's some some conditions that can increase the chances of of developing heartburn.

158
00:15:49,720 --> 00:15:53,080
One is pregnancy. It's going to be temporary, of course.

159
00:15:53,080 --> 00:15:58,040
But as the baby grows, so and especially in the last few months of pregnancy,

160
00:15:58,040 --> 00:16:06,680
that weight of the baby can push on the stomach and can cause that lower esophageal sphincter to not close properly.

161
00:16:06,680 --> 00:16:13,640
So it's going to let the stomach contents rise, the stomach contents rise into the esophagus.

162
00:16:13,640 --> 00:16:20,600
Another thing that can cause problems with that sphincter is a hiatal hernia.

163
00:16:20,600 --> 00:16:25,080
And a hiatal hernia is when part of your stomach.

164
00:16:25,080 --> 00:16:32,760
So there's a there's a layer of muscle that kind of separates, if I'm remembering correctly, anatomically,

165
00:16:32,760 --> 00:16:40,760
it kind of is maybe it's between the stomach and the intestines.

166
00:16:40,760 --> 00:16:44,920
Maybe I'm not exactly I cannot remember where the diaphragm is.

167
00:16:44,920 --> 00:16:48,120
But what happens with maybe it's above the stomach.

168
00:16:48,120 --> 00:16:52,040
That's probably where it is. So your stomach is so your stomach can push.

169
00:16:52,040 --> 00:17:01,240
If there's a hole in that diaphragm, then that's part of your stomach can get through that hole in the diaphragm.

170
00:17:01,240 --> 00:17:07,880
And then it can affect the closure of that sphincter at the bottom of your esophagus,

171
00:17:07,880 --> 00:17:11,560
because you shouldn't have a hiatal hernia.

172
00:17:11,560 --> 00:17:15,960
And so it usually requires surgery to have that fixed.

173
00:17:15,960 --> 00:17:18,840
Another thing is gastroesophageal reflux disease.

174
00:17:18,840 --> 00:17:24,040
So some people can have for a variety of reasons, can have that sphincter not work.

175
00:17:24,040 --> 00:17:31,400
And so you've got this chronic regurgitation or reflux of the stomach contents into your into your esophagus.

176
00:17:31,400 --> 00:17:35,720
And so it's called gastroesophageal reflux disease.

177
00:17:35,720 --> 00:17:48,040
Some medications can cause heartburn, things like especially things like aspirin and the nonsteroidal anti inflammatory drugs like ibuprofen or naproxen.

178
00:17:48,040 --> 00:17:55,160
Being overweight or obese can also cause problems with heartburn if you overeat.

179
00:17:55,160 --> 00:17:59,560
We've all experienced that. And you're just like, oh, my gosh, why did I do that?

180
00:17:59,560 --> 00:18:03,480
And that makes a lot of sense just because if you think about your stomach,

181
00:18:03,480 --> 00:18:07,400
I think a lot of times it's you don't realize how small it is.

182
00:18:07,400 --> 00:18:10,440
But I think it's been pictured as like the size of your fist.

183
00:18:10,440 --> 00:18:18,120
And when you eat and consume things, it obviously expands to a certain amount because there's a certain stretchiness to it.

184
00:18:18,120 --> 00:18:22,520
So obviously, your body can only handle so much food at a time.

185
00:18:22,520 --> 00:18:32,200
It's mechanical. So if you're putting if you're eating really quickly or eating a lot of food in a single sitting and and remember the peristalsis like my mom talked about,

186
00:18:32,200 --> 00:18:38,040
it's kind of a slow process. It's kind of like you're squeezing almost like icing out of like one of those.

187
00:18:38,040 --> 00:18:40,600
What do you call them? Piping those piping tubes.

188
00:18:40,600 --> 00:18:44,120
And so it's just going to take or even toothpaste is a great example of that, too.

189
00:18:44,120 --> 00:18:52,200
And so it's going to take a certain amount of time for that that pace to come out of good to go from one place to another.

190
00:18:52,200 --> 00:19:00,040
So while it's going from the stomach to the small intestine, there's going to be a lot of stuff filled inside of the stomach.

191
00:19:00,040 --> 00:19:02,840
That acid and gas has to go somewhere.

192
00:19:02,840 --> 00:19:05,800
And so the pressure of that inside of your stomach is like a balloon.

193
00:19:05,800 --> 00:19:12,080
It's like a bag. And it's going to push back up into your esophagus because it's got to go somewhere.

194
00:19:12,080 --> 00:19:16,600
And that's probably why you've burped as well, because the air has to go somewhere.

195
00:19:16,600 --> 00:19:19,880
Right. And a lot of times, you know, burping doesn't just come from the lungs.

196
00:19:19,880 --> 00:19:24,560
It comes from the stomach as well. And you can definitely sometimes smell that as well.

197
00:19:24,560 --> 00:19:26,720
Yeah. Thank you, Josh, for that very graphic.

198
00:19:26,720 --> 00:19:28,760
You're welcome. Indigestion.

199
00:19:28,760 --> 00:19:31,040
Yes. There you go.

200
00:19:31,040 --> 00:19:36,400
Also, too, another time you might feel heartburn is if you lie down too quickly after you eat.

201
00:19:36,400 --> 00:19:40,280
You know, I thought this was kind of interesting, too.

202
00:19:40,280 --> 00:19:47,440
If you're wearing tight clothes, really tight clothes, it can push on your stomach and affect that sphincter.

203
00:19:47,440 --> 00:19:49,120
And so it can also cause heartburn.

204
00:19:49,120 --> 00:19:50,080
That makes sense.

205
00:19:50,080 --> 00:19:59,120
Smoking also can cause heartburn because what it does is it relaxes the lower esophageal sphincter pressure.

206
00:19:59,120 --> 00:20:01,200
And so it's going to make it more flappy.

207
00:20:01,200 --> 00:20:05,760
And so then more contents can get back up into the esophagus.

208
00:20:05,760 --> 00:20:11,160
It also reduces saliva. And saliva helps to break down your food as well, too.

209
00:20:11,160 --> 00:20:16,800
So if you bend over or lift heavy objects, especially after you've eaten, you know,

210
00:20:16,800 --> 00:20:20,720
then you can increase intra abdominal pressure.

211
00:20:20,720 --> 00:20:26,360
And if that exceeds the pressure in your in your lower esophageal sphincter,

212
00:20:26,360 --> 00:20:31,520
then it can cause the contents of your stomach to be pushed back into your esophagus.

213
00:20:31,520 --> 00:20:35,200
Also, too, if you eat too close to bedtime, I've done that.

214
00:20:35,200 --> 00:20:39,160
You know, I love to have Froyo at night and chocolate chips.

215
00:20:39,160 --> 00:20:43,280
That's right. And so, yeah, and stress as well, too.

216
00:20:43,280 --> 00:20:50,760
So and some of the foods that can make heartburn worse, although it's not there's not definitive studies on this,

217
00:20:50,760 --> 00:20:57,560
but there is definitely a list of things that may be associated with heartburn, such as high fat foods,

218
00:20:57,560 --> 00:21:04,720
chocolate, alcohol, caffeinated beverages, peppermint or other mint flavorings,

219
00:21:04,720 --> 00:21:10,840
carbonated beverages, acidic foods, spicy foods and onion and garlic.

220
00:21:10,840 --> 00:21:18,400
And so basically, the bottom line is if you identify a particular food that seems to cause you more difficulty,

221
00:21:18,400 --> 00:21:25,240
then that's the one you're going to probably want to eat in a more minimal amount or maybe avoid altogether.

222
00:21:25,240 --> 00:21:32,880
Yeah. Nutrition is so hard and sometimes they can be more correlation than causatory.

223
00:21:32,880 --> 00:21:38,720
Yeah, because it's interesting, because obviously these foods will have they're obviously made of different things.

224
00:21:38,720 --> 00:21:45,160
And so they'll have different chemicals inside of them and they might trigger different things inside of your stomach when that happens.

225
00:21:45,160 --> 00:21:54,920
I want to go back to talking about insets like the the anti-inflammatories and really kind of get to because a lot of people might have a headache

226
00:21:54,920 --> 00:22:01,000
and they're like, well, I need to take my hyperpropan, but I don't want to get acid reflux or even a stomach ulcer.

227
00:22:01,000 --> 00:22:06,280
And so it really has to do with dosage and really chronic uses of these drugs over time.

228
00:22:06,280 --> 00:22:15,400
So the study that that my mom and I looked up about that is like if you viewed patients who took eight hundred milligrams,

229
00:22:15,400 --> 00:22:24,760
which is essentially two tablets, sorry, four tablets of ibuprofen three times a day for six months, one.

230
00:22:24,760 --> 00:22:26,280
That's a lot. Then that's a lot.

231
00:22:26,280 --> 00:22:34,080
And that's one to four percent of those patients developed a stomach ulcer compared to the placebo or the control.

232
00:22:34,080 --> 00:22:42,680
So. Essentially, if you're a chronic user of these, that's going to really contribute to the degradation of the mucosa lining of your stomach,

233
00:22:42,680 --> 00:22:49,280
which is kind of how these ulcers form, because your stomach is just like covered in mucus, which is kind of weird to think.

234
00:22:49,280 --> 00:22:56,480
But it's actually amazing because there's a super good lubricant so that that food can go down via gravity to the small intestine.

235
00:22:56,480 --> 00:23:01,680
But also mucus is great for trapping bacteria and it won't allow them to colonize.

236
00:23:01,680 --> 00:23:04,480
There's it's almost like a spider's web. It kind of goes, help me.

237
00:23:04,480 --> 00:23:10,880
I'm in the mucus and and it can't do anything because bacteria love to hang out with each other.

238
00:23:10,880 --> 00:23:15,680
Interesting. The one bacteria that has evolved a mechanism against this is something called H.

239
00:23:15,680 --> 00:23:21,160
Polori or Helicobacter Polori, which basically will disrupt that mucosal lining.

240
00:23:21,160 --> 00:23:23,680
And that's how the ulcers can form happens in about two odd.

241
00:23:23,680 --> 00:23:25,800
No, no ulcers, no ulcers.

242
00:23:25,800 --> 00:23:29,120
And that happens in about 15 percent of patients.

243
00:23:29,120 --> 00:23:37,640
So, yeah, with insides, another way around that is to take acetaminophen or Tylenol if you have a headache, because that just acts at the brain center.

244
00:23:37,640 --> 00:23:42,840
It has nothing to do with inflammation going on in your body, which deals with prostaglandins.

245
00:23:42,840 --> 00:23:52,280
And those prostaglandins are the things that the insides act upon, which actually weirdly have a protective effect against acid reflux and ulcers,

246
00:23:52,280 --> 00:23:55,440
even though they're associated with inflammatory processes in the body.

247
00:23:55,440 --> 00:24:01,920
So, yeah, insides will inhibit prostaglandins. So again, you're going to inhibit that protective effect of prostaglandins.

248
00:24:01,920 --> 00:24:03,760
Yeah. Thank you for clarifying that.

249
00:24:03,760 --> 00:24:10,320
And yes, I just just want to let you know that I know sometimes it can it can seem like an either or do I take this?

250
00:24:10,320 --> 00:24:17,640
Do I not? It really depends on how often you're taking the drug or how often or how much of it you're taking over a certain period of time.

251
00:24:17,640 --> 00:24:20,240
That's going to contribute a risk factor.

252
00:24:20,240 --> 00:24:24,440
So, yeah. And along with the foods, too, like, you know, your body, you know what you're taking.

253
00:24:24,440 --> 00:24:29,160
But again, it's really hard to isolate a certain food just because you eat so many at the same time.

254
00:24:29,160 --> 00:24:32,080
It could be a combinatorial effect. It could be just one of them.

255
00:24:32,080 --> 00:24:37,640
It could be none of them. So it's tough. But, you know, trying to make it clear.

256
00:24:37,640 --> 00:24:43,000
Is it OK if I take this moment now to talk about indigestion as well, too?

257
00:24:43,000 --> 00:24:47,400
Absolutely. Yeah. So we should move on and maybe differentiate between the two.

258
00:24:47,400 --> 00:24:57,400
Yes. So so we talked about heartburn where you're going to feel the pain, maybe or maybe lower, lower chest, upper stomach.

259
00:24:57,400 --> 00:25:04,600
Well, indigestion is going to be an uncomfortable or burning feeling in the upper part of the belly.

260
00:25:04,600 --> 00:25:13,040
So it's like a little lower down. OK. So it's also that it's kind of it's got a medical term called dyspepsia.

261
00:25:13,040 --> 00:25:24,000
So because, oh, Josh, you probably are better at because pepsin is is I think it's one of the digestive enzymes in the stomach and stuff.

262
00:25:24,000 --> 00:25:28,480
So it's going to be responsible, I think, for degrading the proteins in your body.

263
00:25:28,480 --> 00:25:32,360
So is the suffix that refers to condition.

264
00:25:32,360 --> 00:25:37,480
Right. And this means broken. Yeah. You know, or something's wrong with it and stuff.

265
00:25:37,480 --> 00:25:40,680
So any of our listeners wants to look that up, feel free and then leave it in the comments.

266
00:25:40,680 --> 00:25:49,840
Yes, please. So so. So again, indigestion is going to be characterized by you're going to have a feeling of fullness after eating.

267
00:25:49,840 --> 00:25:58,120
You may be you may feel like you get full faster. So you call that satiety or earlier satiety or feeling fuller.

268
00:25:58,120 --> 00:26:05,000
You can have what we call epigastric pain. So it's that top of the stomach kind of pain or burning.

269
00:26:05,000 --> 00:26:12,440
And so so it's a little it's located a little bit different area in your body and stuff.

270
00:26:12,440 --> 00:26:24,680
So and again, the pathophysio or how that happens is is not as clearly known as the mechanisms for heartburn.

271
00:26:24,680 --> 00:26:30,160
It may be due to delaying stomach emptying.

272
00:26:30,160 --> 00:26:37,680
So then you're going to have more feeling of fullness or feeling like I'm not as hungry now anymore.

273
00:26:37,680 --> 00:26:47,560
Or it could be that your intestines aren't moving as in the right, you know, that that natural flow with the peristalsis and stuff like that.

274
00:26:47,560 --> 00:26:57,480
So and so and what I found as far as reading, as far as indigestion is concerned, is that sometimes it's more it's considered more of a symptom rather than a condition.

275
00:26:57,480 --> 00:27:04,920
Whereas heartburn is a condition, then then indigestion or dyspepsia is more of a symptom going along with something else.

276
00:27:04,920 --> 00:27:16,880
And so some of the causes associated with indigestion are that you could have increased nerve sensitivity in your in your in your stomach area or food sensitivity.

277
00:27:16,880 --> 00:27:21,240
You could have it could be due to the meal that you ate.

278
00:27:21,240 --> 00:27:25,760
Maybe you ate it too fast. Maybe you ate a food that you that you didn't like as much or whatever.

279
00:27:25,760 --> 00:27:33,720
Maybe it could be again acid reflux or that gastro esophageal reflux disease can also be associated with indigestion.

280
00:27:33,720 --> 00:27:37,560
Ulcers also can cause you to feel that way.

281
00:27:37,560 --> 00:27:44,400
And a lot of and like I mentioned, I think I think that we can clarify this.

282
00:27:44,400 --> 00:27:54,920
But from what I remember learning in school, primarily the ulcers that happen in the duodenum part of the small intestine were associated with helicobacter pylori.

283
00:27:54,920 --> 00:28:01,840
I'm thinking gastric ulcers were not as affected by the bacteria, but I maybe that there may be new data on that.

284
00:28:01,840 --> 00:28:04,600
So we'll have to verify that. OK. Yeah.

285
00:28:04,600 --> 00:28:12,760
If you've got slow stomach emptying or medications, there are some medications that can affect your gastrointestinal motility.

286
00:28:12,760 --> 00:28:18,360
And so if they're slowing it down, that can also contribute to that as well, too.

287
00:28:18,360 --> 00:28:24,680
Other things that can cause indigestion are if you have too much alcohol or caffeine.

288
00:28:24,680 --> 00:28:30,560
If you eat too much or too fast, fatty, spicy or acidic foods and stress and anxiety.

289
00:28:30,560 --> 00:28:40,160
So you can see some similarities between heartburn and indigestion as far as some symptoms as well as some causes as well, too.

290
00:28:40,160 --> 00:28:48,160
It's interesting because I think maybe the overall feeling that people would have, I think people know what a burn feels like and then just know what feeling full.

291
00:28:48,160 --> 00:28:51,240
Right. Right. So I bet there is an overlap.

292
00:28:51,240 --> 00:28:59,920
And I wonder if it could be a chicken or egg thing of like if you have indigestion, then that's the feeling of being full.

293
00:28:59,920 --> 00:29:02,360
Right. Which is like your stomach really expanding.

294
00:29:02,360 --> 00:29:06,720
Right. And that's going to push some of that acid up into your esophagus.

295
00:29:06,720 --> 00:29:09,280
Right. So like you kind of have this combinatorial effect.

296
00:29:09,280 --> 00:29:18,960
Actually, actually, that's a great segue into some of the symptoms associated with indigestion, because heartburn can be a symptom of indigestion for that very, very same reason.

297
00:29:18,960 --> 00:29:25,280
You can have some nausea associated with it again, bloating, the belching or burping.

298
00:29:25,280 --> 00:29:29,840
Sometimes you can actually vomit with indigestion again.

299
00:29:29,840 --> 00:29:43,280
And then all those things that we talked about being feeling full or or or feeling like you've eaten enough, maybe faster, quicker than you normally do and stuff.

300
00:29:43,280 --> 00:29:51,520
Let me let me point out a couple of things as far as heartburn or indigestion that you should be aware of.

301
00:29:51,520 --> 00:29:56,840
So a lot of us have had to treat that ourselves and we can handle it.

302
00:29:56,840 --> 00:30:06,800
And we'll talk a little bit in a little bit about the medications that are available to end in the lifestyle changes that are available to hopefully manage that.

303
00:30:06,800 --> 00:30:17,720
But there are a couple of conditions that you are symptoms that you want to be aware of that would make you think I need to see somebody maybe sooner rather than later.

304
00:30:17,720 --> 00:30:28,560
And one of the big things is that because indigestion and heartburn happen in the heart area, sometimes it can mimic a heart attack.

305
00:30:28,560 --> 00:30:57,560
And so that's that's serious. And so if you have this kind of burning pain in either your upper stomach or lower chest and it doesn't go away with taking something like an antacid or you have things like sweating or pain that goes down your arms or feeling.

306
00:30:57,560 --> 00:31:03,360
You know, dizzy or lightheaded or you have a feel that you feel like your chest is kind of squeezing.

307
00:31:03,360 --> 00:31:06,240
You can actually have pain in your jaw as well, too.

308
00:31:06,240 --> 00:31:14,600
Those all shoulders as well, too, things that are just different than it being localized right into your kind of stomach or abdomen area.

309
00:31:14,600 --> 00:31:19,200
Then you're going to want to get help pretty much right away because that potentially could be a heart attack.

310
00:31:19,200 --> 00:31:24,560
And so you want to be, you know, checked out for that, you know, pretty quickly.

311
00:31:24,560 --> 00:31:44,400
Other things that can go along with either heartburn or indigestion that would make you want to get to see a health care provider about it sooner rather than later or if you have difficulty swallowing, if you have pain with your swallowing, if you had an upper gastrointestinal bleed.

312
00:31:44,400 --> 00:32:05,200
So if you vomited blood or if you have blood that passes through your rectum, you want to if you have some unexplained weight loss or if you actually feel a mass somewhere like in your, you know, maybe your neck area or something that's not there normally, you could have they they can have.

313
00:32:05,200 --> 00:32:12,080
And they could indicate things like it could be things like gastroesophageal reflux disease.

314
00:32:12,080 --> 00:32:25,040
It could be you could have a narrowing of the esophagus and it could be an ulcer or and as I was as Josh and I were talking before we started with this this podcast.

315
00:32:25,040 --> 00:32:45,840
If you allow your esophagus to be exposed to acid over and over again, like with gastroesophageal reflux disease, and you don't do anything to manage that your esophagus being exposed to acid over time can increase your chances of developing gas esophageal cancer.

316
00:32:45,840 --> 00:32:50,000
So it's something that you want to make sure that you've got under control.

317
00:32:50,000 --> 00:32:58,720
So yeah, I think that's really good. So two things to clarify there. One on the first that cancer part is like talking about the mechanism there.

318
00:32:58,720 --> 00:33:13,680
You have to remember what cancer is. Cancer is actually the disease of your own cells, your cells actually mutating to the point where they lose their ability to act like normal cell because most cells basically kind of live right next to each other.

319
00:33:13,680 --> 00:33:18,560
They divide and they basically as soon as they run into their neighbor, they stop dividing.

320
00:33:18,560 --> 00:33:24,160
But cancer soon is essentially we just divide uncontrollably.

321
00:33:24,160 --> 00:33:28,640
And so this happens due to DNA mutations inside of these cells.

322
00:33:28,640 --> 00:33:33,520
So the more cells you destroy, the more times these cells need to be replaced.

323
00:33:33,520 --> 00:33:48,480
And every time they get replaced, they have to replicate, which introduces a chance for the error, which is why you normally see cancer in older people just because their cells have had to replicate more times and there's more chance for error every now and then you'll get some childhood cases.

324
00:33:48,480 --> 00:33:59,680
But that's just kind of the law of probability. So the number of times that you can reduce damage to any part of your body for replication, the lower your odds will be for cancer.

325
00:33:59,680 --> 00:34:07,440
Also, in terms of these, these are chronic conditions, you know, so keep in mind, you know, the heart attack is definitely not chronic. It's right then and there.

326
00:34:07,440 --> 00:34:13,760
So if you're experiencing those other symptoms other than the pain in the chest, pain rating down the arm and the jaw, etc.

327
00:34:13,760 --> 00:34:19,760
Then you're waiting, you know, that shortness of breath is another one as well to sign of a deeper problem.

328
00:34:19,760 --> 00:34:28,480
And then the cancer and the GERD, those are definitely more things that you'll notice maybe over a weeks to months period.

329
00:34:28,480 --> 00:34:41,200
And so for those atypical symptoms, if you go to see your health care provider, they would do some diagnostic tests to try to figure out what's going on.

330
00:34:41,200 --> 00:34:48,880
And that would be doing some blood work. They may do something that we call an upper endoscopy.

331
00:34:48,880 --> 00:34:56,000
Maybe some of you have had to have that where they're going to give you some medication to allow you to relax.

332
00:34:56,000 --> 00:35:08,160
And then they'll put a tube down your throat to be able to look into your stomach to see whether or not you've got an ulcer in your esophagus to see if you've got some acid damage or whatever, you know, as far as that's concerned.

333
00:35:08,160 --> 00:35:15,040
And sometimes you might need some imaging studies, you know, radiology imaging studies to look for things as well, too.

334
00:35:15,040 --> 00:35:23,760
But that's really beyond our scope. We really I mean, but that those will be the things that you could expect if you went to see your health care provider, if you were having some atypical symptoms that lasted over time.

335
00:35:23,760 --> 00:35:30,880
Yeah, unfortunately, getting that deep into the body means you have to probe pretty deep. So it's almost like worse than going to the dentist.

336
00:35:30,880 --> 00:35:36,720
So but luckily, they'll they'll give you stuff to relax and, you know, it's better to know what you've got than to not know.

337
00:35:36,720 --> 00:35:43,600
Right. Because some things can be treated and you prevent even a more serious condition.

338
00:35:43,600 --> 00:35:49,200
Yeah. Well, speaking of treatment, let's talk about things that we can do to treat at home.

339
00:35:49,200 --> 00:36:04,320
I think one of the things that I struggle with personally is when I experience indigestion, I often think, well, I need to take, you know, Pepto Bismol or I need to take an acid because it's really just the acid that's causing my indigestion when it really could just be that.

340
00:36:04,320 --> 00:36:15,120
I'm too full and I've eaten way too much and actually putting in an acid might actually make that worse because if I don't have enough acid, then it won't be able to digest my food as readily.

341
00:36:15,120 --> 00:36:31,200
So I'm hoping that you can go through some of these treatment options for these different conditions and maybe let people know, you know, which which which ones work well for different conditions and which ones don't work as well so that they can have a pretty good guide when they experience these conditions.

342
00:36:31,200 --> 00:36:52,880
Well, we're going to start, first of all, with lifestyle modifications. So again, this is like no drugs. So what do I do to keep from having heartburn or indigestion if I happen to be someone that gets it, you know, once a month or whatever, or I see a pattern developing and stuff as far as that's concerned.

343
00:36:52,880 --> 00:37:09,280
If you happen to have a few, you're carrying a few extra pounds along with you, trying to lose some weight can help to reduce heartburn belching or burping and regurgitating your contents, your stomach contents back up into your esophagus.

344
00:37:09,280 --> 00:37:18,120
You want to try to avoid eating within two to three hours of bedtime if that seems to be the time when you have most of your problems.

345
00:37:18,120 --> 00:37:32,480
Interestingly, sleeping on your left side, I thought this was really interesting. Somehow the way your anatomy is set up, it can help with your digestion and removing acid from the stomach and the esophagus more quickly.

346
00:37:32,480 --> 00:37:49,280
So you can elevate the head of your bed. And this is actually not sleeping on more pillows because that motion could actually cause you to kind of crunch over and kind of block your stomach and increase stomach pressure.

347
00:37:49,280 --> 00:37:59,600
So it's more like putting blocks under your bed, you know, and so you actually raise the head of your bed, you know, if you have one of those cool beds that you can like raise from the back.

348
00:37:59,600 --> 00:38:05,320
Yes, which those are a sweet number. We can do a little admin. No, not really. Sponsor us please.

349
00:38:05,320 --> 00:38:14,240
No. Yeah. And quitting smoking because there's a lot of reasons to quit smoking. I apologize if you love smoking, but there really are a lot of reasons to quit smoking.

350
00:38:14,240 --> 00:38:17,280
I don't apologize at all.

351
00:38:17,280 --> 00:38:30,240
Avoiding trigger foods. If eating curry just does you a number, then you might have to give it up. So I'm not picking on curry loving people, but it could be or it could be.

352
00:38:30,240 --> 00:38:38,080
Oh, my gosh. You know, in South Texas, we're talking about all the spices in Tex-Mex food and stuff. So that would, you know, that is the problem.

353
00:38:38,080 --> 00:38:43,800
Then you want to deal with red pepper. Yeah, I find it's interesting because I wonder if it's actually I have no answer to this.

354
00:38:43,800 --> 00:38:53,200
I'm just spinning off the top of my head. I often wonder if we often blame the foods that we love for causing these things because we love them so much.

355
00:38:53,200 --> 00:38:57,200
So we actually eat more of them like no one blames broccoli for indigestion. Right.

356
00:38:57,200 --> 00:39:02,200
It's like, but they blame ice cream or cookies or curry because it's delicious.

357
00:39:02,200 --> 00:39:07,360
And so you eat more of it because you're getting all that amazing dopamine hit to it.

358
00:39:07,360 --> 00:39:16,560
So I just I often think that honestly, eating a little less, especially as you get older, like when you're a kid, I'm sure everybody remembers when you were a kid, you could just eat anything.

359
00:39:16,560 --> 00:39:28,360
And you don't think you ever got indigestion. But as you get older, these mechanisms, this peristalsis, this pathway of digestion slows down just because your body ages and it doesn't work as efficiently.

360
00:39:28,360 --> 00:39:37,640
So you kind of have to adjust your lifestyle to your biology, which is so hard to do. And it's accepting the fact that you are aging and that is a tough thing to do.

361
00:39:37,640 --> 00:39:47,200
But your body will thank you. And unfortunately, if you're not going to exercise or change your sleep habits or quit smoking, then it's just going to get worse.

362
00:39:47,200 --> 00:39:53,600
I mean, exercise and sleep and reducing stress can help, but it's not going to make you 13 again.

363
00:39:53,600 --> 00:39:57,920
It's only going to make your current situation just a little bit better.

364
00:39:57,920 --> 00:40:07,080
If you do know that you have some trigger foods that really like every time you eat it, you're like as much as I love this, it makes me feel crummy afterwards.

365
00:40:07,080 --> 00:40:13,400
Then you're probably going to want to avoid those foods or eat, like Josh said, a little bit less, you know, have a taste and stuff.

366
00:40:13,400 --> 00:40:17,840
You want to avoid overeating. That is especially as you get older.

367
00:40:17,840 --> 00:40:23,720
It's just it's just not worth it. It's just not worth it because then you feel miserable for the rest of the day or the night or whatever.

368
00:40:23,720 --> 00:40:30,440
So, you know, try to eat less, you know, set a set a limit and also eating more slowly.

369
00:40:30,440 --> 00:40:35,280
My husband and I, we were like snarf through dinner and we're like, oh, my gosh, why do I feel so bad?

370
00:40:35,280 --> 00:40:41,040
So it's like put your fork down, you know, eat with a fork instead of your hands, you know, and stuff.

371
00:40:41,040 --> 00:40:45,720
So you've got to like, you know, control, you know, how fast you eat.

372
00:40:45,720 --> 00:40:53,000
And that is so hard. I don't know why there is that sense of like, I have to eat this immediately.

373
00:40:53,000 --> 00:40:59,240
Like I do the same exact thing, whereas like if I don't eat this quick, it's just going to not be delicious anymore.

374
00:40:59,240 --> 00:41:06,760
Yeah. But if I just took a break and like ask somebody a question, if I'm eating with somebody or just, you know, just sat and like, wow, I'm really enjoying this meal.

375
00:41:06,760 --> 00:41:11,800
And but there's something about it. You just want to keep going. Yeah. Just consuming it all. Yeah.

376
00:41:11,800 --> 00:41:16,160
And this this also is interesting to wear loose fitting clothes.

377
00:41:16,160 --> 00:41:31,640
I mean, if you're going out and you want you're wanting to look good and, you know, slim line and, you know, make, you know, contour, you know, fitting clothes, don't go eat, you know, or eat very little, you know, and so.

378
00:41:31,640 --> 00:41:33,840
So wear a trash bag. There you go. Yeah.

379
00:41:33,840 --> 00:41:36,040
You can expand to it. Yeah.

380
00:41:36,040 --> 00:41:42,840
So so those are your lifestyle modification things to think about as far as helping with indigestion and heartburn.

381
00:41:42,840 --> 00:41:54,000
But if you do get heartburn or indigestion, there are a couple of non prescription over the counter medications that are typically used to manage.

382
00:41:54,000 --> 00:42:01,320
The first is going to be in acids and acids are going to be your things like maylocks or mylanta.

383
00:42:01,320 --> 00:42:05,840
A lot of times they're liquid. They can be chewable tablets as well, too.

384
00:42:05,840 --> 00:42:10,680
And they neutralize the acid that's in your stomach.

385
00:42:10,680 --> 00:42:13,920
They are not actually very much systemically absorbed.

386
00:42:13,920 --> 00:42:15,840
They kind of act locally.

387
00:42:15,840 --> 00:42:26,560
The deal with in acids is that usually you have to take either a fair amount of it, like 30 mls of of mylanta or a couple of tablespoons.

388
00:42:26,560 --> 00:42:30,040
And you have to usually use it fairly frequently.

389
00:42:30,040 --> 00:42:36,480
So that would be really hard for me because mylanta or maylocks liquid is so thick and stuff.

390
00:42:36,480 --> 00:42:38,440
It almost makes me gag. But that's me.

391
00:42:38,440 --> 00:42:41,080
You know, and stuff. But some people can handle it and stuff.

392
00:42:41,080 --> 00:42:44,240
And so it's definitely, you know, a definitely a treatment you can use.

393
00:42:44,240 --> 00:42:48,160
How often do you have to do it during this period?

394
00:42:48,160 --> 00:42:51,040
Like you said, you said you have to drink it a lot.

395
00:42:51,040 --> 00:42:55,720
So, for example, if you were taking.

396
00:42:55,720 --> 00:43:07,840
Gavis, which is a combination of aluminum hydroxide and magnesium carbonate, that's another thing I should mention that most of the in acids contain aluminum products,

397
00:43:07,840 --> 00:43:11,560
calcium products or magnesium products and stuff.

398
00:43:11,560 --> 00:43:19,680
And I think we should. I think people, when immediately when they hear metals, they immediately think like heavy metal poisoning and things like that.

399
00:43:19,680 --> 00:43:24,760
So can we I think we should mention that it's not like you're just taking aluminum.

400
00:43:24,760 --> 00:43:29,360
There are aluminum compounds that they're aluminum attached to.

401
00:43:29,360 --> 00:43:37,520
So when they enter into your body, they will, you know, the aluminum will detach from the main compound and act upon it.

402
00:43:37,520 --> 00:43:40,800
But that aluminum will hopefully will get excreted as waste.

403
00:43:40,800 --> 00:43:43,800
And hopefully, if you're not taking a lot, it won't accumulate a lot in your body.

404
00:43:43,800 --> 00:43:48,880
Correct. Right. Because let's take, for example, aluminum hydroxide.

405
00:43:48,880 --> 00:43:56,120
When you take it, it's going to neutralize the hydrochloride or that acid in your stomach.

406
00:43:56,120 --> 00:44:02,520
It forms an aluminum salts with chloride and then it creates water.

407
00:44:02,520 --> 00:44:07,480
So because it's a chemical reaction, if you remember back to those, remember, we all had to take chemistry at one point.

408
00:44:07,480 --> 00:44:11,800
You know, and stuff, all those chemical reactions, we had to write out and that's reassuring.

409
00:44:11,800 --> 00:44:16,280
So it's nice because I think a lot of people think they put aluminum in their body and the aluminum stays.

410
00:44:16,280 --> 00:44:22,040
But actually, the aluminum combines with the chlorine, which makes the aluminum chloride, which is a salt.

411
00:44:22,040 --> 00:44:25,760
And it remains as that. And because it's a salt, it's probably water soluble.

412
00:44:25,760 --> 00:44:28,400
And it also has a higher pH.

413
00:44:28,400 --> 00:44:34,760
And so it's going to help your pH go up and neutralize your your hydrogen, your those hydrogen acids.

414
00:44:34,760 --> 00:44:40,480
And it'll probably get excreted by urine at some point because it's water soluble. Right. OK, cool.

415
00:44:40,480 --> 00:44:46,360
So that so so that was that's important to know as far as what is in those antacids.

416
00:44:46,360 --> 00:44:56,120
But so, again, primarily the salts that are in and acids are magnesium, aluminum, calcium, carbonate or sodium carbonate.

417
00:44:56,120 --> 00:45:00,040
And aluminum and magnesium come in a couple of different salt forms.

418
00:45:00,040 --> 00:45:04,560
But when you're talking about the dose of these antacids, like I said,

419
00:45:04,560 --> 00:45:12,440
you have to take a fair amount of it. So, for example, so they come they can come in chewable tablets or they come in a liquid.

420
00:45:12,440 --> 00:45:18,680
If you take the tablets, you're looking at chewing two to four tablets four times daily.

421
00:45:18,680 --> 00:45:23,520
So, you know, that's a lot and stuff. But if you're not feeling well, then you're probably going to do it.

422
00:45:23,520 --> 00:45:26,040
But those tablets can taste kind of chalky and stuff and all.

423
00:45:26,040 --> 00:45:30,440
And so, I mean, it's it's a it's patient preference, really, and stuff.

424
00:45:30,440 --> 00:45:39,920
And the liquid form of it, you're you're thinking of taking anywhere from one to two tablespoons four times a day as well.

425
00:45:39,920 --> 00:45:46,240
OK, wow. So this is really more of the indigestion indigestion heartburn doesn't go away.

426
00:45:46,240 --> 00:45:49,560
Right. Yeah. And you're like, OK, I got to take this and get it away.

427
00:45:49,560 --> 00:45:54,160
So you have to be pretty consistent with taking these over maybe an eight hour period.

428
00:45:54,160 --> 00:45:59,280
And maybe one dose will do it for you. You know, it's you know, it just depends, you know, and stuff.

429
00:45:59,280 --> 00:46:08,080
Yeah. So another thing that can be used if you if you're like, well, you just you just kind of all that stuff.

430
00:46:08,080 --> 00:46:10,680
You just told me about the anesthetics. Maybe I'm not going to try that.

431
00:46:10,680 --> 00:46:14,240
But please, it is an option and it does work.

432
00:46:14,240 --> 00:46:21,240
And it's it's it it can be it give you immediate relief, but maybe some patients it doesn't work as well.

433
00:46:21,240 --> 00:46:27,640
So you can also use bismuth sub salicylate, which is also known as Pepto bismol.

434
00:46:27,640 --> 00:46:34,520
Pepto bismol has protective effects on your stomach mucosa, and it has some weak antacid properties.

435
00:46:34,520 --> 00:46:41,200
There's some other things that Pepto bismol does as well, which are beyond the scope of this particular talk.

436
00:46:41,200 --> 00:46:51,240
So you don't want to use Pepto bismol in younger kids and teens because it has an aspirin like component in it.

437
00:46:51,240 --> 00:46:59,400
And aspirin in kids and every parent knows this rule in young kids and teens.

438
00:46:59,400 --> 00:47:07,120
They're not supposed to use aspirin in kids because if they've got any chickenpox or flu like symptoms, things with a fever,

439
00:47:07,120 --> 00:47:11,560
it in rare instances, it can cause a condition called Rye syndrome.

440
00:47:11,560 --> 00:47:16,480
And Rye syndrome is an encephalopathy or a swelling of the brain.

441
00:47:16,480 --> 00:47:21,360
And it doesn't have a mechanism, the mechanism is not well known,

442
00:47:21,360 --> 00:47:28,560
but there just happens to be this association with using aspirin type products and developing this in kids who are sick.

443
00:47:28,560 --> 00:47:34,880
So you want you instead of using Pepto bismol in kids, you're going to probably want to use it.

444
00:47:34,880 --> 00:47:45,280
And the kids that develop indigestion, it's just that's really I didn't even address that really here because it's not really it's not really common.

445
00:47:45,280 --> 00:47:50,240
You know, and again, if the kiddo is doing that, is it having having those types of symptoms?

446
00:47:50,240 --> 00:47:53,200
I'd sure want to go to my pediatrician and find out what's going on.

447
00:47:53,200 --> 00:48:03,160
Absolutely. And it might even be lifestyle choices that the child might be a little bit overweight and that might be causing that and or not getting enough sleep and things like that.

448
00:48:03,160 --> 00:48:12,880
That's well said. So with Pepto bismol, they obviously have a different mechanism, but is the the outcome the same with that in an acid?

449
00:48:12,880 --> 00:48:15,640
Like, would you take them for similar reasons?

450
00:48:15,640 --> 00:48:24,320
Like if I was feeling heartburn or indigestion, I would I would take Pepto bismol or an acid for a similar goal.

451
00:48:24,320 --> 00:48:38,240
So. I didn't really see any comparative data looking at Pepto bismol and an acids from just my just my clinical.

452
00:48:38,240 --> 00:48:45,440
Thought on that would be that, yes, they can both help with heartburn or indigestion,

453
00:48:45,440 --> 00:48:59,760
but in acids have a direct neutralizing effect on the acid component and and Pepto bismol is more of a protecting the mucus lining of the stomach and the esophagus.

454
00:48:59,760 --> 00:49:11,120
So I think it's going to be patient specific. Maybe Pepto bismol works great for you when you have heartburn or indigestion, but maybe it wouldn't work great for me.

455
00:49:11,120 --> 00:49:18,120
So it's certainly something you could try to see if maybe you have a lighter case of indigestion or heartburn, whether it works.

456
00:49:18,120 --> 00:49:22,640
But I might be more likely to pick any an acid over Pepto bismol.

457
00:49:22,640 --> 00:49:30,000
But again, I don't have any real strong data to definitively say that.

458
00:49:30,000 --> 00:49:37,320
Yeah, it's interesting. Yeah, with some of these different mechanisms, they obviously yield different results.

459
00:49:37,320 --> 00:49:43,080
So if you're having a hard time, if you feel like you just got more of an acidic environment, you then yeah, maybe an acid.

460
00:49:43,080 --> 00:49:56,120
Right. And we have to remember, too, that Pepto bismol is promoted for use in multiple issues, for multiple issues, including diarrhea,

461
00:49:56,120 --> 00:50:06,360
you know, nausea and stuff, which which are different and could be potentially involve different mechanisms of the medication that are beyond the scope of heartburn and indigestion.

462
00:50:06,360 --> 00:50:15,240
Yes. And maybe there maybe if you if you are able to solve the diarrhea problem, they might have some downstream effects on the heartburn and indigestion for some reason.

463
00:50:15,240 --> 00:50:19,000
And it's like, oh, look, we did that, too. Yes. Yeah.

464
00:50:19,000 --> 00:50:21,720
It's yeah, that's a good point. It's beyond my scope here.

465
00:50:21,720 --> 00:50:27,240
So, OK, OK. Then the other the other medications that you're going to see.

466
00:50:27,240 --> 00:50:40,600
So the next thing that if you want to take something that maybe you don't have to take as frequently, that also works to help to control acid production in your stomach

467
00:50:40,600 --> 00:50:44,400
is going to be what we call a histamine to receptor blocker.

468
00:50:44,400 --> 00:50:49,880
That's going to be your thing like a cimetidine or for modinine or pepsin.

469
00:50:49,880 --> 00:50:53,480
You know, so tagamet and pepsin are the brand names.

470
00:50:53,480 --> 00:51:03,560
It used to be that Xantac was also available, but Xantac has been removed from the market a couple of years ago because it was identified and researchers

471
00:51:03,560 --> 00:51:12,360
that identify that it contained a chemical in it that could be a potential human carcinogen or could potentially cause cancer in patients.

472
00:51:12,360 --> 00:51:18,960
So they took all the Xantac off the market. But that problem is not seen with pepsin or tagamet.

473
00:51:18,960 --> 00:51:26,840
And so these drugs, they're like I said, they're histamine to receptor blockers or we call them H2Rase.

474
00:51:26,840 --> 00:51:36,320
They reduce acid secretion by inhibiting histamine on the histamine receptor of the parietal cell.

475
00:51:36,320 --> 00:51:42,760
Parietal cells line your stomach, and that's the cell that produces the acid in your stomach.

476
00:51:42,760 --> 00:51:49,840
So if you are able to block the receptor, the histamine receptor on this parietal cell,

477
00:51:49,840 --> 00:51:54,680
you can help to prevent acid from being released into the stomach.

478
00:51:54,680 --> 00:52:00,840
OK, gotcha. So when you're taking in an acid, you're just neutralizing the acid that's in your stomach.

479
00:52:00,840 --> 00:52:03,560
But this already been produced. But this blocks it at the source.

480
00:52:03,560 --> 00:52:07,400
Right. It's like it's almost like you have a spigot of acid coming out.

481
00:52:07,400 --> 00:52:11,120
You're blocking the spigot with these. OK, that makes sense.

482
00:52:11,120 --> 00:52:21,600
And so these histamine blockers, histamine receptor blockers have a longer duration of effect than antacids.

483
00:52:21,600 --> 00:52:25,840
And they have but it takes them a little bit longer to start working.

484
00:52:25,840 --> 00:52:30,880
So in acids are going to start working a little bit quicker, but you have to take them more frequently.

485
00:52:30,880 --> 00:52:37,400
Whereas if you take something like pepsin or tagamet, it may take a little bit longer for it to work.

486
00:52:37,400 --> 00:52:40,880
But it's going to you don't have to take it four times a day.

487
00:52:40,880 --> 00:52:52,520
Is it safe to take these medications, these histamine blockers and but then do antacids while you're waiting for it to kick in?

488
00:52:52,520 --> 00:52:56,000
You can. You can. That's safe to do. Yes.

489
00:52:56,000 --> 00:52:58,480
You know, all drugs are going to have issues.

490
00:52:58,480 --> 00:53:03,880
I think the thing with antacids, if you are taking other medications,

491
00:53:03,880 --> 00:53:17,840
antacids can bind other medications, so sometimes there's guidelines and rules as far as when you're supposed to take your antacid and when you take your other medication.

492
00:53:17,840 --> 00:53:25,080
Usually there's about a two hour gap that you have to allow, you know, between taking the antacid and the other medication,

493
00:53:25,080 --> 00:53:29,680
because the antacid could bind your other medication and then it wouldn't work right.

494
00:53:29,680 --> 00:53:31,560
So you don't want that to happen as well.

495
00:53:31,560 --> 00:53:39,480
OK, histamine two receptor blockers, they've got some drug interactions, but not that same kind.

496
00:53:39,480 --> 00:53:48,400
So the other thing that's kind of interesting, too, with a histamine two receptor blocker is that you want to usually just take them as needed

497
00:53:48,400 --> 00:53:53,040
because you could develop tolerance to it as you if you took it all the time.

498
00:53:53,040 --> 00:53:56,680
So you're just looking for an as needed type of a medication for this.

499
00:53:56,680 --> 00:54:03,600
So when you're having those heartburn symptoms, indigestion symptoms, then that's when you take your histamine blocker.

500
00:54:03,600 --> 00:54:05,440
All right. OK.

501
00:54:05,440 --> 00:54:14,280
And then the last class of drugs that are that are available are called proton pump inhibitors.

502
00:54:14,280 --> 00:54:25,760
And these are your drugs like Prilosec, Omeprazole, Prilosec, Asifax.

503
00:54:25,760 --> 00:54:32,560
They are going to. So while you've got your histamine receptor blocker that's blocking histamine release,

504
00:54:32,560 --> 00:54:38,120
I mean, blocking acid release from that histamine receptor, your proton pump inhibitors,

505
00:54:38,120 --> 00:54:48,480
there is actually a what we call a proton pump inside the.

506
00:54:48,480 --> 00:54:53,440
One. It's inside the parietal cell.

507
00:54:53,440 --> 00:55:08,000
And so by blocking this pump, then you are blocking the production of acid even further down than just at the release point.

508
00:55:08,000 --> 00:55:10,560
And so you have less being produced.

509
00:55:10,560 --> 00:55:13,720
Yeah, because remember from our earlier talk about what acids are,

510
00:55:13,720 --> 00:55:19,520
acids are essentially the ability to donate these positive proton ions.

511
00:55:19,520 --> 00:55:27,160
So if you are taking away one of the ingredients to make these acids, then, yeah, you're going to diminish the amount of acids.

512
00:55:27,160 --> 00:55:30,720
Right. I just want to make sure I'm speaking.

513
00:55:30,720 --> 00:55:33,680
You know what? I think I misspoke. May I may I rewind?

514
00:55:33,680 --> 00:55:43,160
You may rewind. So you've got, you know, your histamine receptors that allow acid to be released.

515
00:55:43,160 --> 00:55:49,040
But this proton, this this pump is the last step in gastric acid secretion.

516
00:55:49,040 --> 00:55:55,080
And so blocking it then allow blocks acid for being released from the cell.

517
00:55:55,080 --> 00:56:03,640
So it's a more it's a more potent binding. It's a more sounds more prolonged finding.

518
00:56:03,640 --> 00:56:14,160
And so basically, proton pump inhibitors are not prescribed unless you have more frequent heartburn.

519
00:56:14,160 --> 00:56:17,520
So it's going to be the people that have it a couple of times a week.

520
00:56:17,520 --> 00:56:20,040
And so not for the occasional heartburn.

521
00:56:20,040 --> 00:56:25,360
Yeah, it's not going to be for that occasional heartburn so much as it's going to be for more things like gastroesophageal reflux.

522
00:56:25,360 --> 00:56:27,680
Yes. This isn't something you can get over the counter.

523
00:56:27,680 --> 00:56:29,360
You can get it over the counter. You can.

524
00:56:29,360 --> 00:56:37,520
You can. But and I think that some people may maybe mistakenly pick this up for occasional heartburn.

525
00:56:37,520 --> 00:56:46,880
But I would I would make a choice to pick something like an H2 receptor blocker, like a Pepsid for that, those occasional cases.

526
00:56:46,880 --> 00:56:58,080
Whereas I would choose your Prilosec, you know, more for those those people that either have GERD or are plagued with, you know,

527
00:56:58,080 --> 00:57:01,840
indigestion or heartburn a couple of times a week and stuff.

528
00:57:01,840 --> 00:57:07,440
Again, if you have heartburn more than two times a week, there could be something else going on.

529
00:57:07,440 --> 00:57:11,560
So that's when you want to see your physician or your or your health care provider.

530
00:57:11,560 --> 00:57:17,640
Again, if you end up getting diagnosed with GERD, then a proton pump inhibitor is one of the treatments for GERD.

531
00:57:17,640 --> 00:57:21,360
And so you could then purchase it over the counter.

532
00:57:21,360 --> 00:57:29,160
Sometimes it depends. This is just a little aside, but it depends on your prescription drug program that you have with your insurance.

533
00:57:29,160 --> 00:57:39,160
If you have health insurance and prescription insurance, sometimes it could be cheaper to get it filled through your prescription plan than buying, you know,

534
00:57:39,160 --> 00:57:44,080
omeprazole over the counter, you know, so you just have to figure that out price wise and stuff.

535
00:57:44,080 --> 00:57:47,600
But you do have the ability to buy it over the counter if you need it.

536
00:57:47,600 --> 00:57:52,600
But I would hold off on getting this for those occasional heartburn symptoms, you know.

537
00:57:52,600 --> 00:58:04,440
So it interestingly, this drag, it's it only it only works on active proton pumps.

538
00:58:04,440 --> 00:58:09,840
So it's better to take it in the morning, whereas histamine two receptor blockers.

539
00:58:09,840 --> 00:58:19,480
I mean, yes, you can take it for your occasional heartburn, but it tends to work better with your your acids creating histamine cells overnight.

540
00:58:19,480 --> 00:58:23,080
So it's better to take it at bedtime or closer to bedtime if you've got to take one.

541
00:58:23,080 --> 00:58:27,800
Now, if you get heartburn in the middle of the day, then you can definitely take a pepsi, you know, and stuff.

542
00:58:27,800 --> 00:58:34,280
But it might be after your dinner, like you might be experiencing after that, which would be a good time to take the pepsi.

543
00:58:34,280 --> 00:58:44,880
You don't want to take a proton pump inhibitor on your own without guidance for more than 14 days straight for two weeks or for more than once every four months,

544
00:58:44,880 --> 00:58:50,640
unless you're being guided by your health care provider, because, yes, it can be taken daily to treat GERD.

545
00:58:50,640 --> 00:58:58,120
But you want to have that diagnosis and you want some guidance by your by your health care provider as to how long to take it and what things to watch out for.

546
00:58:58,120 --> 00:59:02,320
OK, great. I think those are great treatment options and a really good summary of,

547
00:59:02,320 --> 00:59:05,880
you know, almost like the most basic to the most severe.

548
00:59:05,880 --> 00:59:08,080
Yeah, yeah. Good, right.

549
00:59:08,080 --> 00:59:19,680
So so let me just kind of review a little bit about when heartburn when heartburn can be more serious than heartburn.

550
00:59:19,680 --> 00:59:25,280
So if you have frequent or constant heartburn, heartburn every day,

551
00:59:25,280 --> 00:59:32,720
then it could indicate that you may have gastroesophageal reflux disease, which can lead to esophageal cancer if you don't treat it.

552
00:59:32,720 --> 00:59:35,280
So you're going to want to get some help with that.

553
00:59:35,280 --> 00:59:45,880
If you have abdominal pain, it could mean that you got a stomach bug, you know, or it could be that you've got an infection, excess alcohol use, a lot of alcohol.

554
00:59:45,880 --> 00:59:49,720
Overuse can cause some other issues that can cause abdominal pain.

555
00:59:49,720 --> 00:59:52,160
And so you'd want to have that checked out.

556
00:59:52,160 --> 00:59:56,960
Medication induced stomach ulcers can also cause abdominal pain.

557
00:59:56,960 --> 00:59:59,840
So, again, you want some help with that as well, too.

558
00:59:59,840 --> 01:00:05,920
If you have the hiccups or coughs related with things like heartburn, it could indicate a high aileronia.

559
01:00:05,920 --> 01:00:08,240
So you want to get that checked out.

560
01:00:08,240 --> 01:00:15,720
If you have difficulty swallowing, it could mean that you have an irritation in your esophagus or gastroesophageal reflux disease.

561
01:00:15,720 --> 01:00:17,440
Want to get that checked out.

562
01:00:17,440 --> 01:00:26,200
If you have nausea and vomiting associated with it, then you could have GERD, you could have a hiatal hernia, or you could have esophagitis.

563
01:00:26,200 --> 01:00:28,120
So something else to check out.

564
01:00:28,120 --> 01:00:36,040
And again, as we mentioned before, if you have severe chest pain or pressure, if you take an E and acid and in a few minutes you don't see any relief,

565
01:00:36,040 --> 01:00:38,200
you could potentially be having a heart attack.

566
01:00:38,200 --> 01:00:41,960
So you want to get some help right away.

567
01:00:41,960 --> 01:00:46,200
So let me just kind of summarize what we've talked about.

568
01:00:46,200 --> 01:00:50,120
Josh, do you have any other things to say before I kind of summarize what we've talked about today?

569
01:00:50,120 --> 01:00:51,720
No, I'm ready to wrap it up.

570
01:00:51,720 --> 01:00:52,720
Okay.

571
01:00:52,720 --> 01:01:02,920
So self-treatment of heartburn and indigestion or dyspepsia should be limited to mild or moderate symptoms.

572
01:01:02,920 --> 01:01:12,360
Like we talked about, if you have that burning in your upper abdomen or chest after you eat, or you have some centralized abdominal discomfort.

573
01:01:12,360 --> 01:01:19,760
So pretty much limited symptoms to things like that, no other symptoms associated with that, then you can treat it yourself.

574
01:01:19,760 --> 01:01:25,720
If you have any atypical or alarm symptoms, please go get help from either an emergency center,

575
01:01:25,720 --> 01:01:32,560
if it seems like it's a heart attack or your health care provider, if it's any of those other types of symptoms.

576
01:01:32,560 --> 01:01:43,560
If you're a parent with a kiddo, treatment of mild, transient or infrequent heartburn, sour stomach or indigestion should be limited.

577
01:01:43,560 --> 01:01:53,960
And really, if you got some frequent, a kiddo that's complaining of that frequently, then I would see your health care provider for that.

578
01:01:53,960 --> 01:02:01,720
Pregnant women can treat mild and infrequent heartburn, which you're going to possibly see with later pregnancy,

579
01:02:01,720 --> 01:02:09,680
with calcium and magnesium containing acids. They have been shown to be safe in pregnancy.

580
01:02:09,680 --> 01:02:20,440
Patients with heartburn should be, remember the lifestyle measures that we talked about that maybe you could implement to help reduce your cases of heartburn and indigestion.

581
01:02:20,440 --> 01:02:26,000
You should try to go through those as well, too, so that you can minimize experiencing heartburn and indigestion.

582
01:02:26,000 --> 01:02:34,080
Things like overeating or losing some weight, not lying down after you eat, that type of thing.

583
01:02:34,080 --> 01:02:41,840
And also, too, we talked about the different types of over-the-counter medications that are available to you.

584
01:02:41,840 --> 01:02:53,360
You can try the different ones, specifically in acids and histamine blockers for those occasional cases of heartburn to see what works best for you.

585
01:02:53,360 --> 01:03:01,080
Remember, they both kind of help to block the effects of acid on your stomach.

586
01:03:01,080 --> 01:03:05,600
Again, in acids, they're going to work a little quicker, but you have to take them more frequently.

587
01:03:05,600 --> 01:03:11,640
Histamine receptor blockers may take a little bit longer to work, but they are going to work longer.

588
01:03:11,640 --> 01:03:19,960
And then proton pump inhibitors should be used for those people who have frequent heartburn, occurring more than twice a week.

589
01:03:19,960 --> 01:03:28,520
Make sure that you don't use them chronically without some guidance from a health care provider.

590
01:03:28,520 --> 01:03:35,920
If you have any symptoms that worsen or change, make sure you contact your health care provider as well, too.

591
01:03:35,920 --> 01:03:38,320
So that's all I've got.

592
01:03:38,320 --> 01:03:43,400
Well, that's fantastic. And I feel full.

593
01:03:43,400 --> 01:03:46,560
Maybe we need to go get some sort of antacid.

594
01:03:46,560 --> 01:03:48,840
Yeah, maybe we should prevent that heartburn.

595
01:03:48,840 --> 01:03:58,000
Yeah. And again, for those of you out there, also just remember, eat a little slower, savor that meal, be thankful that you have a meal.

596
01:03:58,000 --> 01:04:01,040
And that might cause you to slow down just a little bit.

597
01:04:01,040 --> 01:04:03,360
But we hope that this helps during the holiday season.

598
01:04:03,360 --> 01:04:12,640
Please be around people that you love and give them an extra hug for us because there's no greater time than just sitting around with your loved ones, eating really, really good food.

599
01:04:12,640 --> 01:04:17,000
And if you do it responsibly, then you'll wake up the next day wanting to do it again.

600
01:04:17,000 --> 01:04:21,400
So thanks again for just coming with us on this journey for this year.

601
01:04:21,400 --> 01:04:26,840
We are so happy that you came along with us and we will see you in 2024.

602
01:04:26,840 --> 01:04:29,840
So with that being said, my name is Josh Klaus.

603
01:04:29,840 --> 01:04:31,240
And I'm Jennifer Seltzer.

604
01:04:31,240 --> 01:04:33,920
And this has been another episode of Your Mom on Drugs.

605
01:04:33,920 --> 01:04:47,440
See you next time.