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H. PYLORI --- TOO MUCH STOMACH ACID OR TOO LITTLE

3/7/2013

20 Comments

 

HYPOCHLORHYDRIA

WEAK STOMACH ACID AND THE RELATIONSHIP TO
POOR DIGESTION, DYSBIOSIS, AND  DISEASE

Pylori Ulcer
Bruce Blausen
Since their clinical launch 25 years ago, the use of proton-pump inhibitors [heartburn drugs] has increased progressively with approximately 5% of the developed world now receiving such treatment.  Several factors are likely to be contributing to the increase in usage of proton-pump inhibitors, but in this month's issue of Gastroenterology Reimer suggests that the drugs themselves may be causing or aggravating the disease process they are used to treat....   Treating gastroesophageal reflux disease with profound acid inhibition will never be ideal because acid secretion is not the primary underlying defect.  Drs. Kenneth McColl and Derek Gillen of the Division of Cardiovascular & Medical Sciences, University of Glasgow.  Published in the medical journal, Gastroenterology, June, 2009.

As you can see from the bolded sentence above, there are so many "myths" floating around the field of medicine, I would not even know where to begin as far as debunking them.  For instance, there's the idea that germs are the sole cause of disease (HERE).  And as amazing as it may seem, there are people who still believe that FLU SHOTS actually prevent the flu. There's also the notion that the ANTIBIOTICS used to (erroneously) treat said infections are safe and effective.  And we can't leave this paragraph without at least mentioning the great American myth ---- that our national level of health is somehow proportionate to the number of drugs we are taking (HERE) --- about 13 prescriptions per person, per year.  

The problem is that each of these myths (not to mention dozens of others --- HERE) directly affect your health in an adverse manner.  Today we are going to throw one more on the junk heap.  There is a myth that is so ingrained in people's minds that getting it out is often times impossible --- the myth that your digestive issues are caused by too much or too strong stomach acid. 

Acid is rated on a pH scale (see diagram above left).  7 is neutral, 14 is the strongest base (alkali), with 0 being the very strongest acid.  How strong should stomach acid really be?  Listen to what my 1986 version of Guyton's Textbook of Medical Physiology (the standard physiology text for all physicians of every sort) says about the gastric secretion of stomach acid.  "The pH of this acid solution is approximately .8, thus illustrating it's extreme acidity." Let me spell out to you what Dr. G is saying here. 

Considering battery acid (sulfuric acid --- H2S04) is the strongest acid listed on most pH charts (it's about 0), the fact that normal stomach acid (hydrochloric acid --- HCl) is next on the list should at least get your attention.  Add to this the fact that on a pH scale, each number represents a factor of 10 (in other words, 1 is ten times more acidic than 2, 100 times more acidic than 3, 1,000 times more acidic than 4.....), and you can start to see how acidic stomach acid really is.  What does 'strong' stomach acid do?  We'll get there momentarily, but first it's important to understand how you are being conned.

"Convincing people they are sick and need a drug is a multi-billion dollar industry. In 2015, Big Pharma dropped a record-breaking $5.4 billion on direct-to-consumer (DTC) ads, according to Kantar Media. And it paid off for Big Pharma. The same year, Americans spent a record $457 billion on prescription drugs.  Americans also pay more for drugs and devices than any other country."  From Michelle Y. Llamas 2015 article in Drug Watch (Selling Side Effects: Big Pharma's Marketing Machine)

"The biggest spender, Johnson & Johnson, shelled out $17.5 billion on sales and marketing in 2013, compared with $8.2 billion for R&D. In the top 10, only Roche spent more on R&D than on sales and marketing.  Most of this marketing money is directed at the physicians who do the prescribing, rather than consumers. More than $3 billion a year marketing to consumers in the U.S. in 2012, but an estimated $24 billion marketing directly to health care professionals."  Anna Swanson from the February 11, 2015 issue of the Washington Post (Big Pharmaceutical Companies are Spending Far More on Marketing than Research)

When it comes to marketing, the medical community spares no expense.  One of the ways that medical marketing has exponentially increased market share is by convincing people they have "Diseases".   If that tag-team of YOUR DOCTOR and BIG PHARMA can convince you that you have a disease that can never be cured --- only 'MANAGED' with a lifetime of drugs and surgeries --- they see you and your diseases as a cash cow that will put money in their pockets for decades to come.  Multiply this scenario by tens of millions of people, and you have a gold mine whose value is unfathomable.  Take, for instance, GERD (Gastro Esophogeal Reflux Disease). 

GERD used to be known as 'heartburn'.  And of course everyone knows that heartburn is caused by too much or too strong stomach acid.  Or is it?  It's funny how the medical research is catching up to the things that the "Alternative Practitioners" (aka QUACKS) have been telling their patients for decades. 

Despite the fact that acid-blocking PPI's (PROTON PUMP INHIBITORS) are the third most-prescribed class of drug in America (as of 2008, Nexium --- the 'purple pill' --- was America's number two selling drug behind only LIPITOR), the mainstream medical community is starting to realize the wisdom of men like DR. ROYAL LEE.  You see, it has only been in the past couple of decades that the medical community 'discovered' that both Gastritis and Stomach Ulcers are caused by a bacteria ---- Heliobacter Pylori (usually just called H. Pylori).  Listen to what Dr. Lee wrote eighty five years ago.

The ability of the human body to resist the invasion of its tissues by microorganisms is dependent upon a number of factors. But probably the best way to insure the highest degree of resistance for any given individual is to see that his dietary intake of vitamins is amply high....  Stomach ulcers are probably the best instance of a bacterial invasion primarily due to lowered resistance resulting from vitamin deficiency.    Dr. Royal Lee from the September 18, 1933 issue of The Vitamin News
Medicine's emphasis on decreasing stomach acidity (raising stomach pH), coupled with diets that acidify the body (JUNK FOOD AND PROCESSED FOOD), have led to a nation of people plagued by digestive problems --- as well as the brutal (AND UNDER-REPORTED) side effects of the drugs most commonly used to treat them.  The problem is that the doctors have it all wrong.  99.9% of the people with these sorts of digestive disorders do not have too much stomach acid, they actually have too little --- a condition known as Hypochlorhydria.  Let me hit you with some crazy facts from the peer-reviewed scientific literature concerning stomach acid (or the lack thereof) and H. Pylori infections. 

  • 15% of the entire American population has Hypochlorhydria.
  • 40% of the 40 year olds have Hypochlorhydria.
  • 50% of the 60 year olds have Hypochlorhydria.
  • Over 30 percent of the over-60 crowd suffers from something called Atrophic Gastritis, a condition characterized by Achlorhydria (they produce zero stomach acid) .
  • 40% of women over the age of 80 have Achlorhydria .
  • One in five Americans experiences heartburn monthly.
  • Nearly half of these have heartburn daily.    
  • GERD is thought to be dramatically underestimated because of the crazy numbers of people taking over-the-counter antacids and PPI's.
  • Approximately 20% of those who have H. Pylori infections end up with ulcers.
  • About 1% of these get Stomach Cancer.
  • 70% of partners / spouses share H. Pylori. 
  • H. Pylori is the only bacteria recognized as a Grade I Carcinogen by the World Health Organization (it is strongly associated with Stomach and Pancreatic Cancer). 

These statistics on Hypochlorhydria and Achlorhydria (no stomach acid) are shocking.  Throw in the stats on H. Pylori and they are stupefying.  As you can see, the problem could (and probably should) legitimately be referred to as an epidemic.  But what are all of  these people told over and over and over again by their PCP's and Gastroenterologists?   

They are told that they have too much or too strong stomach acid.  Not only is this not true, it is 180 degrees opposite of the truth.  Make sure you catch this point.  As crazy as it sounds, the reason that most people have GERD-like symptoms is because they are making too little or too weak stomach acid.   Allow me to explain, while you remember that Guyton said normal stomach acid is 0.8.

Healthy people have a slightly alkali body (about 7.4) and a very acidic stomach.  Unhealthy people (a huge percentage of Americans) tend to have a body that is more acidic (all sick people are acidic) and because of this, are wearing out their body's capability for buffering this acid.  Because there should be, at least in healthy people, an inverse relationship between the acidity of the body and the acidity of the stomach, this means it's likely that the unhealthy stomach will not be acidic enough
(HERE).  What are the consequences of poor quality / quantity of stomach acid?  They are many and potentially severe.

HYPOCHLORHYDRIA
(LOW STOMACH ACID)

Stomach Acid
Slower
Hypochlorhydria (low stomach acid) is not only rarely if ever recognized by the medical community for the significant health issue it is, it is heavily promoted via the unbridled use of antacids and the acid blockers known as Proton Pump Inhibitors (drugs whose very labels carry the warning not to take them for more than 14 consecutive days, and no more than three rounds per year).  People who have post-meal signs and symptoms such as reflux, heartburn, gas, belching, upset stomach, bloating, etc, are almost 100% assured of having at least some degree of Hypochlorhidria (they likely have some degree of SIBO as well).   I know, I know, I know.  You've been told that these problems are the result of too much stomach acid.  Stay with me for a moment.

Not only is this a huge misconception, but low stomach acid (higher pH acid) has actually been tied to a wide array of serious diseases.  This should not be surprising considering that if your digestion is screwy, the nutrition you consume is going to go through you without being broken down and absorbed into your bloodstream. 

COMMON SIGNS OF HYPOCHLORHYDRIA

  • Bloating, Burping, and Gas immediately following meals / Staying full long after a meal is over
  • Bad breath (seen with H. Pylori infections or Putrefaction) / PERIODONTAL DISEASE
  • Heartburn / Indigestion
  • Diarrhea or CONSTIPATION or other common symptoms of IBS (IBS is now the second-leading cause of missed work, behind only the common cold.)
  • Undigested food in stools / Feeling Hungry despite Eating (due to maldigestion and malabsorbition of protein)
  • Zits (HERE)
  • CANDIDA (yeast overgrowths) / Rectal Itching / PARASITES / DYSBIOSIS of all sorts
  • Food Sensitivities such as GLUTEN, ALLERGIES, and ASTHMA
  • Iron Deficiency / Various types of ANEMIA --- particularly Vitamin B-12 / Mineral Deficiencies in general / OSTEOPOROSIS
  • CHRONIC FATIGUE / Adrenal Fatigue (FIBROMYALGIA) / Lethargy / Apathy / DEPRESSION
  • Dry Skin, Dry Hair, Cracked Nails
  • Severe Morning Sickness
  • Spontaneous Recurrent Abortion (INFERTILITY)
  • AUTOIMMUNE DISEASES of all kinds, including HYPOTHYROIDISM
  • Various forms of CANCER, including Stomach and Pancreatic

Weak or diminished stomach acid is bad for you in three chief ways. 

FIRSTLY:  All alkalizing minerals (the minerals that create the slightly alkali pH that your body requires)
can only be absorbed in an extremely acidic environment.  This is why antacids are a huge cause of OSTEOPOROSIS, even though some (like TUMS) actually tout themselves as anti-osteoporotics due to the fact that their buffering ingredient is calcium (i.e. a poor source; Calcium Carbonate -- limestone or chalk).  Click HERE to learn about the single best calcium supplement on the planet. 

SECONDLY:   Strong stomach acid prevents dysbiotic overgrowths of bacteria, yeasts, or other microbes from making their way from the intestines to colonize the stomach --- something not uncommon in SIB) (Small Intestinal Bacterial Overgrowth).  If your stomach's pH is too high (too alkali), you create an environment for bacteria to gain access, take hold, grow, and reproduce.  The most common of these is Heliobacter Pylori (H. Pylori for short).  Although these critters are normally found in the Gut in small numbers, they should never be present in the stomach.  Thus, it's not surprising that the drugs taken for heartburn (PPI's) commonly cause various sorts of Dysbiosis (HERE), including H. Pylori infections. 

THIRDLY:   It is stomach acid that stimulates the pancreas to release the proper ENZYMES needed for digestion.   Without the acid trigger, digestion will be severely hampered.  If you are not digesting your food properly, there is no way to get it into your system in its proper form.  It will, however, along with the microbes we've already discussed, end up in your blood stream in an improper form.  LEAKY GUT SYNDROME is where inflammation causes the gaps between cells in your gut to get too large, allowing all sorts of things into your blood stream that should never be there.  The body begins to mount immune system reactions against what it perceives as foreign invaders (it is) and attack it.  This is why increased intestinal permeability (a "leaky" gut) is a hallmark of the "Trifecta of Misery," chronic inflammation, chronic pain, and chronic illness.  It's impossible to fix a leaky gut in a person with Hypochlorhydria!


HOW DO YOU KNOW IF YOU HAVE HYPOCHLORHYDRIA?
Although there are several ways to test for hypochlorhydria (HERE are a number of them), there are a couple that I recommend you start with in the privacy of your own home (no, I do not feel it is necessary to swallow the radio transmitter pill that broadcasts stomach pH back to the doctor via a computer printout --- great test, but it will cost you about 500 bucks).  Another popular test is consuming a significant amount of Baking Soda and seeing how long it takes to belch.  Truthfully, if you have lots of the symptoms I've listed in this post, rest assured that you have Hypochlorhydria. 

In fact, when recently discussing the the tests in the link in the previous paragraph with a practitioner with decades of experience in FUNCTIONAL MEDICINE, he said he has never one time seen a person with too much stomach acid except in the case of gastric tumors called gastrinomas (Zollinger / Ellison Syndrome) --- an extremely rare disease that is a major risk factor for Pancreatic Cancer.  Here are the signs you may have Hypochlorhydria.


  • YOUR SALIVARY pH IS TOO LOW:  If your salivary pH is low, this means that your body is probably too acidic.  Remember the earlier discussion on stomach pH?   The pH of the body has an inverse relationship to the pH of the stomach.  If you have an acidic salivary pH, it probably means that your stomach is not acidic enough.  Get some test paper at the local drugstore (pH paper) and check it.  Your salivary pH should be a slightly alkali 7.4.
 
  • YOU FEEL CRAPPY WHEN YOU EAT HIGH PROTEIN MEALS ---- PARTICULARLY MEAT:  Stomach Acid (HCl --- Hydrochloric Acid) is what helps break down and digest protein.  When you are unable to digest proteins, they go through a funky process whose name alone might make you vomit ---- putrefaction.  Putrefaction occurs when the food you eat fails to digest. It moves slowly through the digestive tract, often undergoing a process similar to fermentation. 
 
  • YOU ROUTINELY HAVE HEARTBURN OR INDIGESTION:  Some people don't even have to eat protein to get stomach symptoms. They get it routinely from anything they eat.  
 
  • YOU ARE NOT DRINKING ENOUGH WATER:  Although I do not recommend that you drink much water with your meal (it tends to dilute your stomach acid), you need lots of water throughout the day if you want your stomach acid to be strong and effective.  Here is a simple moniker to help you understand why.  Hydro means 'water'.  Hydro-chloric acid is a water-based acid ---- it is manufactured by your body using H2O.  Without ample water, your stomach acid will be too weak.  Many people can cure Hypochlorhydria simply by hydrating themselves properly with water or green tea.
 
  • YOU GET POST-MEAL GAS IN THE FORM OF BELCHING, BLOATING, OR FLATULENCE:  Although this can be caused solely from food sensitivities such as those seen with gluten or dairy, it is also a common symptom of having low stomach acid (Food Sensitivities themselves are actually heavily associated with Hypochlorhydria).  Much of this has to do with a dysbiotic gut.  Because your Gut's good bacteria play such a huge role in digesting food; and because strong acid keeps the bad bacteria from overgrowing your digestive tract --- strong acid keeps the bad bacteria at bay.  Too many bad bacteria and you have half of the double-sided coin that is POOR GUT HEALTH --- Dysbiosis.  Once you have Dysbiosis, it won't be long before you have the other side of the coin --- a Leaky Gut.
 
  • MYOFASCIAL SYNDROMES AND MUSCLE SPASMS / CRAMPS:  When you fail to absorb minerals (all minerals are only absorbed in a highly acidic environment), there is the potential to end up with MUSCLE ISSUES, including TRIGGER POINTS.



THE MECHANISM OF HEARTBURN OR GERD

A combination of CHRONIC STRESS, crappy diets, TOXICITY, and antibiotics, leads to low stomach acid aka Hypochlorhydria.  Due to the decreased acid content of the stomach and duodenum (the first part of the small intestine), and increased transit time for the foods we eat to clear the body (people with constipation always have weak stomach acid), we start to see dysbiotic overgrowth of yeasts, MOLDS, parasites, and bacteria --- the most famous (or infamous as the case may be) being H. Pylori.  Although we need lots of good bacteria in the Gut to have a HEALTHY IMMUNE SYSTEM (80% of your immune system is found in the gut -- HERE), too many bad bugs create an increasingly toxic environment, overworking the liver (HERE), and typically leading to a marked increase in GI symptoms as well as poor absorption of vital nutrients. 

As you have seen, one of the major signs / symptoms of this whole problem is gas --- lots of gas (which always means SIBO --- see earlier link).  This gas causes a major increase in the pressure inside the stomach (bloating).  This pressure, coupled with the closure of the sphincter valve between the stomach and the duodenum (it will not open unless there is enough acid to trip the trigger) will tend to push the putrefying food mass --- a mass that happens to be extremely acidic --- back up past the valve and into the esophagus.  In fact, some people with severe GERD will have a red ring around their mouth from being constantly burned by stomach acid and a putrefying bolus of partially digested food at night.  Since the esophagus is not protected by the same lining as the stomach, it is highly susceptible to being burned by HCl.

Now throw in SIBO's ugly sister, LEAKY GUT SYNDROME, and sooner or later you'll end up with one or more of THESE Autoimmune Diseases (Autoimmune Diseases are like Lays Potato Chips --- "you can't have just one.").  Along the way, you'll develop GERD because the valve at the top of the stomach will fail to work properly.  What does this all mean to you --- the average American? 

American doctors are writing over 100,000,000 (100 million) prescriptions a year for acid-blocker drugs known as PPI'S.  As a NON-EVOLUTIONIST, I simply have to ask myself if it makes sense that humans were created so faulty that such a huge segment of our population would require heartburn drugs?  In other words, is such a huge segment of our society really making too much stomach acid?  No way!  So; why do these drugs appear to work --- at least on a temporary basis? 
 
They block the acid that is part of the mess being refluxed back up the esophagus.  But it's kind of like "REBOUND HEADACHES" (headaches caused by the medications being taken to control headaches).  Having plenty of strong stomach acid helps the digestive process stay on track, preventing gas / bloating, and helping to keep the valve between the esophagus and stomach closed.  This helps to prevent stomach acid and putrefying food from backing up into the esophagus or "refluxing".  But where do you start as far as fixing this problem is concerned?



HOW TO FIX HYPOCHLORHYDRIA
NATURALLY

  • TRY AND EAT WHEN YOU ARE NOT STRESSED:  There are two parts of the nervous system --- the Sympathetic and the Parasympathetic.  The Sympathetic Nervous System is geared toward fight or flight.  It gives us a rush of adrenaline and moves blood away from the digestive organs to our limbs so that we can flee or stand and fight (this reaction occurs even if the stressor is not physical in nature).  Conversely, the Parasympathetic Nervous System is all about relaxation and digestion.  To learn more about that relationship, read the post that I consider to be one of the most important I've ever done; SYMPATHETIC DOMINANCE. 
  • EAT LOW CARB:  Sugar, Fructose, High Glycemic-Index foods, and even artificial sweeteners mess with your digestive system by decreasing stomach acidity.  Some of this is because they acidify the body in general (creating the inverse relationship we spoke of earlier).  Some of this is due to the fact that these things have a tendency to feed part of the very problem we are trying to correct ---- Dysbiosis (HERE).  Also be aware that there is thirty years of research tying Gluten Sensitivity back to Hypochlorhidria (HERE).  A PALEO DIET is a potential solution to all of this and more.
  • IF YOU HAVE IBD OR IBS, DON'T EAT YOUR CARBS AND PROTEINS TOGETHER:  For those of you struggling with IBS (Irritable Bowel Syndrome) or IBD (Inflammatory Bowel Disease), it might behoove you to try eating your carbs separate from your protein (at completely different meals), since the acid is needed for protein digestion.  All foods (fats, carbs and proteins) are digested via enzymatic activity.  But it's important to remember that the enzymes the body uses to digest protein are only activated in the presence of strong stomach acid.  Oh, and while we are actually talking about digestive enzymes, not only can they be purchased almost anywhere relatively inexpensively, but most can be found naturally in raw whole foods.
  • GET TO A HEALTHY WEIGHT:  Although GERD symptoms can hit just about anyone, like numerous other health-related problems, they're much more common in those who are overweight.  Interested in getting to a healthy weight?  CLICK HERE.
  • GET PERIODIC ADJUSTMENTS:  Although people who have never been to a Chiropractor do not understand this point, Chiropractors and their patients do.  There is not a day that goes by where someone does not come to get adjusted because of their heartburn.  Nerves from the spine (HERE) control the organs, glands, and tissues of your body.  When the vertebrae are either misaligned or not moving freely in relationship to each other, it creates subtle dysfunctions in nerves that may or may not lead to pain, but can often trigger other seemingly unrelated symptoms.  Heartburn is actually one of the more common of these.
  • CHEW YOUR FOOD COMPLETELY:  Not only does this help ease the digestive process, chewing actually stimulates the production of stomach acid. 
  • RAW APPLE CIDER VINEGAR AND LEMON JUICE:  This is a concoction that despite being extremely acidic itself, will actually alkalize the body while acidifying the stomach.  I generally use Braggs vinegar.  This is because your vinegar needs to be raw and unpasteurized as opposed to the stuff in your pantry.  I even know people who have been cured of their GERD by eating the proverbial apple a day.
  • BETAINE HCl:  Betaine Hydrochloric Acid is a simple inexpensive way to see if you are deficient in HCl (we use Standard Process's Zypan, which not only has the acid, but the enzymes as well).  Just take HCl with your meal and see how you do.  (WARNING:  DO NOT DO THIS WITHOUT A DOCTOR'S SUPERVISION --- particularly if you are on NSAIDS, CORTICOSTEROIDS, or other Anti-inflammatory drugs.  These drugs are known to damage the stomach's protective lining.  Although it is not uncommon to get some degree of discomfort from taking Betaine HCl (particularly at first), this discomfort should not be severe.  If it is severe, IMMEDIATELY STOP TAKING THE PRODUCT AS YOU COULD AGGRAVATE AN ULCER.  Specific directions for taking HCl are forthcoming.


HELIOBACTER PYLORI

Remember what Dr. Royal Lee said back in the early 1930's about both Gastritis (INFLAMMATION of the stomach) and ulcers being caused by a bacteria (H. Pylori)?  This is only partly true.  While it is true that H. Pylori causes these two things, H. Pylori is a bacteria normally found in the Gut.  In fact, a recent study said that in the early 1900's, H. Pylori was the most commonly found organism in the Gut.  What made this once-docile bacteria go rouge?  You probably already know the answer to this one --- antibiotics.  But there are other reasons as well. 

They range from Gluten, to SUGAR, to alcohol, to anti-inflammatory drugs and antacids, to dietary toxins, to even coffee (as a side note; both black and green tea have been shown to inhibit H. Pylori).   Notice that this list looks suspiciously like the list causes low stomach acid.  As a survival mechanism, H. Pylori actually releases chemicals (toxins) that decrease stomach acid.  How do you know whether or not you actually have H. Pylori?  You can either do a stool sample or a breath test.

H. Pylori infection
Image by User: Y_tambe
Hypochlorhydria
Image by Y_tambe




TOP TEN WAYS
TO KNOCK OUT
H. PYLORI NATURALLY

Be aware that if you go to the doctor and tell him / her that you think H. Pylori (a bacteria) might be your problem, you are going to be given antibiotics, whether they test you or not.  As you can imagine, this is a monstrous problem because it happens to be how you probably came to have H. Pylori in the first place. 

The good news is that for many of you there are a number of things you can do to knock it out without having to go on antibiotics.   Here are my top ten.  Again, you'll notice that some of these overlap the list I gave you for low stomach acid.  They are in no particular order.

  • GET TESTED:  There are a couple of ways to do this.  Firstly, you could check via a Stool Sample.  This is nice because you can check for other things like parasites, dysbiosis, leaky gut, etc, at the same time (see earlier link on parasites).  Or you could simply do the urea breath test.  Here's the thing.  If you suspect H. Pylori, it is easy and inexpensive to confirm via testing.  The breath test is cheaper, but a comprehensive stool test will provide tons more information about GUT HEALTH.
 
  • GO LOW CARB (OR BETTER YET, PALEO):  High Glycemic Index Carbs are the food of choice for Dysbiotic infections of all sorts (HERE) ---- including H. Pylori.
 
  • AVOID PROCESSED FOODS:  Smoked foods, refined flour, sugar and sugar substitutes, additives, preservatives, and chemicals found in foods are known to contribute to H. Pylori via their acidity (they acidify the body, while alkalizing the stomach). They also don't contain any of the enzymes needed to digest your food as do most whole foods --- particularly when eaten raw.
 
  • GO GLUTEN FREE:  If you Google "Gluten Hypochlorhidria" you'll probably be shocked at just how much information there really is on this unholy connection.  To see the multitudes of ways that GLUTEN can adversely affect your health, just click the link.  To see what it will take to go Gluten Free, HERE is the place to start.
 
  • TAKE A STOMACH ACIDIFIER:  I covered these earlier. If raw apple cider vinegar does not work, then some form of Betaine HCl is the way to go, but you need to use it the correct way.  Just prior to eating a high protein meal, take a tablet (we use Standard Processes' Zypan).  If you do not notice symptoms of burning or GI distress, you can continue this for a couple more days.  Next, do the same thing with two tablets --- then three tablets, etc.  When you hit the point where stomach discomfort occurs, back off by one tablet.  Warning:  do not hold these tablets in your mouth as they can burn you.  If you already have ulcers, they can burn you as well.  In that case, you'll need to do a different protocol.  Besides helping with digestion, the higher acidity (lower pH) will help to kill H. Pylori by ruining their environment.   DISCLAIMER: Do not do this unless you are under the supervision of a physician.   Be aware that some of you might actually undergo a HERXHEIMER REACTION from doing this.
 
  • AVOID ANTIBIOTICS AND OTHER DRUGS:  Plainly stated, ANTIBIOTICS are usually the reason people end up with H. Pylori in the first place.  Unfortunately, NEARLY ALL DRUGS are functionally antibiotics.  By the way, according to a 2/8/2012 memo from the FDA, Acid Blocker drugs are not onlly associated with H. Pylori, but are strongly associated with C. DIFF as well.
 
  • TAKE PROBIOTICS:  This is a critical step, but in and of itself will probably not get the job done (HERE).  However, for most people IT'S A START.   Some of you, however, are going to have to look at STEPPING COMPLETELY OUTSIDE THE BOX in order to restore your normal MICROBIOME.
 
  • DRINK LOTS OF WATER AND ONLY WATER:  Amazingly enough, there is actually a great deal of peer-reviewed scientific literature on this very thing.  Hydro [water] chloric acid will help create an environment that H. Pylori hate.  I will warn you, however, that soda (EVEN DIET SODA) will feed this problem.  Although I have seen studies pooh poohing it, I tend to not drink with my meals so as not to dilute my stomach acid.
 
  • EAT A WHOLE FOOD DIET:  Diets chocked full of WHOLE FOODS, particularly things like onions, garlic, fresh hot peppers, Licorice, Cinnamon, Ginger, citrus seed extracts, Ethiopia's own berberi, rhubarb, cinnamon, and Coconut oil have all been shown to have beneficial effects on H. Pylori infections (HERE).   Cruciferous vegetables such as cauliflower, cabbage, and kale, have been shown to be effective in clinical trials as well (HERE).  Bear in mind that the immature 'sprouts' of the cruciferous vegetables have been shown to contain 50 times the active ingredients as mature plants.  Eating sauerkraut or even drinking the juice has been shown effective in regulating stomach acid, as have other fermented vegetables.  There is also evidence that raw vegetables such as carrots, green leafies, and sweet potatoes can be beneficial as far as getting rid of H. Pylori infections are concerned. Plants such as Gentian, Dandelion, Scutellaria, Goldenseal, and Ginger have also shown themselves beneficial as they increase secretions of stomach acid.
20 Comments
Beth
8/13/2013 10:40:57 am

Hi , am so happy that I came across your site, I have many food and environmental sensitivities, which I believe to be a leaky gut problem,dairy ,soy, gluten, wheat, salicylates are the hardest to deal with,the whole food eating you recommend here are all salicylate foods, coconut and olive oil rank the highest.I am waiting results of a breath test for h pylori as I have all the symptons you mention.My dilemma is because I am so restrictive with my diet I have lost far too much weight, but when I eat too many foods I shouldn't I get blood noses.What do you think ,eat the salicylate foods ? (as I believe this sensitivity is from leaky gut)treat the leaky gut and low stomach acid and that will in turn combat my sensitivies? Thanks for your site regards Beth

Reply
Dr. Russ
8/13/2013 08:26:56 pm

Hello Beth,

For the time being, you'll need to avoid the foods you are sensitive to. Fix the gut and that may very well change. I would not eat foods that I was sensitive to.

Reply
Zoe
8/18/2013 10:12:20 pm

Really useful info. I'm going around in circles and I need help. March 2012 I had severe sinusitis and was prescribed 3 x treatments of antibiotics. Developed a burning, hungry feeling in my tummy, given PPI's for 2 months, got worse. Then I started reading myself and got some probiotics, started low carb etc. Had a gastroscopy, clear. Had this repeated this January and found H Pylori and slight inflammation in duodenum. Given antibiotics and PPIS, felt worse, retested for H Pylori, another treatment. I am at my wits end! I knowi shouldn't be taking them but my doctor keeps convincing me its the H Pylori and I need to eradicate it ASAP, as its dangerous etc, this is obviously stressing me out! I am not getting retested because I will never take antibiotics again unless its a life or death situation. I eat well, but I worry that when everything irritates me at times, that I have cut so much food out of my diet that I can't be eating healthily, I feel like I've either got arthritis or carpal tunnel in my left hand and wrist. I just want to be healthy. Low stomach acid makes perfect sense but my consultant said there are no tests. I asked my husband to drink some apple cider and I did, his tummy burnt and mine didn't. I've got some high grade HCL with betaine. I took 1 before each meal the other day (too much?) and felt absolutely awful, then I worry that it may be doing me more damage. I need some proper advice. I have stopped eating garlic, eggs, onions because they now irritate me, I don't want to eat much fruit and stay clear of windy veg, I am not eating enough of what I need. Many thanks, hope you can help? Kind regards, Zoe,

Reply
Dr. Russ
8/18/2013 11:43:41 pm

Hello Zoe,

Where do you live? I may be able to point you in the direction of someone who can help you.

Dr. Russ

Reply
Apollonia Buschmohle
3/1/2014 08:12:55 pm

I was in a near fatal auto accident on Dec. `10, 2011. Spent the next 2 1/2 months in the hospital. I lost 30 lbs. in a 1 1/2 months, months of physical therapy. My gall bladder was damaged in the accident among ribs, arm, knee and a large hematoma. I have had H-pylori since I was in the hospital.I could not eat the terrible food I was given. I can not continue living with the pain that I have had EVERY morning since the accident.the doctors I have seen have not helped me. I am leaving for the Mayo Clinic next week. They saved my life when I was operated on for retroperitoneal fibrosis My father died 15 days after his 48th birthday with stomack cancer. Remembering his symptons I believe he may have had H-Pylori. Is there any association with my condition. Again, this all startedwhile in the hospital after my accident. I am desperate for help.. I have suffered with this for the past 2 years.

Reply
Dr. Russ
3/1/2014 08:56:29 pm

Hello AB,

There is indeed a link between H-Pylori and a whole host of conditions, including stomach cancer. As to your condition, find a person in your area who is well versed in Functional Medicine.

Reply
Diane Newman
3/18/2014 11:48:30 pm

Hello, I have had 8 bouts of h pylori in the last 3 years, Of course like you said all the doctors including the gastroenterologist gave me a round of the triple antibiotic therapy as my GP did. Now the Gastro said it's nothing else he can do for me. Where do I go from here ? Today is the last day of the antibiotics. Help !!!! This thing is too painful and I'm afraid I will get stomach cancer. No cancer thus far that the Lord.

Diane

Reply
Dr. Russ
3/19/2014 11:00:21 pm

Start by reading my posts on Gut Health. Am going to have a big one up in the next week or so.

Sincerely,
Dr. Russ

Reply
Mary reeves
3/27/2014 11:28:44 am

Just wondering if there are any doctors in the Oklahoma City area that address physical issues the dame way you do. I have lots of problems with my stomach and am nervous to continue taking aPPI any longer. Any help will be appreciated! Thanks, Mary

Reply
Dr. Russ
4/13/2014 08:46:52 pm

Find someone doing Functional Medicine

Reply
Thomas link
2/3/2016 01:12:34 pm

Dr. Russ, I live in the San Antonio, TX area. Is there a doctor in the area that you would recommend? I've been to a few, and they have all ignored my request to take a more natural approach. Instead the answer has consistently been PPI's. Thanks.

Reply
Dr. Russ
2/3/2016 01:40:55 pm

Hello Thomas,

Look for someone doing Functional Medicine.

Sincerely,
Russ S

Reply
Simon
5/2/2017 06:59:54 am

Dear Dr. Russ,

I found your article very interesting and it clarifies in simple words the topic.

5 months ago I found that I have H Pylori along with Gastritis and Adrenal Fatigue (stage 2), which is likely to have been caused by the Pylori.

After a month of supplementing B-Vitamins and Minerals (Iodine, Potassium, Calcium, Magnesium, Zinc, Selenium, Copper, Manganese, Chromium, Molybdenum, Boron) and Sea Salt to help the Adrenals, I started to experience a major increase of my GI symptoms (burning, burping, general stomach ache, felling of fullness). I then realised that the B-Vitamins supplements I was taking included Betaine HCL (100mg) that I was taking twice a day.

I've come across several studies indicating that high salt diets increases Pylori's aggressiveness (http://jb.asm.org/content/190/11/4100.full) by causing a gene mutation.

Along with the research above, I also found that supplementing with HCL forces Pylori to produce more toxic ammonia to contrast the acidity and it ends up being more dangerous for the mucosa.

In the article, you have rightly mentioned that Betaine HCL is to avoid for those who have already Gastritis/Ulcer, and a different protocol should be followed.

Could you highlight what this protocol should look like?

It seems a dead end for me. My upset stomach does not allow me to take the supplements that are supposed to cure my adrenals. At the same time I need to increase my stomach acids to alleviate the digestion and absorb the nutrients, but I can't as this on the other side will make my gastritis worse.

Where people in my condition (which seems quite common) should start from to tackle the problem?

Many thanks,
Simon

Reply
Dr. Russ
7/14/2017 03:09:34 am

Interesting study Simon, watch for a new post on this topic with some updated information, probably will contain some of what you are looking for.

Reply
David
5/24/2017 12:41:12 pm

I've lost total faith in the conventional medical system regarding these types of symptoms. They do some tests then toss you out in the street with a box of nexium when they cant find something. I've had three wrong diagnosis from three different Consultants. I'm currently working with a nutritional therapist on this particular theory. I'm getting more better days but still have a lot of bad days. Is it possible that stomach acid may never return?

Reply
Anna
7/18/2017 05:18:54 pm

Hi Simon! I have exactly same problem as you do! And hoping for a new post where Dr will describe what to do for people who have gastritis and pylori at the same time and can't take HCL.

Reply
Saida
8/9/2017 08:21:03 pm

Dear Dr. Russ, thank you for an excellent article. My mom is 71, has a history of taking Advil and Tylenol daily for decades for her headaches. She stopped this three years ago when she was diagnosed with Macular Degeneration which she receives monthly eye injections. She has osteoarthritis with two knee implants. For two years now she receives monthly B12 injections. She is a vegetarian and doesn't eat eggs and rarely dairy consumption. Sadly she has a high poor carb (wheat, sugar) diet. I have noticed her burping at night. February of this year, doctors discovered her hemoglobin levels to be fatally low-66, and with an immediate blood transfusion and daily iron supplement her hemoglobin is currently around 89. She had a colonoscopy and endoscopy performed in March. Colon is fine but she was diagnosed with a hiatus hernia and acid reflux and given acid reflux medication which she takes daily. Doctors believe there is still a slow internal leak and this week, she had a cat scan of her small intestine and results won't be available until Sept 11.17. During this time, the doctors also discovered she has aortic stenosis needing a new heart valve in about 2 years. She takes a daily digestive enzyme for 3 months now. From your article, I realize mom needs to change her diet and lshe has the bacteria. She is very stubborn South Asian woman trusting doctors a little too much. Besides everything you have already suggested, anything else? As well should Apple cider vinegar or lemon juice be take alone or diluted in water? What time of day should mom take it? What probiotic do you recommend? Her MD is not helpful. Do you know of any naturopathic or experts in this field in Toronto Canada? Your further knowledge would be greatly appreciated. Thank you

Reply
Thivya
9/11/2017 08:28:22 am

I am glad I came across this post since I've been experiencing non acid reflux for the past two weeks. I get bloated, and start to burp right after I eat or drink something. One particular day, my voice was hoarse and I had phlegm in throat after continued to belch foamy substance (not food particle or acid) and I went to see the doctor immediately. Without doing any tests, he prescribed PPI and nasal spray for 2 weeks. I took one the next morning but got really scared and stopped immediately after reading so many facts about the side effects of these drugs. I did a lot of research and everything pointed to higher stomach acid and how it can't be treated until I came across one article about low stomach acid and reflux. I did the baking soda test and burped only after 5 minutes each time. I didn't drink much water and I certainly enjoyed coffee more on daily basis as well as fast food, even though at home mom cooks traditional south asian foods. Now I've stopped drinking coffee or eating any fast food. I am wondering if the damage is reversible. I also did other research on this and found Manuka honey can help in restoring gut health including fighting H. pylori. I am wondering if the damage is reversible. How would I know I have achieved required stomach acid level?

Reply
samih zaim
1/13/2018 11:47:11 pm

Hypochlorhydria and osteoporosis are too great topics are both managed with scary practice.They are telling us that most healthcare practitioners and drug dealers are killing people for the sake of money.

Reply
Sharda
2/10/2018 02:15:13 am

Hi Dr Russ,

I've been suffering from a rectal itch for more than 2 years. Did the usual rounds with my docs - anti-fungal, anti-itch creams, pessaries, etc. Nothing worked. It's often so bad, I can't sleep at night My research on the Net pointed out to teh usual suspects & remedies - A month back, my alternate healing therapist suspected a link between the itch, my history of acid reflux & my muscle pains. Today, when I was researching to find ways to increase stomach acid, I locate this article of yours. Amazing! And no doctor, in all these years, ever explained anything like this to me.

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    Russell Schierling

    Dr. Schierling completed four years of Kansas State University's five-year Nutrition / Exercise Physiology Program before deciding on a career in Chiropractic.  He graduated from Logan Chiropractic College in 1991, and has run a busy clinic in Mountain View, Missouri ever since.  He and his wife Amy have four children (three daughters and a son).

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