ANSWER: If you still think your problem is too much acid, keep this in mind. The older people get the more likely they are to use antacids. This is interesting as stomach acid production decreases dramatically as people get older! We seem to forget that having stomach acid is both necessary and normal. In fact, the body has gone to great lengths to be able to produce stomach acid without digesting the stomach itself! Your body needs to have proper nutrition, however, to make the mucous lining that protects the stomach. Instead of giving your body what it needs to heal, we sometimes make the mistake of turning off our stomach acid to solve the problem. Most of your indigestion symptoms occur when any stomach acid refluxes (squirts) back up into the food pipe (the esophagus). Your food pipe is not made to resist stomach acid and even a little bit will cause it to burn. Because of this we give medications that turn off all the stomach acid. Because there is no stomach acid, the burning stops and we get deluded into thinking the problem was too much stomach acid.

Unfortunately, using anti-acid medications for an extended period causes 2 problems. Firstly, with no stomach acid, your body is not able to optimally digest food and you become nutritionally deficient. This makes it even harder for your stomach to make the mucous lining it needs to protect itself and can set you up for even more reflux. Secondly, in your body's attempt to make stomach acid (when you take anti-acid remedies), it makes huge amounts of a hormone called Gastrin that stimulates stomach acid. Because of this, as soon as you stop your antacids, the stomach makes massive amounts of acid - which it cannot protect against. In essence, you become addicted to the antacids. It is no surprise that Losec, Nexium, Zantac and other antacids are some of the biggest money making pharmaceuticals! The other and just as important problem with acid blocking drugs is that they reduce the absorption of vitamin B12 which is vital for mental function, energy levels and blood formation. Most of the patients I see who have been taking these drugs for a considerable time, turn out to be suffering from B12 deficiency.

A wonderfully effective way to resolve your reflux and indigestion is explained below. In mild or occasional cases, the DGL licorice for a few days may be all you need. For more severe cases, use the entire program to restore healthy digestion.

1. Improve your digestion by taking supplementary digestive enzymes and drink sips of warm liquids instead of cold while eating (cold temperatures inhibit digestive enzyme function). Long-term use of digestive enzymes can also dramatically improve your over-all health and well being. As we age we lose most of our digestive enzymes, which is the reason why we cannot eat in our 60s the type or quantity of food we could eat in our 20s.

2. Chew your food thoroughly until you masticate it into mush. If you swallow large lumps of food, the stomach will respond by churning out excess acid to digest the still solid food. A good tip is to chew your food whilst reciting “Happy Birthday to You”- swallow when you have finished the chorus.

3. Do not drink more than a small glass of fluid with your meals, fluid will dilute your gastric juices and make digestion less effective.

4. Try Betaine/HCl tablets about half an hour before meals to give you more stomach acid rather than less. Start off with two tablets and increase by one tablet before every meal until you feel a burning sensation. That is when you have reached your required dosage.

5. Avoid coffee, aspirin products, carbonated drinks and alcohol until your stomach heals and then use them in limited amounts.

6. Take measures to heal up your stomach lining. Using DGL licorice (must be the DGL form as others can cause blood pressure problems) can be powerfully effective in resolving your symptoms. Research shows that it is as effective as omeprazol but is healthy for you. Mastic gum 500 mg capsules, two capsules twice a day for two months are also highly effective. Both of these can be used separately or together. As they help to heal the stomach instead of just masking symptoms, they may take 3-4 weeks to work in severe cases.  You can use your antacids during that time if you want.

In many patients, stomach infections (H. Pylori) can be a major cause of long-term indigestion. Most doctors treat this with omeprazol combined with 2-3 antibiotics used simultaneously! A better approach is to add Limonene, 1 every other day for 20 days once your indigestion has settled down a bit with the licorice/mastic gum. It may initially aggravate reflux symptoms but, by killing the infection, may give long-term relief after only one 10 capsule course!

After you have been on this treatment regimen for 1-2 months and are feeling much better, ask your doctor if you can stop your prescription antacids and switch to Tagamet (or stay on the DGL licorice/ mastic gum). This will decrease your stomach acid instead of totally turning it off. By doing this, your body can slowly ease back to normal production of acid. Decrease the dose of Tagamet or DGL licorice until you are able to come off of it. After two months, most people can stop the licorice/mastic gum. They can be used as long as you want, however. If symptoms recur down the line, simply use the DGL licorice for a few days. If needed, you can repeat the course of DGL licorice/mastic gum whenever you like. Meanwhile, you will have broken your addiction to antacids and allowed your body to have the stomach acid it needs for proper digestion!

To Summarize:

·         Digestive Enzymes – 2 capsules with each meal to help digest your food properly and drink warm liquids with meals.

·         Betaine HCl- 2-4 caps before each meal

·         DGL Licorice – 380mg (not the sugar free one) Chew 2 tablets 20 minutes before meals.

·         Mastic Gum (any brand) – 1000mg twice a day for 2 months – then as needed.