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johnathan
06-15-2013, 06:06 PM
Suppose there are two people Bob and Anne. Bob is 55 and lives with his wife and family. He likes to eat pizza, fried chicken and fries with ketchup. His favorite drink is beer. Bob has never had heartburn and enjoys his life.

Anne is 25 years old. Anne suffers daily with heartburn and LPR. She avoids all fatty foods, peppermint, onions, garlic, tomatoes, pizza, fried food and wheat. She constantly monitors the food she eats for fear of heartburn which keeps her up all night long. Anne has been diagnosed with GERD and has been put on PPIs. Annes doctor has told her that she may eventually require surgery to prevent cancer developing.

Now what is the difference between Bob and Anne that enables one to eat what he likes and does not suffer and the other to walk on eggshells in case she suffers acid reflux?

Does Bob have super tight valves and Anne has wide open valves? What is going on?