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“Sometimes you win, -Sometimes you learn.”
John Calvin Maxwell, (1947) is an American author, speaker, and pastor.
Insufficiency of the Cardia, or Hiatal Herniation, resulting in gastro-esophageal reflux, concerns about 50% of population.
Exacerbated by obesity and abundance of visceral fat, it can be an extremely distressing disorder.
Sometimes this one can result even in casualties!
Little considered by professionals and afflicted individuals as well, this is probably main cause of death while Scuba Diving.
Not having oriented a second thought to this particularity, if you are under water, you do not know how to react!
Trying to swallow liquid back into the stomach is probably the most fatal mistake. Spitting everything that comes up can be life-saving.
As simple as that!
While swmming holding one’s head above water all the time, like terrestrial animals do it, obviates the issue.
With sportive variant of this activity the small column below the surface exerts pressure, which can be sufficient to overcome the inferior esophageal sphincter, and fill the stomach with air. After a while it becomes urgent to empty it.
Gastric anti-secretory medicine dries up the stomach, but disturbs intestinal flora.

