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May 20, 2013

Richard A. Serrano: Is Meir Kahane's assassin now a changed man?

Hannan Adely: Town raises Palestinian flag at City Hall

Melissa Healy: Genetic copies of living people from embryos no longer science fiction
Morgan Housel: When smart investors do stupid things

Sharon Saloman, M.S., R.D.: Hunger games: Eat more, weigh less, without starving

Jewz in the Newz by Nate Bloom : Jews Inducted into Rock Hall of Fame; Anton Yelchin co-stars in New "Trek" film; Kutcher (but not Kunis) visits Israel; Jewish TV Star Praises Jewish Rap Star

The Kosher Gourmet by Cathy Pollak: WARNING: This WALNUT CAKE WITH PRALINE FROSTING, perfect for afternoon coffee, is addicting
May 13, 2013

Rabbi Nathan Lopes Cardozo: Why the giving of the document that would permanently change the world could only be done in desolation

David G. Savage: Church-state, literally? Supreme Court weighing public school graduation in a church

Emily Alpert: Recession dragged down birth rates for less-educated women
Morgan Housel: The deep downside of home ownership

Peter Teffer: Will Dutch police soon be stalking cybercriminals on your computer?

Heidi McIndoo, M.S., R.D.: Meatless 'meat' can have its own set of problems

The Kosher Gourmet by Diane Rossen Worthington: Celebrate! This must-try appetizer is delicate yet has depth of flavor: Corn-Leek Cakes with Caviar, Smoked Salmon and Creme Fraiche

May 10, 2013

Rabbi Berel Wein: Be all that you should be

Caroline B. Glick: The dirty little secret about Israel's Arabs

Mona Charen: Hawking's Moral Calculus: The man and the movement he embraces
Morgan Housel: The biggest retirement myth ever told

Sandi Doughton: Eyes may provide new insight into brain problems

Jewz in the Newz by Nate Bloom : The Great Gatsby's Jewish Ties; Jews in the "Time 100 list" List; People's Most Beautiful Women

The Kosher Gourmet by Linda Gassenheimer: A sweet-hot meal: Pear salsa spices up salmon

May 8, 2013

Peter Ford: Why China is welcoming both Israel's Netanyahu and Palestinians' Abbas

Warren Richey: Obama administration quietly backs out of appeal over new contraceptive mandate

Fred Weir: At Kerry-Putin meeting, US-Russia relations thaw --- a tad
Amanda Paulson: Study reveals sad truths about community colleges

Harvard Health Letters: Evidence weak that zinc, echinacea are beneficial

The Kosher Gourmet by Leela Cyd Ross : Almost too pretty to eat, this colorful salad with Sicilian inspiration will tickle the taste buds and delight your visual sensibility

May 6, 2013

Edmund Sanders and Patrick J. McDonnell: Think Israel's objective in Syria is to weaken Assad or embolden the rebels? Think again

Brian Bennett: Israeli airstrikes may show weakness in Syrian defense

Michael Ollove: Millions of ex-felons, parolees and those on probation are about to be entitled to tax-payer paid health coverage
Karen Kaplan: Most men can skip PSA test for prostate cancer, urologists say

Kimberly Lankford: How to track down a lost life insurance policy

Dream of Mars exploration achievable, experts say

The Kosher Gourmet by Susan M. Selasky: EGGPLANT WRAPS are an easy, sumptuous and scrumptious meal

May 3, 2013

Rabbi Nathan Lopes Cardozo: Human Courage and the Unavoidable, Disturbing Text

Steven Emerson: Attorney General Fights CAIR in Court, Lauds it in Public

Mediterranean diet helps beat dementia: study
Harvard Health Letters: When to be screened for a hearing problem

Jewz in the Newz by Nate Bloom : Iron Man's Jewish Connections; Marc Maron's New TV Show; Martin Landau Grows Up with Israel; Shalom, Allan Arbus

The Kosher Gourmet by Diane Rossen Worthington: A sweet surprise for Mother's Day dessert

May 1, 2013

Jonathan Rosenblum: An Improbable Journey to Orthodoxy

Jonathan Tobin: Blame Obama, Not Israel for Syria Push

Kids, kittens the Same? With employee perks at struggling Internet pioneer Yahoo! it's hard to tell
Halena M. Gazelka, M.D.: Mayo Clinic Medical Edge: What you need to know about implanted pain relief devices

Sandy Kleffman: Artificial kidney offers hope to patients tethered to a dialysis machine

Jessica Shugart: When it comes to math, MRIs may be better than IQs

The Kosher Gourmet by Mario Batali: The celebrated chef on how high-maintenance ASPARAGUS RISOTTO need not be

April 29, 2013

Roy Gutman: Poland's new Jewish museum celebrates life, doesn't revisit Holocaust

Mark Clayton: Terrorism in America: Is US missing a chance to learn from failed plots?

Kim Murphy: Boston Bomber's 'Svengali' Revealed
Morgan Housel: He's rich, smart and old: Listen to him

Thomas Salinas, D.D.S.: Mayo Clinic Medical Edge: The safety of amalgam fillings

Harvard Health Letters: Tomatoes and stroke protection

Pete Spotts: Tiny satellites + cellphones = cheaper 'eyes in the sky' for NASA

The Kosher Gourmet by Diane Rossen Worthington: Swing into spring with lemon cream pie

April 26, 2013

Rabbi Abraham J. Twerski: The world is a mirror

Caroline B. Glick: Time to confront Obama

Clifford D. May: Defense in the Age of Jihadist Terrorism
Kimberly Lankford: New strategies ease pain of paying for long-term care insurance

Howard LeWine, M.D.: Ask the Harvard Experts: Too much ibuprofen?

Sharon Palmer, R.D.: How to feel your best -- with plenty of energy, a healthy weight and optimal mental and physical function -- without driving yourself batty

Jewz in the Newz by Nate Bloom: Jewish Major Leaguers, 2013; New Movies and Comedy Show; Shalom, 'Lumpy' (Leave it to Beaver)

The Kosher Gourmet by Emily Ho : A bright and cheerful salad to herald the warmer months ahead

April 24, 2013

Steven Emerson: Boston Bomber Exposes Islamist Secret

Morgan Housel Admit it: No one has any idea what's going on
Harvard Health Letters: Can you get headaches from headache medication?

Kerri-Ann Jennings, M.S., R.D.: How to easily get more Omega-3s in your diet

Melissa Healy: Pot in a pill: All the pain relief without the smoke

The Kosher Gourmet by Susan Russo: Chipotle Chili Butternut Squash Soup is bold, zesty, hot

April 22, 2013

Ken Dilanian: Counterterrorism's future is unclear

US man departing country arrested on terror charges
Barbara Williams: An unorthodox but growing treatment in a 9-year-old's battle against cancer

P.J. Skerrett, M.D.: How to recognize a good whole grain product

Jewz in the Newz by Nate Bloom: Teen actor Jonah Bobo in New Flick: Hunky James Wolk on Mad Men; Erich Segal's Daughter Writes Prize-Winning Jewish Novel


Jewish World Review

Quench the fire: Stomach-soothing steps for heartburn

By Harvard Health Letters




What to try before going to a doctor


JewishWorldReview.com | Are you bothered by burning behind the breastbone after eating? You're not alone. One-third of us suffer from heartburn, typified by a pain and irritation in the upper gut. The underlying trouble is usually a condition called gastroesophageal reflux disease (GERD).

Heartburn occurs when acidic stomach contents back up (reflux) through the lower esophageal sphincter (LES) into the lower throat, causing a burning pain.

There are many stomach-soothing steps you can try before going to a doctor. These can help cool your symptoms and prevent bigger problems later on.

"Heartburn indicates underlying reflux of stomach contents into the esophagus," says Dr. William Kormos, editor in chief of Harvard Men's Health Watch and a primary care physician at Massachusetts General Hospital. "It can cause damage to the esophagus and even increase the risk of cancer if ignored and untreated."

STEPS TO PREVENT HEARTBURN
1. Eat smaller but more frequent meals: Stuffing your stomach puts pressure on the lower esophageal sphincter (LES), a valve-like constriction at the base of the food pipe that keeps acidic materials from backing up (refluxing) into the esophagus. Large meals also take longer to leave the stomach, giving acid more opportunity to back up and cause heartburn.


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2. Eat in a slow, relaxed manner: Wolfing down your food fills the stomach faster, putting more pressure on the LES.

3. Remain upright after meals: Lying down puts more pressure on the LES, making reflux more likely.

4. Avoid late-night eating: Meals or snacks within three hours of lying down to sleep can worsen the reflux of stomach contents, causing heartburn. Leave enough time for the stomach to clear out.

5. Don't exercise immediately after meals: Give your stomach time to empty; wait a couple of hours.

6. Tilt your torso with a bed wedge: Raising your torso up a bit with a wedge-shaped cushion reduces the pressure on the LES and may ease nighttime heartburn. Wedges are available from medical supply companies. But don't just prop your head and shoulders up with pillows, which may increase pressure on the stomach by curling you up at the waist.

7. Don't drink carbonated beverages: They can cause belching, which promotes reflux of stomach contents.

8. Identify and avoid foods associated with heartburn: Some foods and drinks can increase acid secretion, delay stomach emptying, or loosen the LES and trigger your symptoms. Common offenders include fatty foods, spicy foods, tomatoes, garlic, milk, coffee, tea, cola, peppermint, and chocolate.

9. Chew sugarless gum after a meal: Chewing gum promotes salivation, which helps neutralize acid, soothe the esophagus, and wash acid back down to the stomach. Avoid peppermint flavors, which may trigger heartburn more than other types of gum.

10. Rule out medication effects: Ask your doctor or pharmacist about drugs that can cause pain resembling heartburn. Some drugs, for example, can loosen the LES and cause acid reflux. Other drugs can cause inflammation of the esophagus.

11. Lose weight: Being overweight fuels heartburn because it puts more pressure on the stomach (and the LES). The tight-fitting clothing and belts associated with weight gain may also contribute.

TIME FOR A PPI?
If changing your eating habits and other preventive steps don't get heartburn under control, the most effective treatment is a class of drugs called proton pump inhibitors (PPIs). They drastically reduce acid secretion by the stomach. PPIs are available over the counter as omeprazole (Prilosec) and lansoprazole (Prevacid).

PPIs will get heartburn under control, but people end up taking them indefinitely. This is not necessarily safe, since research has linked PPIs to increased susceptibility to bacterial infection and long-term risk of hip fracture, among other potential risks.

However, you should not suddenly stop taking a PPI after prolonged use.

"People end up getting 'stuck' on them because PPIs cause a rebound in acid production when stopped," Dr. Kormos says.

After a PPI cools your heartburn symptoms, ask your doctor if you can taper it off and then combine good preventive behaviors with targeted use of over-the-counter medicines to keep heartburn from returning. H2 blockers are good for this purpose. They include cimetidine (Tagamet), ranitidine (Zantac), famotidine (Pepcid), and nizatidine (Axid).

If your symptoms persist, you may need additional testing such as endoscopy. Men who have damage to the esophagus (esophagitis) or precancerous changes (Barrett's esophagus) will probably have to take a PPI indefinitely. - Harvard Men's Health Watch

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