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Elevate Your Upper Body
Lying down can make heartburn worse. When it comes time for bed, adjust your sleeping surface to raise your upper body.
According to the Mayo Clinic, lifting your head with extra pillows isnt usually enough. Instead, the goal is to elevate your body from the waist up.
If you have an adjustable bed, set it at a suitable angle to provide relief. If your bed isnt adjustable, you can change the angle of your sleeping surface by using a wedge pillow.
Mix Baking Soda With Water
You might have a heartburn remedy at hand in your kitchen without even knowing it. Baking soda can calm some episodes of heartburn by neutralizing your stomach acid.
To do this, dissolve a teaspoon of baking soda in a glass of water and drink it slowly. In fact, you should drink everything slowly when you have heartburn.
help relieve nausea, so some believe it may be worth trying for heartburn, too.
Consider adding grated or diced ginger root to your favorite stir-fry recipes, soups, and other foods. To make ginger tea, steep raw ginger root, dried ginger root, or ginger tea bags in boiling water.
Its probably best to avoid ginger ale, though. Carbonated beverages are a common heartburn trigger, and most brands of ginger ale are made with artificial flavoring rather than the real thing.
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Tests And Surgery For Heartburn And Acid Reflux
If medicines do not help or your symptoms are severe, a GP may refer you to a specialist for:
- tests to find out what’s causing your symptoms, such as a gastroscopy
- an operation on your stomach to stop acid reflux called a laparoscopic fundoplication
Page last reviewed: 09 September 2020 Next review due: 09 September 2023
Opt For Cooked Onions Instead Of Raw

Raw onions are a common trigger for acid reflux and heartburn.
One older study in people with acid reflux showed that eating a meal containing raw onion significantly increased heartburn, acid reflux, and burping, compared with consuming an identical meal that didnt contain onions .
More frequent burping might suggest that more gas is being produced. This could be due to the high amounts of fermentable fiber in onions .
Raw onions are also more difficult to digest and might irritate the lining of the esophagus, causing worsened heartburn .
Whatever the reason, if you think eating raw onion makes your symptoms worse, you should avoid it and opt for cooked onions instead.
Summary
Some people experience worsened heartburn and other reflux symptoms after eating raw onions.
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How Is Heartburn Treated
In most cases, heartburn can be treated at home with over-the-counter medications and changes to lifestyle habits that cause the feeling. Occasional heartburn is common and is typically not serious. However, if you have frequent and severe heartburn, reach out to your healthcare provider. This could be a sign of a chronic condition like GERD. GERD can lead to other serious conditions like esophagitis, Barretts esophagus and even cancer. Sometimes, your doctor may want to do an endoscopy to check for underlying medication conditions. An endoscopy is the examination of your digestive tract with a lighted flexible instrument.
Over-the-counter medications for heartburn typically include antacids and acid blockers.
What Treatments Are Available For Heartburn & Acid Reflux
Most treatments revolve around lifestyle changes as your symptoms are likely to lessen if you take measures to reduce the amount of reflux that you have. For example, stopping smoking and drinking less alcohol can all make a big difference to the discomfort you experience.
Alcohol
Check your alcohol intake and reduce if needed to within healthy guidelines, if you do have a large intake it might be better to discuss your intake with your GP before reducing it. You can use the online calculator here to work out how many units you are having. Healthy advice is not to have in excess of 14 units per week with some alcohol free days during the week.
Smoking
Ask you GP about NHS stopping smoking services where you live. There are a number of different methods to use and stopping can have other benefits to health. See here for more information
Some foods are more likely than others to trigger reflux symptoms so you may find it helpful to look at how you eat as well as what you eat. Avoid late night, high fat meals so you dont go to bed with a full stomach. Eat your main evening meal three hours before going to bed3. Propping up your head when you sleep may also alleviate symptoms3. Eat little but more often, if necessary. Try to avoid bending forward or wearing tight clothes as this can put extra pressure on your tummy.
Being overweight.
These are split into 2 groups:
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Tif And Other Endoscopic Therapy
Transoral incisionless fundoplication is an option to address GERD. TIF can mean a shorter treatment time, less pain and faster recovery compared to laparoscopic surgery. The procedure involves using a special TIF device to create a passageway for a flexible, tube-like imaging instrument called an endoscope. The procedure allows the physician to use preloaded tweezers and fasteners to repair or recreate the valve that serves as a natural barrier to reflux.Currently, there are clinical trials testing the efficacy of endoscopic therapy for GERD. One form of therapy uses an endoscopic sewing machine to place sutures in the stomach and increase the anti-reflux barrier.
TIF Procedure for GERD | Frank’s Story
How What And When
Watch how you eat: Dont inhale giant mouthfuls of food. Take smaller bites and eat slowly, allowing your stomach time to digest and without giving it an excuse to pump out excess acid.
Watch what you eat: Youre probably aware that specific foods trigger heartburn, usually foods high in acid or spicy foods. Avoid these as best you can to ward off
Watch when you eat: Dont eat within 3-4 hours before bed. Lying down puts more pressure on your LES and increases the likelihood of acid sneaking through.
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Do I Need Medication For Gerd
The best thing you can do is to taper off your proton pump inhibitor.
Supplements are the way to go and they will help you to heal the root cause of your GERD. Proton pump inhibitors only treat symptoms and cause a whole host of other issues.
The goal is to get to the root cause of GERD. Heal leaky gut with supplements, lower inflammation with supplements and take melatonin to aid in repair of GERD.
Natural Remedies For Acid Reflux
If youve experienced the occasional bout of heartburn, you know how uncomfortable the painful burning sensation can be. Maybe you want to go all-natural or you want to treat heartburn symptoms that don’t respond to medication. If this describes your situation, consider turning to diet and lifestyle modifications, as well as natural remedies to relieve your symptoms.
Heartburn may be caused by the backflow of your stomach contents into your esophagus. The esophagus is the tube that transports food to your stomach. When you have backflow from your stomach, the medical condition is called acid reflux. Your pain may also be caused by a more severe or chronic form of reflux called gastroesophageal reflux disease .
This article will look at several acid reflux remedies and lifestyle modifications that may help.
Verywell / Emily Roberts
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What Are Prescription Medications For Heartburn
If over-the-counter antacids and acid blockers do not relieve your heartburn, your healthcare provider may give you a prescription for other medicines, such as:
- Prescription-strength acid blockers: In prescription-strength , Zantac®, Tagamet®, Pepcid® and Axid® can generally relieve heartburn and treat GERD.
- Proton pump inhibitors: These are drugs that block acid production more effectively. Proton pump inhibitors include Aciphex®, Nexium®, Prevacid®, Prilosec® and Protonix®.
There are some proton pump inhibitors that can be purchased over-the-counter. Talk to your healthcare provider about these medications and what is best for you.
What Does Heartburn Feel Like

Heartburn typically feels like a burning in the center of your chest, behind your breastbone. When you have heartburn, you may also feel symptoms like:
- A burning feeling in your chest that can last anywhere from a few minutes to a couple of hours.
- Pain in your chest when you bend over or lay down.
- A burning feeling in your throat.
- A hot, sour, acidic or salty taste in the back of your throat.
- Difficulty swallowing.
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Watch What You Eat Drink And Do
Making some changes to your lifestyle can go a long way toward easing the pain of heartburn.
Say goodbye to cigarettes. Smoking causes your body to make less saliva, a liquid that helps stamp out stomach acid. That can lead to burning in your esophagus. Tobacco may also cause your stomach to make more acid and relax the muscles at the lower end of your esophagus that can shut down the opening between the stomach and the esophagus. Chewing gum and sucking on lozenges can help you make more saliva.
Avoid trigger foods. For many people, these are spicy and high-fat foods, chocolate, peppermint and other mints, coffee, citrus fruits or juices, tomato products, carbonated drinks, and onions.
Donât lie down after you eat. If you need an afternoon siesta, snooze upright in a chair. Eat dinner at least 2-3 hours before you go to bed, and donât make the last meal of the day your biggest one.
Raise the head of your bed. If the top of your bed is higher than the bottom, itâs harder for the acid to travel up. You can do this with a block of wood under the bed or a foam wedge under the mattress.
Be careful what medications you use. Aspirin, ibuprofen, and other medications, such as some sedatives and blood pressure drugs, can trigger heartburn. Ask your doctor if any of your medications might be causing your symptoms. There may be something else you can take.
Wear loose clothing. Tight clothing, including belts, can cause stomach contents to push upward.
How To Prevent Acid Reflux And Anxiety
Without remedying both acid reflux and anxiety, either can provoke the occurrence of each other through a cyclical effect. The many acid reflux symptoms can lead to anxiety which can in-turn fuel acid reflux symptoms. Or anxiety can raise the pain of heartburn leading to more anxiousness and so on.
Acid Reflux Prevention: Lifestyle and dietary changes are the main ways to prevent acid reflux. Avoid heartburn triggers , slow down while eating, do not overeat, avoid eating before bed, and sleep on an incline.
Anxiety Management: Normal events that trigger anxiety cant be prevented, but they can be managed through:
- Exercise
- Laughter
- Sleep
If you suffer from chronic anxiety disorders such as generalized anxiety disorder, specific phobias, panic disorder, and social anxiety, the help of a medical professional will be required to overcome these disorders.
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Is There Surgery To Treat Gerd
GERD is usually controlled with medications and lifestyle changes . If these dont work, or if you cant take medications for an extended period, surgery may be a solution.
- Laparoscopic antireflux surgery is the standard surgical treatment. Its a minimally invasive procedure that fixes your acid reflux by creating a new valve mechanism at the bottom of your esophagus. The surgeon wraps the upper part of the stomach around the lower portion of the esophagus. This reinforces the lower esophageal sphincter so food wont reflux back into the esophagus.
- LINX deviceimplantation is another minimally invasive surgery. A LINX device is a ring of tiny magnets that are strong enough to keep the junction between the stomach and esophagus closed to refluxing acid but weak enough to allow food to pass through.
What Are My Options If These Treatments Don’t Work
If a person continues to have heartburn, a health care professional may recommend adding a drug such as metoclopramide . This drug empties food and acid quickly from the stomach so less can back up into the esophagus. Reglan also helps tighten the lower esophageal sphincter.
If a person still have symptoms, a health care professional will then recommend one of the drugs called proton pump inhibitors. Examples of these drugs are omeprazole , lansoprazole , esomeprazole , rabeprazole , and pantoprazole . These tablets prevent the stomach from secreting acid. They are very effective and are typically taken only once a day. These drugs usually are prescribed if other drugs have not helped. They may have to be used indefinitely.
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Southern Cross Medical Library
The purpose of the Southern Cross Medical Library is to provide information of a general nature to help you better understand certain medical conditions. Always seek specific medical advice for treatment appropriate to you. This information is not intended to relate specifically to insurance or healthcare services provided by Southern Cross. For more articles go to the Medical Library index page.
Causes Of Antibiotic Pill
Numerous issues can lead to esophagitis through extended contact with antibiotic pills.2
Antibiotic Causticity
The causticity of antibiotic pills can cause injury if pills remain in contact with the lining of the esophagus.
Posture
Poor posture can cause pills to get stuck in the esophagus.
Dry Mouth
Conditions or medication that lead to decreased amounts of saliva causing dry mouth can cause pills to get stuck in the esophagus when swallowed.
Number of Pills Swallowed
Taking a number of pills at the same time can cause them to get stuck in the esophagus.
Antibiotic Pill Size
Larger antibiotic pills can potentially get stuck when swallowing.
Lack of Water
Not drinking enough water when swallowing pills can cause them to get stuck in the esophagus.
Esophageal Motility Disorder
Esophageal motility disorders make swallowing both solids and liquids difficult.
Esophageal Strictures
Repeated exposure to refluxed acid in patients with GERD can form a ring of scar tissue called an esophageal stricture. Esophageal strictures make swallowing difficult allowing the prolonged contact of antibiotic pills with the lining of the esophagus.
Cardiomegaly
Cardiomegaly is the enlargement of the heart. When the left atrium is enlarged, it can compress the esophagus causing swallowing issues.
Age
The muscles weaken with age. This includes the muscle in the esophagus and LES. The weakening of these muscles can make swallowing pills more difficult and lend to the reflux of medication.
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What Do I Do If I Think I Have Gerd
With GERD when reflux and heartburn happen more than once in a while the tissue lining your esophagus is getting battered regularly with stomach acid. Eventually the tissue becomes damaged. If you have this chronic acid reflux and heartburn you can see its affecting your daily eating and sleeping habits.
When GERD makes your daily life uncomfortable in this way, call your healthcare provider. Although GERD isnt life-threatening in itself, its chronic inflammation of the esophagus can lead to something more serious. You may need stronger prescription medications or even surgery to ease your symptoms.
Adjust Your Sleep Position

Elevating your head and chest higher than your feet as you sleep can help prevent and ease acid reflux and heartburn. You can do this using a foam wedge placed under the mattress or by raising bedposts using wood blocks. Beware of piling pillows, as this usually isn’t effective and may even make your symptoms worse. Additionally, sleeping on your left side is thought to aid digestion and may work to limit stomach acid reflux.
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Use Fennel And Its Seeds For Heartburn Cure
Fennel has a pH of 6.9 and thus is included in effective foods for heartburn relief. In fact, this herb is good not only for heartburn but many other diseases or conditions related to stomach problems such as indigestion, constipation, flatulence and bloating. Fennel has a volatile oil made up of such components as fenchone, trans-anethole, limonene and a-pinene. All these substances have a carminative effect that provides soothing relief to your stomach and prevents all kinds of digestive disorders including heartburn. The crunchy vegetables as well as the seeds of fennel, both are effective for heartburn.
Ways to Use Fennel for Heartburn