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A Low Fiber Diet Permanently Damages the Anti-reflux Barrier At least one well respected researcher of gastrointestinal diseases believes that more than 90 percent of the GERD found among people living in the Western world is a direct result of constipation.9 Physical efforts to evacuate a hard, constipated stool out of the rectum into the toilet cause severe straining that pushes the stomach from its normal position in the abdominal cavity, up into the chest