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Saturday, November 19, 2016

Pushing Bionic Limits at the Cyborg Olympics

Pushing Bionic Limits at the Cyborg Olympics

Disabled competitors gather to show off, and help improve, the latest in assistive technology.

Sixty-six teams of competitors from countries all around the world converged on Zurich, Switzerland, for what’s been called the first cyborg Olympics. But “Cybathlon” is much more than just a series of games—it’s a more like a super trade-show for assistive technology, where cutting edge creations that help humans grapple with disability can be displayed, and ideas exchanged about how to improve them. 

People who have been robotically enhanced are paired with researchers including roboticists and neurologists. Competitors with similar disabilities compete in Olympic-style races where the fastest time wins: One arm prosthetic race included household chores like hanging clothes and cutting bread.

The researchers use the experiences of disabled competitors to explore the limitations of current technology in an effort to develop and commercialize the unique devices being used in the games.

Saturday, October 29, 2016

Inflammation and Autoimmune Disease...The Truth of the Situation is that FOOD MATTERS

Carlsvilleproject Health

Inflammation and Autoimmune Disease

       The truth of the situation is that FOOD MATTERS. That's right, it's not just a movie (which by the way you should all watch!). Hyper-permeability of the gut, regardless of whether you can feel it or not is often a significant cause of an extremely long and ever growing list of conditions. The inflammatory cascade that takes place by any inflammatory trigger (diet, medications, infections, stress, hormonal, neurological, or metabolic) can break down the intestinal permeability and allows for the leaky gut mechanism to initiate.
Due to the variety of triggers, it is often possible to reduce an individual's immune reactivity but not cure it if leaky gut is not the primary trigger for the inflammatory process. There are multiple models of autoimmunity although it is becoming more well accepted that once you develop autoimmunity you will have increased Intestinal Permeability also.
Autoimmunity can be put into remission and this can have profound improved life consequences but it can also be turned on again if life circumstances change. It is considered "Incurable". You may be able to change the expression of it but to think that you are going to be able to take a boat load of supplements and change your diet and cure the condition you are generally going to be let down.
Waxing and waning responses are par for autoimmunity. When stress picks up despite dietary intake a person will be expected to flare up. This inflammation is initiated by increased levels of iNOS (inducible nitric oxide) which causes an immediate increase in intestinal permeability much like elevated cortisol levels from stress. Once this occurs serum protein particles leak through and become extremely reactive. Gluten is an extremely common serum protein in a situation of increased permeability simply due to the commonality of daily exposure.
If you take on too many projects, eat poorly, have limited or poor sleep patterns, then you can bet that intestinal permeability will increase and food will start to leak through.
Your immune system will then begin to recognize these proteins as other similar proteins like cerebellum, thyroid, etc... When that occurs you will experience symptoms that generally are far removed from what someone would consider to be food related since they are not felt in the gut. Instead you experience brain fog, pain, fatigue, poor sleep, anxiety, or endocrine dysfunction. When antibodies combine with our structural proteins, specific genes are turned on in a special type of immune cell in the body. Inflammatory chemicals are created called cytokines, which are strongly damaging to brain function. In fact, elevated cytokines are seen in such devastating conditions as Alzheimer's disease, Parkinson's disease, multiple sclerosis and even autism.
You see, autoimmune disease is not clinically diagnosed until you have tissue destruction. For some neurodegenerative conditions, you need up to 70 percent demyelination (nerve damage) before it will show on an MRI. You cannot afford to wait for that type of advanced destruction before taking action.

If you are symptomatic in any way and show to have antibodies or test positive on any of the tests listed above, you have Autoimmune Reactivity and that is enough to take action and make life changes to potentially stop the process from continuing. Inflammation can be a great friend in this sense. Look at it as an early warning sign and take action before it turns into a fire that rages out of control from one body tissue to another.

Monday, October 3, 2016

The Best Foods For Men's Healthy Living in The Philippines

     If you want to know the secret to keeping your doctor’s visits at a minimum, look to your kitchen. Unfortunately, as men get older, their chances of developing health problems such as high blood pressure, heart disease, high blood sugar, diabetes, and prostate cancer increase. None of those conditions are inevitable, of course, but lifestyle habits — particularly how you eat — can make a huge difference in how healthy you remain.

You can reduce the risk of these conditions by improving your diet, focusing on foods that have been shown to boost health and reduce the likelihood of a scary diagnosis.

Here are seven of the best foods men over age 50 should add to their diets, and why. If you aren’t already eating these items, there's no need to fret over what to do with them: We've got tips on how to painlessly include them.


Mushrooms ''beef up'' dishes — even vegetarian fare — by giving them a meatier taste that many men like, says Leslie Bonci, RDN, director of sports nutrition at the University of Pittsburgh Medical Center's Sports Medicine center and a sports dietitian for the university's athletics department. They only have about 20 calories per cup and contain potassium, which is helpful in offsetting the effects of sodium and in lowering blood pressure, according to the American Heart Association.

Add them to your diet: "Throw some on a salad, chop them up for chili, or grill them," Bonci says. Or try these barbecued portobello mushrooms the next time you grill.

 Tart Cherries  (We need to substitute in the Philippines)

Tart cherries can work as an anti-inflammatory agent, Bonci says. In her work consulting with sports teams, she often recommends that athletes drink tart cherry juice to reduce inflammation from vigorous training.

Cherries are very good but you can't get them in the Philippines.. For an inflammatory agent in your diet use Turmeric in your daily cooking . You can also take Turmeric by capsule. I get them at the local church where the nun prepare it.. About 4p per capsule...


''As men age, their muscle mass decreases," says Jim White, RDN, a spokesperson for the Academy of Nutrition and Dietetics and a personal trainer in Virginia Beach, Virginia.

"Eggs are a great source of protein," he says, and that can help with the dwindling muscle mass. Although the pendulum has swung back and forth on the healthfulness of eggs, most experts see a role for them in our diet. Eggs also have lutein, which may reduce the risk of the macular degeneration, an eye condition that can cause blindness.

Add them to your diet: Enjoy eggs for breakfast, lunch, or dinner. These nine ways to cook an egg can help you fit them into your day.

Berries may reduce the risk of cancer, says Deepak Talreja, MD, a cardiologist at Eastern Virginia University Medical School in Norfolk.
Hard to impossible to get fresh berries but frozen you can buy and has all of the antioxidants present..
Also you can get berries in yorgurt here in the Philippines...

Research is ongoing, but some studies have found that blueberries, for instance, inhibit inflammation, which may decrease the risk of some cancers. A research review examining the anti-cancer properties of blueberries, published in the October 2013 issue of Anticancer Agents in Medicinal Chemistry, concluded that the little blue orbs might help inhibit the growth of cancer cells.

Blueberries aren’t the only berries that might help fight cancer. A diet that includes freeze-dried black raspberries and strawberries inhibited esophageal cancer by 30 to 70 percent and colon cancer by 80 percent, according to studies on rats done at the Medical College of Wisconsin Cancer Center in Milwaukee. Whether humans would experience the same anti-cancer benefits has yet to be proven.

Add them to your diet: Simply put, you can snack on berries straight. They're also easy to add to salads, yogurt, or hot cereals.  


Gut microbiota — the bacteria in our intestines — have recently garnered a lot of attention from the scientific community. It turns out that they might be key for good health, as they've been linked to how our immune system functions, how we absorb nutrients, and even how we regulate mood.

Kefir is fermented milk with prebiotics and probiotics that can help promote healthy gut microbiota. Probiotics are good bacteria, and prebiotics are the food ingredients that feed them. So kefir is a symbiotic gut health food, meaning it contains both the bacteria and the bacteria's food source. Kefir may help ward off GI problems that can occur later in life, White says. In addition, scientists have found that kefir helps reduce inflammation in the guts of mice and reduces blood sugar levels in patients with diabetes.

The difference between Kefer and Yogurt is this: 

Milk Kefir

The bacteria in milk kefir, on the other hand, can actually colonize the intestinal tract. Kefir also contains a far larger range of bacteria, in addition to containing yeasts.


The beneficial bacteria found in yogurt help keep the digestive tract clean and provide food for the friendly bacteria found in a healthy gut. They pass through the digestive tract and are called transient bacteria.

Add it to your diet: Kefir is sometimes referred to as the yogurt you drink. "Having a serving of kefir a day would be great," White says. You can use it like you do milk by drinking it plain, adding it to cereal, or using it in smoothies.


Like you needed a new reason to indulge in guacamole: Avocados are loaded with heart-healthy monounsaturated fats that may help keep cholesterol levels low. And that's something that men need as they age, White says. One medium California avocado has about 230 calories, but it also has about 10 grams (g) of fiber and about 20 g of fat. Plus, avocados have also been linked to weight loss and lower levels of inflammation.

Add them to your diet: Like many of the foods on this list, avocados are easily added to dishes that you already love, like burgers, omelets, salads, sandwiches, and tacos.


These little spheres of protein carry lots of blood benefits that may help keep heart disease and diabetes at bay. A scientific review of 26 clinical trials published in May 2014 in the Canadian Medical Association Journal found that eating 3/4 of a cup of beans daily could lower LDL (bad) cholesterol levels by 5 percent. And that, of course, can reduce your risk of heart disease and stroke.

But that isn’t the only way beans can help your blood profile. When people with type 2 diabetes consumed 1 cup of beans daily over the course of three months, they had lower blood pressure and blood sugar levels, according to a study published in October 2012 the Archives of Internal Medicine.

Add them to your diet: A cup of cooked kidney beans has approximately 225 calories, 15 g of protein, 13 g of fiber, and 1 g of fat. This makes them a great addition to salads or a filling for tacos or burritos. Also rice and beans make a perfect protein...

Eat well..Stay healthy

Monday, September 12, 2016

Forget What You've Heard About Grumpy Old Men

Forget What You've Heard About Grumpy Old Men

Carlsvilleproject Health 
Expat World-Tagum
By J. Dalessio & C. Gilman Jones

     After middle age, adults actually grow happier as they get older, despite the fact that their physical quality of life may decline. Here's the bright side of going over the hill.
Turns out the number of candles on your last birthday cake may not influence your disposition the way you might think. Instead of turning adults into grumps, growing older actually makes many of them happier.

By definition, development is a process of adaptation and successful development demands that people learn from experience, understand contingencies in their environments, approach rewarding situations, and avoid punishing ones. As a consequence, knowledge (or expertise) determines future actions, which are increasingly effective within relevant environments.

This is particularly true with expats. Most, although not all, come to the Philippines for example, with an entire life of experience behind them. Even though there is an expected adjustment period,  our wide life experience actually contributes to having a happier life. It looks like our senior years can be the best ever.

Researchers from the University of Warwick, in the United Kingdom , found that disposition improves after middle age, despite declining physical ability. Good news for some of us is that being overweight or obese doesn’t appear to make people any less happy, either.  
Acceptance, wisdom, and awareness seem to come to the fore and play a larger part in our lives, despite adversity.   Have you found yourself generally to be more tolerant than when you were young?  

A study done at the Warwick Medical School showed that heightened happiness may have something to do with better coping abilities among seniors. Makes perfect sense and would actually help us, as expats, adjust more completely to a new life….

Older people are better at dealing with life’s crises than those who are younger, a fact that was supported by a University research team. Then again, older people might just be better at letting things go.

Increased happiness could also be due to a lowering of expectations from life, with older people less likely to put pressure on themselves in the personal and professional spheres. Having the wisdom to prioritize in life; what is really important and what is actually not so important at all…
It sounds like seniors may be more “chill” than twenty-somethings.

Finally, the researchers found that those who slept between six and eight hours per day tended to score better, both physically and mentally, than those who caught less or more ZZZs.

Those of us who haven’t yet reached our happiness peaks should take a lesson from our older, wiser, and scientifically proven happier elders: Give yourself a break and get to bed early tonight.

Do you think you’ve gotten happier with age? Tell us in the comments section below!

Thursday, September 8, 2016

Heart Health.. Bundle Branch Block

Bundle Branch Block      

     Sometimes part of the heart's conduction system is "blocked." If an impulse is blocked as it travels through the bundle branches, you are said to have bundle branch block.

For the left and right ventricles to contract at the same time, an electrical impulse must travel down the right and left bundle branches at the same speed. If there is a block in one of these branches, the electrical impulse must travel to the ventricle by a different route. When this happens, the rate and rhythm of your heartbeat are not affected, but the impulse is slowed. Your ventricle will still contract, but it will take longer because of the slowed impulse. This slowed impulse causes one ventricle to contract a fraction of a second slower than the other.

The medical terms for bundle branch block are derived from which branch is affected. If the block is located in the right bundle branch, it is called right bundle branch block. If the block is located in the left bundle branch, it is called left bundle branch block.

What causes bundle branch block?

The block can be caused by coronary artery disease, cardiomyopathy, or valve disease. Right bundle branch block may also occur in a healthy heart.

What are the symptoms?

If there is nothing else wrong with your heart, you probably will not feel any symptoms of bundle branch block. In fact, some people may have bundle branch block for years and never know they have the condition. In people who do have symptoms, they may faint (syncope) or feel as if they are going to faint (presyncope).

So why should we worry about bundle branch block? Because it can be a warning sign of other, more serious heart conditions. For example, it might mean that a small part of your heart is not getting enough oxygen-rich blood. Also, researchers have found that people who have left bundle branch block may be at greater risk for heart disease than are people who do not have the condition.

How is bundle branch block diagnosed?

Your heart has a natural "pacemaker" called the sinoatrial (SA) node which sends an electrical impulse throughout your heart to cause it to beat (contract). That electrical impulse from the SA node first travels through the heart's upper chambers (the atria). It then passes through a small group of cells called the atrioventricular (AV) node. The AV node checks the impulse and sends it along a track called the bundle of His. The bundle of His divides into a right bundle branch and a left bundle branch, which lead to your heart's lower chambers (the ventricles).

Doctors can use an electrocardiogram (EKG or ECG) to record the electrical impulses of your heart. The electrical patterns can show bundle branch block and whether the block is located in the right or left bundle branch.
How is bundle branch block treated?

In most cases, bundle branch block does not need treatment. But patients who have bundle branch block along with another heart condition may need treatment. For example, if bundle branch block develops during a heart attack, you may need a pacemaker. After a heart attack, your heart is fragile, and bundle branch block may cause a very slow heart rhythm (bradycardia). A pacemaker helps regulate the heart's rhythm.

For patients with both bundle branch block and dilated cardiomyopathy, a new type of pacing called cardiac resynchronization treatment (CRT) may be used. Normally, pacemakers pace only one of the lower heart chambers (the ventricles) at a time. But CRT re-coordinates the beating of the two ventricles by pacing them at the same time.

Even if you do not have other conditions, you should still see your doctor regularly so that he or she can be sure there are no other changes in your heart.

Sunday, August 28, 2016

Healthy Lifestyles For Seniors- by Expat World-Tagum

Wise health decisions can make for a longer and happier life

Protect Your DNA

As you age, the ends of your chromosomes -- called telomeres -- become shorter. This makes you more likely to get sick. But lifestyle changes can boost an enzyme that increases their length. Plus, studies show diet and exercise can protect them. The bottom line: Healthy habits may slow aging at the cellular level.

An 80-year study found that people who are conscientious -- meaning they pay attention to detail, think things through, and try to do what's right -- live longer. They do more things to protect their health and make choices that lead to stronger relationships and better careers.

Make Friends
Here's one more reason to be grateful for your friends -- they might help you live longer. Australian researchers found elderly social butterflies were less likely to die over a 10-year period compared to people with the fewest friends. A look at results from 148 more studies shows a clear link between social ties and a long life.

Choose Your Friends Wisely
Your friends’ habits rub off on you, so look for buddies with healthy lifestyles. Your chances of becoming obese go up if you have a friend who adds extra pounds. Smoking also spreads through social ties, but the good news is that quitting is also contagious.

Embrace the Siesta
A siesta is standard in many parts of the world, and now there's scientific evidence that napping may help you live longer. A study that involved 24,000 people suggests those who have a regular snooze are 37% less likely to die from heart disease than those who rarely steal a few winks. Researchers think naps might help your heart by keeping stress hormones down.

Follow a Mediterranean Diet
The Mediterranean diet is rich in fruits, vegetables, whole grains, olive oil, and fish. An analysis of 50 studies involving more than half a million people confirms the benefits. It can put a serious dent in your risk of metabolic syndrome -- a mix of obesity, high blood sugar, increased blood pressure, and other factors that make you more likely to get heart disease and diabetes.

Get Hitched
Married people tend to outlive their single friends. Researchers say it's due to the social and economic support that wedded bliss provides. While a current union offers the greatest benefit, people who are divorced or widowed have lower death rates than those who've never tied the knot.

Lose Weight
If you're overweight, slimming down can protect against diabetes, heart disease, and other conditions that take years off your life. Belly fat is bad for you, so focus on deflating that spare tire. A 5-year study of Hispanics and African-Americans suggests eating more fiber and exercising regularly are great ways to whittle your middle.

Keep Moving
The evidence is clear -- people who exercise live longer on average than those who don't. Dozens of studies show that regular physical activity lowers your risk of heart disease, stroke, diabetes, some forms of cancer, and depression. It may even help you stay mentally sharp in into old age. Ten-minute spurts are fine, as long as they add up to about 2.5 hours of moderate exercise per week.

Drink in Moderation
Heart disease is less common in moderate drinkers than in people who don't drink at all. On the other hand, too much alcohol pads the belly, boosts blood pressure, and can cause a host of other health problems. If you drink alcohol, the limit should be one drink a day for women and one or two for men. But if you don't drink, don't start. There are better ways to protect your heart!

Letting go of grudges has surprising physical health benefits. Chronic anger is linked to decreased lung function, heart disease, stroke, and other ailments. Forgiveness will reduce anxiety, lower blood pressure, and help you breathe more easily. These benefits tend to increase as you get older.

Use Safety Gear
Accidents are the fifth most common cause of death in the U.S., and the top cause of death for people ages 1 to 24. Wearing safety gear is a simple way to boost your odds of a long life. For example, seatbelts reduce the chances of death or serious injury in a car wreck by 50%. Most deaths from bike accidents are caused by head injuries, so always wear a helmet.

Make Sleep a Priority
 Getting enough good quality sleep can lower your risk of obesity, diabetes, heart disease, and mood disorders. It'll also help you recover from illness faster. Burning the midnight oil, on the other hand, is bad for you. Snooze for less than 5 hours a night and you might boost your chances of dying early, so make sleep a priority.

Manage Stress
You'll never completely avoid stress, but you can learn good ways to control it. Try yoga, meditation, or deep breathing. Even a few minutes a day can make a difference.

Maintain a Sense of Purpose
 Hobbies and activities that have meaning for you may lengthen your life. Japanese researchers found men with a strong sense of purpose were less likely to die from stroke, heart disease, or other causes over a 13-year period compared to those who were less sure of themselves. Being clear about what you're doing and why can also lower your changes of getting Alzheimer’s disease.

Be happy be healthy

Tuesday, August 9, 2016

Salt and Your Health

   While it is common knowledge that excessive salt is bad for you many do not understand the physiology of it . We have distilled some very relevant information here that we hope is helpful for you.

We can note that salt and sodium are not the same.   Salt is made up of sodium and chlorine (chemical name: "sodium chloride"). But there are other forms of sodium in food, including baking soda (sodium bicarbonate) and food additives, such as monosodium glutamate (MSG), sodium nitrite, and sodium benzoate. Any form of sodium adds to your intake, but salt makes up about 90% of the sodium you get.

Second..  sodium isn't all bad. It is used to bind and stabilize ingredients and as a preservative, flavor enhancer, and color enhancer.
  The human body needs some sodium to work right. Sodium helps control your blood pressure, blood volume, and the balance of other fluids in your body. It also helps with your nerves and muscles.
 But your body needs only 180 mg to 500 mg a day. That's less than the amount in 1/4 teaspoon of salt.

In an average diet only about 6% of our daily sodium comes from salt added at the table. About 5% comes from salt added during cooking. Only 12% is from foods with natural sources of sodium while up to an estimated 75% comes from processed or restaurant foods. The easiest way to cut down on sodium is to eat more home-cooked meals made from fresh ingredients.

 By far, the biggest health problem caused by a high-salt diet is high blood pressure. On average, the more salt you get, the more likely you are to have high blood pressure. High blood pressure raises your risk for stroke, kidney problems, heart failure, blindness, and heart attacks.

You can help counter the bad effects of a high-salt diet with physical activity. Studies show that the more active you are, the less your blood pressure rises from a high-salt diet. So if you are not active, you need to be even more careful about eating less salt.
Too much salt can have bad effects on the heart, kidneys, and blood vessels. According to the CDC, too much sodium can raise your risk of having heart attack or a stroke.

The American Heart Association says adults should limit their sodium to less than 1,500 mg per day. That's equal to about 2/3 of a teaspoon of salt. On average, Americans get more than 3,400 mg of sodium per day, or the amount in about 1 1/2 teaspoons of salt.
Certain people are more prone to high blood pressure or at risk from its effects. For these groups -- including people 51 or older, African-Americans, and people who have high blood pressure, diabetes, or chronic kidney disease --1,500 mg per day is the recommended maximum amount of sodium. Some people may need to get even less.

Men eat more sodium than women, mainly because they eat more food. On average,  men eat between 3,100 mg and 4,700 mg of sodium per day; women eat between 2,300 mg and 3,100 mg. Dietary guidelines also recommend 2,300 mg for healthy people age 2 to 50.
It can take a while to adjust to a low-salt diet. Salt is an acquired taste, but most of us acquired it as children. As adults, after years of eating overly salted foods, we have to make a big effort to changing our tastes. Experts say it takes about 8 to 12 weeks.

Table salt, sea salt, and kosher salt are all the same thing: sodium chloride. And they all have the same sodium content (40%). The differences are primarily in texture and taste.
 Table salt is made from rock salt harvested from inland deposits (with iodine sometimes added as an extra nutrient). Kosher salt is made from similar sources, but it's usually additive-free and has a coarser texture. Sea salt, as its name suggests, is harvested from evaporated seawater. Consequently, it has a slightly different flavor. In the end, though, they all contribute equally to your total sodium consumption.

Food labeling rules allow up to 5 mg per serving in a product labeled "sodium-free." Products labeled "very low-sodium” are allowed to have up to 35 mg per serving. "Low-sodium" means 140 mg or less. "Reduced sodium" means the usual sodium level has been cut by at least 25%. "Unsalted," "without added salt," and “no salt added” mean that it contains no extra salt beyond the amount that occurs naturally in the food..

Adjust your salt intake to improve your overall health… An ounce of prevention is worth a pound of cure.
C. Gilman Jones

Thursday, May 12, 2016

The Connection Between Sleep Difficulties and GERD for Seniors

Could Acid Reflux Result in Sleep Apnea?

       Gastroesophageal reflux and sleep problems go hand in hand. Millions of affected people who have been diagnosed with GERD report worse symptoms at night, and three in four say they routinely wake up from sleep because of them. GERD affects more than many people with  heartburn symptoms.

This association between GERD and sleep disorders make sense because when you're awake, gravity helps keep acids needed to digest food down where they belongs -- in the stomach. But when you're lying down, these acids can leak back into the esophagus, damaging its lining and significantly boosting the risk of esophageal cancer.

Here in Philippines there are tropical fruits that will help controlling the symptoms of GERD. Another advantage is that you may actually sleep better as well

While pineapple should be considered one of the most acidic fruits on the planet, it is actually very good for your acid reflux. The reason for this is that it contains bromelain, which is excellent to help your digestion, reduce your acid reflex, and calm your stomach down.

Fresh Papaya is readily available here and this tropical fruit is highly recommended by doctors, as it contains papain.

This enzyme found in papayas improves your digestion and helps to handle the absorption of protein in your body. It can help to reduce your acid reflux, improve your digestion, and bring peace to your stomach.

Some researchers believe that obstructive sleep apnea results in airway pressure changes that can cause reflux to occur, yet other researchers believe that the reflux of acids may result in spasms of the vocal cords that can then lead to sleep apnea.

With sleep apnea, people tend to breathe harder because their breathing has stopped, and that could induce reflux to flow into the esophagus
But so far, it's largely a chicken-and-egg question: Does sleep apnea cause acid reflux, or does this reflux cause sleep apnea by pooling in the esophagus and making it harder to breathe?

News for millions of people with GERD, which is most common after middle age, when the valve at the bottom of the esophagus weakens making acid more likely to flow upward, is that the risks for GERD are similar to those for obstructive sleep apnea, and obesity, which is controllable, is one reason people develop GERD.

Obstructive sleep apnea is also more common after middle age, especially in obese people. It is caused by relaxation of tissues in the neck, resulting in a temporary obstruction of the air passages. A person with sleep apnea may have as many as 50 or more episodes of breathing stoppage in a single night, raising their risk of high blood pressure and heart attack.

Preliminary study results do show what researchers have long suspected: reflux does cause people to wake up from sleep. Yet it may be a reflux of other back-flowing liquids and not just stomach acids.

Remember, many people with obstructive sleep apnea have no symptoms of heartburn.. What we will be doing, as physicians, is to evaluate whether these patients are having more esophageal injuries than are expected. It may turn out that if you have obstructive sleep apnea, you need to be examined for reflux -- even if you have no symptoms of GERD. If you are diagnosed with sleep apnea and your doctor does not associate it with GERD then ask him/her for an evaluation.