Page 18 - Summer2018
P. 18

I’ve yet to see      hydrogen ions (H+) and chloride ions (Cl-)  reflexes that culminate in the increased produc-

          proof of how        into the lumen (cavity) of the stomach, making  tion of gastric juices. The presence of partially
                              hydrochloric acid (HCl), a very strong acid that  digested protein, combined with a rising pH
          the stomach,        helps to liquefy the ingested food and begin  (created by protein in the meal entering the
           whose job it       the digestion of protein. It does the latter by  stomach and binding up free H+) trigger the
          is to produce       creating the strong acid environment needed to  gastrin-secreting enteroendocrine cells found
                              convert inactive pepsinogen into the powerful  in the gastric mucosa. Gastrin then stimulates
                 acid for     protein-digesting enzyme pepsin. (The chief  the release of enzymes (pepsinogen) and the
               digestion,     cells have primary responsibility for production  production of hydrochloric acid. Interestingly,
               suddenly       of pepsinogen.) Protein digestion, therefore, is  anything that triggers the “fight or flight” sym-
                              initiated in the stomach and is essentially the  pathetic response—including emotional upset,
           and without        only type of enzymatic digestion that occurs  fear or anxiety—will inhibit gastrin produc-

                 warning      there.  Hydrochloric acid plays a critical role  tion, thereby halting or slowing digestion in
                                  4
                   begins     in maintaining the stomach’s pH between 1.8  the stomach.
                              and 3.5, which not only enables the first phase
                                                                           The third and final phase, known as the in-
              producing       of digestion to occur efficiently, but also helps  testinal phase, is characterized primarily by the
           “too much.”        kill any bacteria we are exposed to through the  inhibitory effects set in motion when partially
                              oral route. Parietal cells also produce intrinsic  digested food begins to enter the duodenum (the
                              factor, a carrier protein responsible for ensuring  first section of the small intestine connected to
                              that vitamin B12 is picked up and carried to the  the stomach). As the intestine begins to distend
                              small intestine, where it is absorbed.   with chyme (the liquefied food produced by the
                                 Generally, three distinct stimuli regulate  stomach), this triggers the enterogastric reflex,
                              gastric secretions. Although the three vary in  the result of which is inhibitory to the stomach’s
                              mechanism and location, all three target the  production of gastric juices. Furthermore, the
                              stomach either to stimulate or inhibit gastric  intestinal distention triggers the release of intes-
                              secretory activity. The first is the cephalic re-  tinal hormones collectively called the enterogas-
                              flex/phase, whereby the mere smell, taste, sight  terones—made up of secretin, cholecystokinin
                              or thought of food triggers neural reflexes (via  (CCK), vasoactive intestinal peptide (VIP) and
                              input from the olfactory nerve, optic nerve,  gastric inhibitory peptide (GIP)—all of which
                              taste, etc.) to the hypothalamus (a portion of  further inhibit gastric secretion. 4
                              the brain whose most important function is to
                              link the nervous system to the endocrine system  ALLOPATHIC TREATMENT CASCADE
                              via the pituitary gland). The hypothalamus then   Western allopathic medicine blames GERD
                              relays these “digestive” signals to the medulla,  on two theories that are, in my opinion, flawed
                              causing motor impulses to be transmitted via  and outdated—the main one being the produc-
                              the vagus nerve (the fifth cranial nerve) to the  tion of too much stomach acid. Interestingly, I’ve
                                                                    4
                              parasympathetic (stimulatory) enteric ganglia.   yet to see proof of how the stomach, whose job
                              This creates a stimulatory effect on the glands  it is to produce acid for digestion, suddenly and
                              in the stomach and, therefore, an increase in  without warning begins producing “too much.”
                              gastrin and hydrochloric acid production.   The second faulty theory states that certain
                                 The second stimulus, known as the gastric  foods can “relax” the LES, thereby allowing
                              phase, is characterized by food entering the  stomach contents to enter the esophagus. Top
                              stomach and initiating local neural and hor-  on the list of apparent offenders are tomatoes,
                              monal mechanisms. This phase is responsible  citrus fruits, garlic, onions, “deadly” animal
                              for the bulk of gastric juices stimulation. The  fats, coffee or other caffeinated products, alco-
                              two most important factors here are the stretch-  hol and peppermint. Smoking also is considered
                              ing of the stomach wall as food enters and the  a contributor to GERD. Aside from three items
                              rising pH created by the food. Stretch receptors  on that list (alcohol, caffeinated beverages and
                              in the wall of the stomach are triggered as the  smoking), you’re going to be hard pressed to
                              stomach fills with food. These receptors initiate  convince me that the blame for GERD’s rise

         16                                         Wise Traditions                             SUMMER 2018
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