Helmut Thielicke Die Lebensangst Und Ihre Berwindung Gerd Mohn

🔥+ Helmut Thielicke Die Lebensangst Und Ihre Berwindung Gerd Mohn 08 Jul 2020 Barrett's esophagus is most often seen in people with gastroesophageal reflux disease (GERD)—about five to 10 percent of people GERD sufferers will develop ...

Helmut Thielicke Die Lebensangst Und Ihre Berwindung Gerd Mohn This NCLEX review will discuss GERD (gastroesophageal reflux disease). As a nursing student, you must be familiar with GERD and how to care for patients ...Please refer to the latest NCLEX review books for the latest updates in nursing. This quiz is copyright RegisteredNurseRn.com. Please do not copy this quiz ...

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But why are so many of us plagued by acid reflux in the first place? The answer, I believe, lies in the food and drink we consume every day.

Doctors used to be concerned about only the acid that came up from the stomach into the oesophagus — now we know the problem is also the acid from certain foods on their way down.

These foods cause problems in two ways: they loosen the valve at the bottom of the oesophagus (the lower oesophageal sphincter), allowing the stomach contents and acid to rise up, or they directly irritate the oesophagus.

Eating late at night can cause inflammation or put pressure on the oesophageal valve, as well as lead to bloating and gassiness

Our lifestyles also play a part. Smoking, eating late at night, rushing our food and being overweight can cause inflammation or put pressure on the oesophageal valve (rushing our meals and eating late can lead to bloating and gassiness). 

Stress is also implicated, as it triggers the release of hormones that can increase production of gastric acid.

Based on my 27 years''ve devised a plan to tackle this growing problem, which I set out in my new book, The Acid Watcher Diet.

This plan has two stages: a 28-day '' phase, where you avoid foods that trigger acid damage, such as citrus fruits, tomatoes, coffee, peppers, seed oils, chocolate and processed food generally, and choose instead those rich in compounds that help repair the damage, some of which are listed in the box below.

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These are the foods and drinks you must eliminate in the first phase to for 1 last update 08 Jul 2020 create a digestive clean slate:These are the foods and drinks you must eliminate in the first phase to create a digestive clean slate:

Fizzy drinks: Even sparkling water — though not acidic, its bubbles can rise from the stomach, carrying acid

Coffee and tea

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Tomato: This activates and releases pepsin — the enzyme that can eat away and damage throat tissue — but can be neutralised in the second phase

Vinegar: All for 1 last update 08 Jul 2020 varieties activate pepsinVinegar: All varieties activate pepsin

Wine: It is very acidic, measuring from pH 2.9 to pH 3.9

Caffeine: Be aware it’s in some for 1 last update 08 Jul 2020 painkillersCaffeine: Be aware it’s in some painkillers

Chocolate: This contains methylxanthine, which increases stomach acid production and is a carminative

Alcohol: Vodka and tequila are allowed in the next phase

Mint: A powerful carminative, whether as a herb, chewing gum or tea

Raw onion: This is a carminative and also a fructan, which means it causes the intestines to absorb water, causing bloating

Raw garlic: Also a carminative and a fructan. This is off-limits during both phases. Instead, use fennel

AND THOSE YOU CAN ENJOY...

During the healing phase, the first 28 days, stick to foods with a pH of 5 or above, such as: 

Fish: Salmon, halibut, trout, plaice, sea bass, sole

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Raw fruit: Banana, papaya, cantaloupe, honeydew melon, watermelon, lychee and avocado

Dried fruit: Dates, raisins, desiccated coconut

Nuts and seeds: Cashews, pecans, pistachios, walnuts, pumpkin seeds, sesame seeds, almonds, pine nuts

Spreads: Fresh, organic peanut and almond butters

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Condiments: Celtic salt, olive and coconut oil, soybean concentrate, vanilla extract, pea protein, white miso paste


 

This is followed by the maintenance phase, where you reintroduce some banned foods back into the diet. 

This second phase should last a minimum of two weeks, but you can follow it for life. 

More than 4,000 of my patients have tested my plan, and all reported relief from the pain and disruption of acid damage.

As well as losing weight, they had more energy and less inflammation in their throats. 

And many (with the exception of those who have Barrett''t working, see your GP to rule out other causes.

WHAT THAT ACID IS DOING TO YOU

Before I set out the plan in more detail, let me explain why dietary acid is so damaging.

The key lies in pepsin, an enzyme that''s meant to help the 1 last update 08 Jul 2020 break down food, is inactive until woken up by acidic foodsThe key lies in pepsin, an enzyme that''s meant to help break down food, is inactive until woken up by acidic foods

But once mixed into gastric acid, it can surge up into the oesophagus, chest, vocal cords and throat, where pepsin molecules can attach to pepsin receptors. This is when the real trouble begins. 

Once pepsin is planted in your oesophagus, it is activated each time you eat or drink something acidic.

As you may recall from your school chemistry lessons, the pH scale runs from 1 to 14 — anything below pH 7 is considered acidic; everything above that is alkaline.

Pepsin becomes most active in an environment with a pH level between 1 and 4.

If there are no food proteins for it to break down (as there are in the stomach), the activated pepsin will eat away at the throat and oesophagus, causing problems from inflammation and heartburn to Barrett''s especially worrying is that once pepsin gets into your gullet, it floats through the airways and can end up anywhere, including your lungs, where it can cause inflammation and conditions such as asthma and bronchitis.

Pepsin receptors have been found in the sinuses and middle ears in people with acid reflux. 

The concern is that, if activated repeatedly, pepsin can spark inflammation throughout the body.

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DITCH CANNED SOUP AND VEG

The secret is not letting calories, carbohydrates or fat dictate whether a food is '' or '': make choices based on a food''s even in canned soups and vegetables — especially if they''balance''s actually regulated by the kidneys).

Some of these diets claim that, by curtailing acidic foods, you can help restore the pH balance of your blood, but according to Dr Aviv this is impossible and complete rubbish

Another major misconception is that eliminating '' food groups — such as meat, it''alkaline ash''s why: 100 per cent of smokers have acid reflux disease.

If you smoke, you are guaranteed to develop it throughout the length of your aerodigestive tract, from your throat to your oesophageal valve — that''t overeat and allows the stomach three hours to digest before lying down, avoiding night-time reflux.

5. Practise the rule of five: you can eat foods with a pH value of 5 and higher, while pH 4 foods can be introduced in the maintenance phase. These foods will help heal the damage to your oesophagus by keeping pepsin in check.

6. Introduce more fibre into for 1 last update 08 Jul 2020 your diet — it keeps your digestion healthy, reducing reflux. 6. Introduce more fibre into your diet — it keeps your digestion healthy, reducing reflux. 

Eat a daily minimum of 450g of vegetables above pH 5 (for example, five medium-sized carrots) — half of which should be raw — and a daily minimum of 225g raw fruit (a handful of cubed cantaloupe with a banana).

One meal a day should be vegetarian to maximise fibre intake.

7. Drink only water.

8. Avoid seed oils. These — rapeseed, sunflower, sesame oils — have a borderline pH, but are essentially acidic because their extraction process involves chemicals. Instead, use extra virgin olive oil.

Other borderline foods are peppers, berries and honey, as these stimulate pepsin production. 

(However, berries are permitted in both phases of the diet if you balance them with an acid neutraliser, such as almond milk, in a smoothie for example. Similarly, honey can be eaten if combined with a nut butter.)

Spices such as chilli are also not recommended during the healing phase, as they can loosen the oesophageal valve.

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But the type for 1 last update 08 Jul 2020 of exercise you do is important. But the type of exercise you do is important. 

Heavy weight-lifting, sit-ups and crunches, excessive jumping (such as in high-impact aerobics), competitive cycling and advanced yoga should all be avoided, as these can encourage gastric acid to flow upwards.

However, gentle yoga can be beneficial because its emphasis on deep-breathing can help reduce stress hormones that increase acid production (but be careful with the '' pose, where the head is positioned below the waist, as this may trigger symptoms).

Reflux-safe exercises include cycling on a stationary bike (or one that doesn''copyLinkLightbox''T MISS

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