Health for a Lifetime

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Three Angels Broadcasting Network

Program transcript

Participants: Don Mackintosh (Host), Neil Nedley

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Series Code: HFAL

Program Code: HFAL000223


00:01 The following program presents principles
00:03 designed to promote good health
00:04 and is not intended to take the place of
00:06 personalized professional care.
00:08 The opinions and ideas expressed are
00:11 those of the speaker. Viewers are encouraged
00:13 to draw their own conclusions about
00:15 the information presented.
00:49 Hello and welcome to Health For A Life Time.
00:53 I am your host Don Mackintosh
00:54 and today we're gonna talk about digestion.
00:55 We're gonna talk about some problems
00:57 that can be encountered with our digestive system.
01:00 Talking with us today is Dr. Neil Nedley;
01:03 he's from Ardmore, Oklahoma.
01:04 Welcome Dr. Nedley. Thank you.
01:07 And you deal with all the organ systems
01:09 and of course the alimentary canal
01:13 or the digestive system is something
01:15 that causes people, well many blessings,
01:18 but also some problems. Yes, absolutely.
01:21 One of my fields in fact it's probably
01:25 one of my primary emphasis
01:26 in internal medicine,
01:27 is the field of gastroenterology.
01:29 And that has to do with the entire
01:32 gastrointestinal track.
01:33 Okay, so we're gonna talk about
01:36 what's called GERD? What does that mean?
01:39 Gastroesophageal Reflux Disease
01:42 is what it stands for. And of course,
01:45 the gastro that's where the acid is made,
01:47 the esophagus is above where the stomach is?
01:51 And then you have Reflux,
01:53 which means there are stomach contents
01:55 refluxing backwards where they're really not
01:58 supposed to go into the esophagus.
02:00 And of course that can produce disease,
02:02 so that's the, the term
02:04 Gastroesophageal Reflux Disease.
02:06 Okay, well let's talk about how it's suppose
02:08 to work first, the digestive system?
02:10 Well, digestion actually begins in the mouth,
02:15 that's how the digestion begins.
02:18 And we actually have a graphic in regards
02:21 to the mouth components.
02:23 That's actually something that we have
02:25 voluntary control over, the rest of the digestive
02:28 tract we really don't have much
02:29 voluntary control, but we have control
02:32 over the type of food or fluid
02:33 we put into our mouth, we have control
02:36 when we put the food or fluid into our mouth.
02:40 Okay. We also have
02:42 control over the temperature
02:43 of what we put into a large extent,
02:46 and then we also have control over
02:47 how long we chew and savor the food.
02:50 So, we have quite a bit of control.
02:52 Quite a bit of control on the first part
02:54 in the digestive system, which is the mouth?
02:57 So, so what types, well you know,
03:00 you said digestion begins in the mouth,
03:01 but doesn't it begin in the mind,
03:02 I mean sometimes I'll think about something
03:04 and my mouth will start to salivate.
03:06 Yes, it can, condition response sort of speak.
03:11 And yes, if we think about something like that
03:15 we can or even if we come across
03:17 the smell for instance,
03:18 then the digestive juices
03:21 can start going and also on timing.
03:24 If we're used to being on a regular pattern
03:26 everyday, which is actually
03:27 healthier to be that way.
03:28 If we don't happen to eat at that particular time,
03:32 my digestive juices go into action
03:34 and that's inefficiency,
03:35 if we're not eating at that time.
03:37 So, the type of food we put
03:39 or fluid we put in our mouths,
03:41 what types of things,
03:42 I mean it's pretty obvious don't put nuts,
03:45 bolts and all kinds of stuff in your mouth,
03:48 but you know, I think a lot of people
03:51 make mistakes concerning that.
03:53 Absolutely, they make mistakes concerning it.
03:57 And that's one of the reasons why
03:59 Gastroesophageal Reflux Disease
04:00 is so prominent. Our next slide actually
04:05 shows some of the symptoms of
04:09 Gastroesophageal Reflux Disease.
04:10 Heartburn after a heavy meal or
04:14 when you're bending over or
04:16 when you're lifting.
04:17 And when that occurs that's abnormal
04:18 and that's one of the most common and,
04:20 prominent symptoms is heartburn.
04:22 When heartburn occurs when lying down,
04:25 particularly at night or on the back,
04:27 that is also Gastroesophageal
04:30 Reflux Disease. Three quarters
04:33 of people with GERD will experience night time
04:35 symptoms that might even awaken them from night
04:38 with this burning. And then they can get
04:40 into regurgitation as well, where they.
04:43 Throwing up. Well, it's not really vomiting,
04:46 but they'll actually begin to taste
04:49 the stomach contents there on the back
04:51 of the throat or in the mouth.
04:54 And is this an acute,
04:57 is this something that's chronic
04:58 or acute or depending on that,
05:00 you have a big meal you're gonna have this?
05:02 Well, many people in fact,
05:05 it's estimated that about 40% of people
05:09 will suffer from GERD in any given year.
05:13 And so, Gastroesophageal Reflux Disease
05:15 is pretty, pretty common and,
05:19 and then some people about 20% get into the
05:22 severe GERD, where actual complications can occur?
05:27 But what I mean is, you know the curse does
05:29 not come causeless, I mean you know
05:31 that if you ate this big huge meal
05:33 and then you have some of these problems
05:36 that you're talking about that night you,
05:37 you know exactly what that came from?
05:39 That's right, is that from the big meal.
05:41 Is that different then what you're talking about
05:43 in terms of GERD? No, no matter
05:46 what the cause of the GERD,
05:47 GERD is GERD. GERD is GERD.
05:49 And if it's due to a heavy meal,
05:51 a voluntary GERD for instance,
05:53 or you know maybe you weren't informed
05:56 in regards to that food would do that,
05:58 but basically anytime we get reflux,
06:02 rather persistent reflux of stomach contents
06:07 back into the esophagus that's GERD.
06:09 Okay, so what are the risk factors for GERD?
06:12 Well, the risk factors for GERD
06:14 we actually have a graphic
06:16 about that as well. Heavy meal,
06:18 you talked about that, if you're snaking
06:21 at any time that's a risk factor,
06:24 but particularly snacking before bed time
06:26 is gonna dramatically increase the,
06:28 the incidence of GERD.
06:30 High fat foods will also increase the incidence;
06:34 it takes a lot longer for the high fat foods
06:37 to be digested and for the stomach
06:39 to empty out, if you're in your third trimester
06:42 of pregnancy, the pressure that's
06:45 put on the abdomen makes it much easier to reflux.
06:49 And then there are additional risk factors,
06:51 if you have asthma or Chronic
06:54 Obstructive Pulmonary Disease or
06:56 Respiratory Disease, you often are using
06:58 your accessory muscles and your abdominal
07:00 to breathe that can produce pressure
07:01 and can cause a reflux. Tight clothing,
07:04 particularly around the abdomen
07:07 itself will dramatically increase reflux.
07:10 And many women that are slightly overweight
07:15 utilize these tight clothing.
07:17 This puts everything up including,
07:20 including the food. That's right.
07:22 Tobacco, nicotine actually relaxes
07:25 the esophagus sphincter and allows acid to freely
07:28 come into the esophagus.
07:30 Alcohol also relaxes the lower esophagus
07:34 sphincter and can cause acid reflux.
07:36 And then the Non-steroidal anti-inflammatory
07:39 drugs abbreviated NSAIDs,
07:40 these are drugs like Ibuprofen,
07:42 Naprosyn, Aleve, you know, Celebrex,
07:47 these types of drugs can significantly increase
07:52 the risk. And then other drugs
07:53 such as the Nitroglycerin medicines.
07:56 Nitroglycerin actually relaxes smooth muscle,
07:59 the lower esophagus sphincter
08:00 is a smooth muscle. Calcium Channel Blockers
08:03 also can cause reflux.
08:05 And then anatomical problem called
08:08 the Hiatal Hernia can increase the risk.
08:10 And then many people are unaware that caffeine,
08:13 peppermint and chocolate significantly
08:16 increase the risk of
08:18 Gastroesophageal Reflux Disease.
08:20 How does that work?
08:21 Caffeine increases acid production
08:24 and relaxes the lower esophagus sphincter,
08:26 so it's working two ways.
08:28 And peppermint does the same?
08:29 Peppermint actually does relax smooth muscle
08:32 and it will relax the lower
08:34 esophageal sphincter.
08:36 In fact, sometimes for spasm disorders
08:39 of the intestinal tract will recommend peppermint
08:41 as a treatment because peppermint
08:44 will relax the spasm,
08:45 but for the average person
08:47 you don't want a relaxation of the lower
08:49 esophageal sphincter. Food is not supposed
08:53 to go back into the esophagus,
08:54 it's supposed to go the other way.
08:55 And as we relax that and the stomach contracts,
08:58 it'll come right back up into the esophagus
09:01 with peppermint on board. Okay, what about obesity?
09:04 Obesity will significantly increase
09:07 the risk of reflux and it's one of the reasons
09:10 why we're seeing much more GRED today
09:13 because the waistlines
09:14 are increasing. Obesity again
09:16 is increasing the intra abdominal pressure,
09:18 and that intra abdominal pressure
09:21 no matter what it's due to,
09:23 third trimester pregnancy
09:24 or obesity can significantly
09:27 increase the reflux. You know I've seen
09:29 these CAT scans of obese people
09:32 and really the issue is not what you see outside
09:35 is what is inside, the fat that's inside?
09:39 That's right. And I think that
09:41 people don't really realize that.
09:43 They don't really realize
09:44 that's all crammed in there.
09:45 Yeah, the reason that's pushing out
09:46 is because it's already crammed in,
09:48 so just a little, a little belly
09:50 could be a big problem.
09:53 And when you do surgery on these individuals
09:55 you really find that out,
09:56 I mean you open up that abdomen,
09:58 that fat just you know comes forth
10:01 sort of speak because it's been so confined.
10:05 Okay, so when is it that you should do a
10:10 procedure and figure out what's going on,
10:13 I mean these are all the risk factors,
10:15 but when do you actually go in
10:17 and do a procedure? Well we, it is recommended
10:21 now by the American Cancer Society
10:23 that anybody who's had reflux intermittently
10:26 for 5 years or more should undergo
10:30 an endoscopy to have that esophagus looked at.
10:33 It's also recommended that anyone
10:36 who has what's called dysphagia or odynophagia.
10:40 Dysphagia is difficulty in swallowing,
10:42 that means after you,
10:43 you know take some bread or maybe eat
10:46 some solid food that kind of hangs up
10:47 in the esophagus before it passes through
10:50 that's not normal and that,
10:54 that endoscopy needs to be done right away.
10:56 Odynophagia is a painful swallowing
10:59 and if anyone has pain at all
11:01 when they swallowed that's an indication
11:03 to get that esophagus looked at.
11:06 And I think you have a graphic on
11:07 something you called EGD.
11:10 Yes, an EGD is the procedure where we take a
11:15 camera on a, the end of a scope,
11:19 it's a thin scope its about as big around
11:21 as my little finger here,
11:22 it's flexible and has a light on the end of it
11:25 and with that light we can get some very
11:28 sophisticated pictures of the esophagus to stomach
11:31 and the duodenum.
11:32 And that scope is called an EGD,
11:35 it stands for Esophagogastroduodenoscopy,
11:40 and we do have a graphic on that.
11:43 Alright, well let's look at,
11:44 it's recommended when you have heartburn
11:46 for 5 years or more?
11:47 Yes, or if you've had th persistent symptoms
11:50 despite being on anti-acids or something like that
11:53 that would be another indication.
11:54 And that picture that you see there
11:56 on the screen is actually reflux,
11:59 that scope is in the esophagus there
12:01 and what you are seeing is actually acid
12:04 and other stomach contents coming backup
12:07 that lower esophagus sphincter
12:09 into the esophagus itself.
12:11 So, sometimes on endoscopy we will see that
12:13 in a real time. The actual esophageal
12:17 sphincter being weak and that reflux occurring
12:21 right into our lens sort of speak.
12:24 Alright, so any other indications,
12:28 I think your graphic continues as well
12:31 Yes, yeah the other indications.
12:34 Well, these are actually complications.
12:37 This particular graphic is the complications
12:39 of reflux. And notice the erosions there,
12:43 Erosive Esophagitis those are actual ulcerations,
12:48 that white area on top of the red area
12:51 about the 6 O'clock position that's actually
12:53 purulent material or puss type material
12:57 that's right there in the erosions.
12:59 And you're seeing erosions in several areas
13:02 there in the esophagus and then sometimes
13:04 a discreet ulcer can form,
13:06 that's the picture on the right-hand-side
13:08 is the ulcer. Then we can get Stricture.
13:12 Stricture is due to scar tissue forming
13:14 with all that reflux and actually narrowing
13:17 that down to the point where the individual's
13:19 food starts hanging up before it passes down
13:22 through. And a very significant
13:25 severe condition called Barrett Esophagus.
13:27 This is where the esophagus changes
13:30 its mucus permanently into a Barrett's
13:34 type esophagus which increases
13:36 the risk of malignancy.
13:37 So, these complications and the,
13:41 what causes them it's very significant really?
13:44 And can get, go from bad to worse it looks like?
13:47 Yeah, absolutely and of course those
13:50 complications can produce further complications.
13:53 Well, we wanna comeback,
13:54 we're talking with Dr. Neil Neldley,
13:56 we're gonna look a little more
13:57 at those complications, but also some solutions,
13:59 join us when we comeback.
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15:03 Welcome back we have been talking with
15:04 Dr. Neil Nedley, we've been talking about
15:06 digestion, and it's a wonderful thing
15:08 if it's working well, but what we have
15:11 discovered is that many times
15:13 it doesn't work well. Dr. Nedley
15:15 this is because of choices that we make,
15:17 the food that we eat, when we eat it,
15:18 the temperature of it
15:20 and all these different things.
15:21 That's right; actually the stomach
15:23 has to have four things that are constant
15:27 for the end of the stomach the pylorus
15:30 to begin to empty the food into the
15:32 intestinal tract. And those four things
15:35 that has to have the constant pH. Oh!
15:37 So, that's the acid based.
15:39 And there are sensors in the duodenum
15:41 that will sample the food as it's emptied
15:45 from the stomach and if it's not a constant pH,
15:47 a constant temperature and a constant osmolarity,
15:51 or if the size is too big,
15:53 if it's greater than a millimeter square
15:55 it will actually clamp that pylorus down,
15:59 to keep, so the stomach can mix it all up
16:02 to get that constant and then it will begin
16:03 to sample it again. And that's one of the reasons
16:06 why eating between meals is one of the worst things
16:09 that can happen for an individual
16:11 as far as initiating reflux is concerned
16:15 because the stomach may have things already
16:18 and then some new food is put down
16:19 in there before it has a chance to completely
16:21 empty. The pylorus has to clamp down
16:23 and begin to emulsify and to mix that food up
16:28 to try to get those constant readings.
16:30 Probably why it's important
16:32 to chew as well? That's right,
16:34 chewing thoroughly will help our stomach
16:36 out significantly to get those sizes again less
16:39 than a millimeter square is what the
16:41 duodenum is looking for.
16:42 Now, we were looking at some complications
16:44 and I wanna go through those again
16:46 for those who maybe are just joining us
16:48 and show us what these are?
16:50 Yes, Erosive Esophagitis that's graphed
16:54 there one of the things that Erosive Esophagitis
16:56 and ulcerations both of those can cause
16:59 is bleeding. We will often see a person
17:02 with anemia due to reflux.
17:04 And the reflux causes microscopic bleeding
17:08 or maybe massive bleeding,
17:09 some of the ulcers in the esophagus
17:11 can bleed rather readily,
17:12 can erode into a blood vessel and you can start
17:14 vomiting up blood and get massive bleeding
17:17 as a complication of reflux.
17:19 The next slide also shows some additional
17:24 complications of Gastroesophageal
17:26 Reflux Disease. And that is a stricture,
17:30 that's where food starts to hang up.
17:32 What we will do with that stricture
17:33 when we see it as we will take a
17:35 balloon dilator with the scope and open that up,
17:38 so the individual can swallow like they used to.
17:41 Does that hurt?
17:42 Well, we have monitored anesthesia,
17:44 so it's doesn't hurt at that time,
17:46 but it will only last for maybe up
17:50 to three years the stricture will come again,
17:52 the scar tissue will form again.
17:54 Some people have-to-have that
17:55 dilated every 6 months.
17:56 And what started the whole process off
17:59 was reflux? And the Barrett's Esophagus
18:02 that you saw on the screen there,
18:03 Barrett's is actually a change in the mucosa
18:07 to an abnormal mucosa that can actually
18:11 initiate cancer. And this is why once
18:15 we find Barrett's Esophagus that individual
18:17 has to be scoped every year
18:18 or maybe every two years to make sure that
18:21 the beginnings of malignancy
18:23 are not starting to form.
18:24 And that's because the cells are multiplying
18:29 and they are kind of abnormal cells already.
18:32 Yes, the columnar epithelium of Barrett's
18:35 Esophagus is abnormal and it does help bring
18:40 about cancer in some instances.
18:44 Now, most people with Barrett's,
18:45 if we know about it ahead of time we can put
18:48 them on a program, so that it reduces the
18:51 likelihood of them developing cancer,
18:53 but still we need to find out.
18:55 In our last graphic in regards
18:58 to the complications is actually cancer itself.
19:01 This starts out with Barrett's Esophagus
19:04 and then it goes into Adenocarcinoma,
19:07 a glandular cancer. And there's two different
19:10 patients there on the screen
19:12 that we had and both of them did not get
19:17 scope like they were supposed to do
19:18 and following up there Barretts,
19:20 and so they ended up with the Adenocarcinoma.
19:22 And Adenocarcinoma is the fastest
19:24 rising cancer in the United States.
19:27 It's dramatically increasing and it's increasing
19:30 because reflux is increasing and that's why
19:32 we're having a program on this because,
19:34 if we can prevent the reflux or treat
19:37 the reflux we can prevent cancer.
19:39 And the unfortunate thing about the
19:41 Adenocarcinoma Esophagus is death
19:43 within a year in virtually all cases,
19:45 very few people are spared.
19:48 We'll do surgery, we will do radiation,
19:50 we will do chemo, those things can prolong
19:52 the life to some extend, but normally
19:55 it still death within a year.
19:56 Once you get it, that's it usually.
19:58 Yeah, and so that's why we want to catch it
20:00 in the Disc Plastic form before gets to the cancer
20:04 form because then we can prevent the deaths
20:07 now completely. So, someone
20:10 that's having some of those symptoms
20:11 we talked about early on,
20:12 don't just dismiss those make sure that
20:15 you either amend your lifestyle,
20:17 so they don't come about or if they continue to,
20:20 make sure and see someone like yourself?
20:22 That's right, be sure.
20:24 You know, interesting in the Bible
20:25 it says that at end of time people
20:30 will be struggling because their God
20:33 is their belly. You think this
20:35 is kind of related to that?
20:36 Absolutely, yes, people have choices
20:40 what they are putting into their food
20:42 and particularly the over eating,
20:44 the high fat meals, those type of things are
20:46 lending to Gastroesophageal Reflux Disease,
20:49 the alcohol as well, I mean there's a marked
20:52 increase risk of Adenocarcinoma
20:53 and those who drink and smoke as well.
20:55 So, let's talk about treatment.
20:57 Well, the treatment actually first
20:59 should be diet, actually and lifestyle measures.
21:03 And we have a graphic in regards
21:06 to the actual treatment,
21:08 but lifestyle and dietary change,
21:11 44% of patients will experience
21:13 relief of symptoms with modest changes
21:16 in their diet. Now, these aren't significant
21:18 changes, but modest changes.
21:20 And those if we do significant changes
21:24 80% of patients experience relief
21:26 with bold dietary and lifestyle changes.
21:29 So, what we are talking about in
21:30 these changes, are we talking about
21:31 chewing your food? That's right,
21:33 chewing the food adequately
21:35 and thoroughly, savoring the food,
21:37 taking time for that and actually
21:38 for not eating in a stressful environment
21:40 it's one of the reasons why we want to be
21:42 stress free with good conversation
21:45 and those types of things and savoring the food,
21:48 chewing the thoroughly will help significantly
21:50 in preventing reflux.
21:51 Secondly, the type of food that we are eating,
21:54 the modest changes that we recommend
21:56 in virtually everyone is no caffeine,
21:59 decaf even, decaf has tannins in it,
22:03 and the tannins will actually also cause reflux.
22:08 Chocolate, chocolate weakens the lower
22:11 esophageal sphincter, and so we have everyone
22:14 avoid chocolate, peppermints, spearmint and alcohol.
22:17 Also eliminating carbonated drinks,
22:20 the carbonated drinks because of the air,
22:22 the carbon dioxide in them will tend to come
22:25 right back up, and that's why people
22:27 tend to belch afterwards, decreasing the size
22:29 of the meal. And so this,
22:32 this is what we recommended virtually every individual
22:35 if they're overweight they need to lose weight
22:38 down to their ideal weight to get that intra
22:40 abdominal pressure under control,
22:42 thoroughly chewing the food and then increasing
22:44 whole grains rich in selenium
22:46 has also been shown to be healthful
22:48 in preventing reflux. What is selenium?
22:51 Selenium is a trace mineral,
22:53 that's present particularly in grains
22:55 from the Dakotas. And then the more
22:57 aggressive measures that we would recommend
22:59 in some people and this is where we can get,
23:01 increase the yield from 44 to 80%,
23:04 more aggressive measures are avoiding
23:05 ascetic food such as oranges,
23:07 lemons, grapefruit, pineapple, tomatoes.
23:09 Lot of people don't realize meat
23:11 is an ascetic food and it very much is.
23:14 And then not eating fruits and vegetables
23:17 at the same meal, it's good to eat
23:20 your fruits at meal, vegetables at another.
23:22 For people they don't have reflux problems
23:24 there is no problems eating fruits
23:26 and vegetables at the same meal,
23:27 but if you are having problems of reflux
23:30 and you've tried the,
23:32 the common measures and you are not in that 44%
23:35 category to experiencing relief from the common
23:39 measures then we would recommend more
23:40 aggressive measures and that would be not eating
23:43 fruits and vegetables at the same meal
23:44 and even avoiding, completely avoiding
23:46 certain types of fruits
23:48 that are high in acid content.
23:49 Well, this is talking about significant changes and,
23:53 and things that people usually don't like
23:55 to be talked with about, I mean people want to eat
23:59 what they want to eat, when they want to eat,
24:01 how they want to eat it? And so, have you had
24:04 success in talking with your patients about this?
24:07 Well, absolutely and people tend not to want
24:11 to be depended on medicines for life,
24:13 and although if you have any erosion or an ulcer
24:15 we are gonna put you on a medicine to actually block
24:18 your stomach from producing acids,
24:20 so even if you are refluxing the acids not at least
24:23 going up into the esophagus,
24:25 and you will have another for eight weeks,
24:27 but eight weeks will cure it.
24:29 In most cases, and then if you're on a good lifestyle
24:33 program you won't need medicine
24:34 the rest of your life, but otherwise
24:36 you are gonna need to take these expensive
24:38 medicines and lot of these drugs are expensive,
24:40 $130 a month that you're having to pay off,
24:43 and they also can have side effects.
24:45 The medicines that help reflux can cause
24:47 the abdominal pain, it can decrease the
24:50 absorption of vitamin B12,
24:51 for instance because you are not producing
24:54 that acid which can help
24:55 with the absorption of B12.
24:56 Well, what about the person that says,
24:59 well you know my family's always just had
25:01 bad stomach it's just because
25:03 of my family history?
25:04 Well, people may have a genetic predisposition
25:08 to a weak lower esophageal sphincter
25:10 and they have predisposition to obesity
25:13 genetically, but despite those genetic
25:17 predispositions, if we are on a good diet 80%
25:21 of those individuals will not need
25:24 to take medicine. And so they can
25:27 control it with their diet and lifestyle.
25:30 Well you know, you are a Christian physician,
25:33 what kind of spiritual lessons do you draw
25:36 from the digestive system and when you talk
25:39 with people, how do you
25:41 point them to the master?
25:42 Well, we point them to the master
25:44 by being able to change our lifestyle.
25:47 All of us are creatures of habit
25:48 and we as human beings don't like to change
25:53 that readily. But if we know that
25:56 is best for us to change,
25:58 we still can't change unless we have the
26:01 Holy Spirit working in our life.
26:02 And if we just simply ask God to help us
26:06 with the change, he knows that
26:08 we need to change and
26:10 we are willing to do our part,
26:11 at first it seems like a tremendous sacrifice
26:14 for people to leave out some of these items
26:17 in their diet particularly the more addictive
26:19 substances, I mean chocolate
26:21 can be addictive, alcohol can be addictive,
26:23 but study show repeatedly that if
26:26 we do our part and we are willing to make that
26:29 decision to change, if we rely upon God
26:33 even the 12 Step program that works with food
26:36 as well, let go and let God,
26:38 God can indeed help us to completely
26:42 change our life. And that's why when
26:44 we leave the spiritual component out of giving
26:47 information we're really leaving out the power
26:50 for people to change and change permanently.
26:53 You know, sometimes people have their stomachs
26:57 clamped or this gastric resection,
26:59 does this cause problems with the,
27:01 this kind of esophageal problems
27:04 that you've mentioned?
27:05 Yes, it can the, the stomach surgeries
27:07 that are done can lead to more reflux
27:09 that's true, of course there is a surgery
27:12 to tries to get rid of reflux,
27:14 it's called the fundoplication
27:16 where the stomach is wrapped
27:17 around the esophagus,
27:18 and that might help with the reflux,
27:20 but the individual never be able
27:21 to belch or vomit again. Okay.
27:24 And that can produce bloating
27:25 and other types of symptoms,
27:26 so we just trade one disease for another
27:28 sometimes with the surgery.
27:29 We've been talking with Dr. Neil Nedley,
27:31 we have been talking about the wonderful
27:33 divinely inspired digestive system
27:35 and we have talked about how
27:37 we can really complicated,
27:39 but we have also seeing that
27:40 there is a good news, a large percentage
27:42 of you that are struggling with these things
27:45 can actually stop them and reverse them
27:47 with just simple changes.
27:48 We encourage you to do that,
27:50 we're thankful that you watched today,
27:52 and we hope you have health
27:53 that lasts for a lifetime.


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Revised 2014-12-17