Participants: Don Mackintosh (Host), Neil Nedley
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. 14:04 Are you confused about the endless stream 14:06 of new and often contradictory health 14:08 information, with companies 14:10 trying to sell new drugs and special interest 14:13 groups paying for studies that spin the facts, 14:15 where can you find a common sense approach 14:17 to health? One way is to ask for your 14:20 free copy of Dr. Arnott's 24 realistic ways 14:23 to improve your health. Dr. Timothy Arnott 14:26 and the Lifestyle Center of America produced 14:28 this helpful booklet of 24 short 14:30 practical health tips based on 14:32 scientific research and the Bible that will 14:34 help you live longer, happier and healthier. 14:36 For example, did you know that women 14:39 who drink more water lower the risk of heart 14:41 attack? Or that 7 to 8 hours of sleep at night 14:44 can minimize your risk of ever developing diabetes. 14:47 Find out how to lower your blood pressure 14:49 and much more if you're looking for help not hike, 14:52 then this booklet is for you. 14:53 Just log on to 3abn.org and click on free offers 14:57 or call us during regular business hours, 14:59 you'll be glad you did. 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. |
Revised 2014-12-17