Wheat Belly Redux: Dramatic facial skin changes
With this Wheat Belly Blog post, I begin an occasional series of posts from the earlier days of the Wheat Belly experience that nonetheless provide some powerful lessons on the effects of this lifestyle. Here is a post from Dawn from 2014 that perfectly illustrates what wheat and grain consumption can do to skin health. “Left = summer, 2013. Right = today. Started Wheat Belly March 20th, 2014. Lost 25 lbs by July and have maintained ever since. I can’t say enough about this lifestyle. Beyond the 25 pound weight loss, what I find striking are the changes in Dawn’s skin: the redness is gone and there is visibly less facial edema. Dawn looks dramatically different minus wheat and grains.” We see this with some frequency around here and it reflects the loss of body-wide inflammation, most readily evident on the skin. Inflammation on the skin is often paralleled by inflammation of the gastrointestinal tract and elsewhere. Though she doesn’t elaborate, I’d be willing to bet that Dawn also experienced some important improvement in gastrointestinal symptoms, especially acid reflux, bowel urgency, and bloating. Regardless, you can appreciate just how dramatic the change has been for Dawn’s appearance. This is yet another example of how eliminating wheat and grains from the diet does not just achieve substantial weight loss, but also yields outsized improvements in health–because they never belonged in the human diet in the first place. T...
Gastroesophageal reflux disease (GERD) is associated with a nearly three-fold increased risk of temporomandibular disorders (TMD), according to a new case-control study.Reuters Health Information
Dysphagia is one of the most common postoperative symptoms reported by patients following antireflux surgery. A recent paper in Clinical Gastroenterology and Hepatology provided a comprehensive overview of recent advances in the management of esophageal motility disorders in general.1 In this issue, Hasak and colleagues2 report outcomes of adults who developed dysphagia following antireflux surgery for treatment of gastroesophageal reflux disease. Of 157 patients, 64.3% reported postoperative dysphagia; about half reported clinically significant dysphagia, defined as a score ≥ 2 on a 5-point Likert scale.
Laryngopharyngeal reflux (LPR), a growing issue in ear, nose, and throat (ENT) and pediatric medicine, is the backflow of stomach contents into the laryngopharynx. Patients present with frequent upper and/or lower respiratory tract infections and coughs, associated with acid- and pepsin-mediated injury to the mucosae of the larynx and pharynx. LPR is associated with rhinosinusitis, laryngitis, pneumonia, and asthma. Children with LPR often fail to exhibit classic gastroesophageal reflux disease symptoms, or such symptoms may be intermittent.
Sleeve gastrectomy has become the most common procedure performed for weight loss. But emerging data indicate that this procedure can result in lifestyle-limiting gastroesophageal reflux disease. The influence of these gastroesophageal reflux disease symptoms on patient satisfaction with the procedure has not been explored.
An 82-year-old male, with a history of bowel cancer with partial colectomy, gastroesophageal reflux disease, remote partial gastrectomy for peptic ulcer disease, and no documented prior kidney disease, presents with several months of fatigue and subacute decline in kidney function. He had no history of diabetes, hypertension, kidney stones, or prior urinary tract infections. He denied use of nonsteroidal anti-inflammatory agents, herbal medications, and recent antibiotics. There was no family history of renal disease.
New international consensus guidelines offer recommendations for selecting adults with gastroesophageal reflux disorder (GERD) for antireflux surgery.Reuters Health Information
DiscussionWe suggest an open gastrectomy with roux-en-Y anastomosis as an alternative to the Nissen fundoplication for patients with connective tissue disease that develop terminal pulmonary consequences and require a lung transplant.
Conclusions: Fundoplication with GT is effective in reducing hospital admissions and emergency department visits from GER and seizures in NI children. Because of high mortality within a year of fundoplication and GT in DNR children, anti-reflux medications with GT might be an alternative. PMID: 31423518 [PubMed - in process]
We examined the relationships among symptom burden, EMD, acid exposure time (AET), symptom association probability, and body mass index (BMI).
This study examined the safety and efficacy when repairing defects in 2 anatomical structures (hiatus and lower esophageal sphincter) in a concomitant set of procedures in patients with hiatal hernias between 2 and 5 cm. Methods. Prospective data were collected from 99 patients who underwent hiatal hernia repair followed immediately by the TIF procedure (HH + -TIF). GERD-HRQL (Health-Related Quality of Life), RSI (Reflux Symptom Index), and GERSS (Gastroesophageal Reflux Symptom Score) questionnaires were administered before the procedure and mailed at 6 and 12 months. Results. Ninety-nine patients were enrolled, and all w...