What Are The 4 Types Of Acid Reflux
Acid reflux which is a chronic and progressive condition, consists of different stages which are as follows:-
What Is The Difference Between Esomeprazole Vs Nexium
Esomeprazole is the name of the medicine in Nexium. To take esomeprazole, you can buy Nexium or a product like Curist . Both Nexium and Curist Esomeprazole have the same strength of esomeprazole , so the relief for heartburn and acid reflux is the same. To learn more about esomeprazole, check out Curists Esomeprazole FAQ.
What Are Standard Acid Reflux Precautions
Wise people have said precaution is better than cure. For a person who is suffering from the persistent episodes of acid reflux implementing certain precautions in his/her life can bring about a positive change.
The first precaution which must be taken by an individual is bring changes in his/her eating habits. Foods which trigger the condition of acid reflux must be completely avoided. The foods can drinks which can trigger acid reflux are:
- Mint and menthol
- Spicy food
Drinking 8 glasses of water every day also helps. Apart from the bringing the changes in the eating habits, a person also needs to bring some changes in his/her lifestyle. Some of these changes are given below:
- Eating slowly
- Keep yourself upright for 60 minutes after eating
- Avoid clearing your throat
- Quit smoking.
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Ppis: What Are Omeprazole And Esomeprazole
Omeprazole and Esomeprazole are both proton-pump inhibitors . This class of over-the-counter medications is used to treat frequent heartburn that occurs 2 or more days per week. They work by decreasing the amount of acid that the stomach produces and are more effective in providing long-lasting heartburn relief than H2 blockers or antacids.
How Much Do H2 Blockers Cost
H2 blockers are available in brand and generic versions. Generics tend to be cheaper than brands.
Generic appears to be more affordable than . The lowest GoodRx price for the most common version of generic famotidine is about $7, which is 59% off the average retail price of $17.08. The lowest GoodRx price for the most common version of cimetidine is around $17.80, which is 67% off the average retail price of $54.48.
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The Best Heartburn Medicine To Use For Acid Reflux
- Lauren Stuttaford
Most people have experienced acid reflux or heartburn at least once likely after a large meal. But what is the best heartburn medicine? There are three primary types for acid reflux and heartburn: antacid medication, H2 blockers, and proton pump inhibitors . All of these work differently and either aim to prevent acid reflux or to provide quick relief. If you suffer from acid reflux and want to find out which are the safest acid reflux medicines, heres everything you should know about the best treatments.
Heartburn Drugs: Do The Benefits Outweigh The Risks
At some time or another, weve all been there. Whether one too many coffees, grandmas homemade marinara sauce or a really indulgent holiday meal, now youre reaching for some heartburn relief.
If you are like millions of Americans who suffer from gastroesophageal reflux disease , a digestive disorder, or other reflux disorders, you may reach for the purple pill or other similar proton pump inhibitors to relieve that burning pain in your lower chest.
But recent studies have raised some questions about the serious and even life-threatening side effects of these drugs. Are PPIs more harmful than helpful when it comes to treating GERD?
The good news is that in most occasional cases of heartburn, you probably wont need these medications. But if it becomes a recurring problem and diet and over-the-counter antacids, such as Rolaids and Tums, arent doing the trick, what should you take?
Short-term medication is definitely helpful when it comes to symptom relief, but usually this relief is temporary, and the symptoms usually return after stopping the medication, said Khoi Dinh Le, MD, a general and robotics surgeon at Banner Health Clinic in Greeley, CO. The general research consensus is that GERD is more prominent in those who are obese. However, dietary and lifestyle modifications, with the aim of losing weight in a healthy and long-lasting manner, can minimize or even eliminate reflux and heartburn.
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What Is Heartburn And How Can Ppis Help
Heartburn happens to lots of us when we have an especially spicy, fatty, or heavy meal. It develops when stomach acid flows up into the esophagus, or food pipe, causing a burning sensation in the chest, often accompanied by a bitter or sour taste in the mouth and throat. Symptoms are especially common among the elderly, pregnant women, smokers, and people who are overweight or obese.
More than 60 million Americans experience heartburn at least once a month, and more than 15 million people suffer daily symptoms, according to the American College of Gastroenterology.
Sometimes heartburn eases with lifestyle changes, like eating smaller meals and eating more slowly. Avoiding tobacco, alcohol, and caffeine can also help.
Thats where PPIs come in. Sold under brand names like Prilosec and Nexium , PPIs work by curbing production of stomach acid. Doctors prescribe these drugs to treat GERD, a condition that develops when stomach acid backs up into the esophagus. PPIs also treat Helicobacter pylori, a bacteria that can cause ulcers in the stomach and small intestine. And, the drugs can also halt the production of stomach acid that causes ulcers with long-term use of nonsteroidal anti-inflammatory drugs , like aspirin and ibuprofen .
Taking Heartburn Medicine 3+ Times A Week May Cause Harm
Antacids like Tums and Rolaids contain calcium carbonate and magnesium hydroxide to help neutralize the acid in your stomach. They can provide fast, short-term relief and do not have lasting harmful side effects if taken as directed. Follow dosage recommendations though because high levels of calcium carbonate in the body can cause constipation, nausea, mood changes or even heart rate changes. But acid neutralizers are considered safe when taken properly and are often used for calcium supplementation as well as heartburn relief.
H-2 Blockers and Proton Pump Inhibitors
H-2 blockers like Zantac, Tagamet and Pepcid reduce the production of stomach acid. They are effective in treating peptic ulcers and reflux in people who have heartburn a few times per month but are not intended for everyday use. Some research suggests that overuse of H-2 blockers can cause headaches, constipation and nausea, but their long-term use has not been extensively studied.
Proton-pump inhibitors like Prevacid, Prilosec or Nexium are stronger than H-2 blockers and work by blocking acid-producing cells in the lining of the stomach. They provide lasting relief from symptoms of GERD and are available without a prescription.
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What Are The Side Effects Of Proton Pump Inhibitors
Like H2 blockers, the common side effects of proton pump inhibitors are mild and include:
However, concerns have been raised about serious side effects from using PPIs long term. These concerns have led the FDA to issue several warnings about PPIs. Side effects that may be associated with long-term use include:
Risk of fractures
Hypomagnesemia low level of magnesium in the blood that can lead to convulsions, fatigue, and muscle weakness
Increased risk of Clostridium difficile bacteria infections
Vitamin B12 deficiency
Increased risk of dementia
Lupus-like syndrome that causes lesions on the skin
Importantly, most studies on these effects are observational and havent established a direct link between the medications and the effects. But nearly all the effects were seen in people who took these medications long term.
Be sure to work with your healthcare provider to figure out how long you should be on PPIs and whether the risks outweigh the benefits of taking them for more than a few weeks.
Why Trust Verywell Health
Sarah Bradley has been writing health content since 2017everything from product roundups and illness FAQs to nutrition explainers and the dish on diet trends. She knows how important it is to receive trustworthy and expert-approved advice about over-the-counter products that manage everyday health conditions, from GI issues and allergies to chronic headaches and joint pain.
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Ppis And Serious Side Effects
PPIs are powerful acid reducers, and overall most people dont have problems when taking them. But they can cause serious side effects in some people, especially if they take them long-term. Its important not to take them for more than 14 days unless your doctor tells you to.
Both H2 blockers and proton pump inhibitors are generally well-tolerated classes of medicine. While the potential for uncommon, adverse effects is always there, generally these medicines are well-tolerated and their use is not limited by any adverse effects, Alexander said.
Some side effects that rarely occur with PPI long-term use include the risk of fractures, Clostridium difficile bacterial infections and gastric malignancies.
PPIs can also increase the chance of serious kidney problems such as chronic kidney disease and acute interstitial nephritis, or swelling inside the kidney, according to the National Kidney Foundation. People with kidney problems shouldnt take PPIs. This side effect has led to
Best Heartburn & Acid Reflux Medications In 2021
Heartburn is a condition that 60 million Americans experience at least once per month. The main causes of heartburn include acid reflux and gastroesophageal reflux disease , a chronic form of acid reflux. The best medication for heartburn includes classes of heartburn medications: antacids, histamine-2 blockers, and proton pump inhibitors .
To avoid these symptoms, you can take various kinds of medicationsâ from over-the-counter to prescription. To obtain access to some of these prescription forms of heartburn medication, consider signing up for Mira, an affordable alternative to health insurance that allows you to get up to 80% off on prescriptions.
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What Is The Difference Between Acid Reflux And Gerd
Though acid reflux and GERD are associated with each other, they differ in some forms such as severity of the symptoms. Acid reflux is accompanied by the flow of acid from the stomach back into the oesophagus and burning sensation in the chest. When acid reflux becomes more severe, the condition may be referred to as GERD. It shows symptoms like severe chest pain and heartburn with an increased frequency.
Omeprazole: Best Otc Heartburn Medication
Omeprazole, commonly known as Prilosec, is a PPI that reduces the quantity of food-digesting acid made by the cells within the lining of your stomach. In fact, Prilosec was one of the first and strongest PPIs created to combat acid reflux. According to Dr. Ghouri, Prilosec OTC âis usually sufficient in controlling symptoms in a majority of casesâ and has been the #1 Doctor Recommended frequent heartburn relief medicine for 14 years.
There are various benefits to using Prilosec OTC, most notably the ease of the dosing schedule and the effectiveness in lowering frequent piques of heartburn in individuals. When taking Prilosec OTC, you only have to take one pill per day for 14 days. Although it may take between one to four days to experience the full effect, Prilosec OTC begins to work, and individuals notice relief on the first day of treatment. After the fourteenth day, acid production should grow to be controlled consistently.
Prilosec OTC prices tend to vary, from being $18.44 on Amazon to $85.90 on Walmart. Despite the slightly higher cost than Pepcid, Prilosec OTC provides long-term relief from heartburn following the 14 days. Similar to Pepcid, the common side effects produced are only a headache and abdominal pain.
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Common Types Of Antacids
Ingredients to look for include:
- aluminium hydroxide
- calcium carbonate
- sodium bicarbonate
Some antacids also contain other medicines, such as an alginate and simeticone .
Impact Of Gerd On Quality Of Life
Patients with GERD have significantly poorer health-related quality of life than the general population , patients with diabetes or hypertension , and patients with severe angina pectoris or mild heart failure . Although there are no relevant differences in health-related quality of life between patients with Barretts esophagus, erosive esophagitis and non-erosive GERD , impairment is proportional to the frequency and severity of symptoms, regardless of the presence or absence of esophagitis , is more severe in females and younger patients and is exacerbated by the presence of nocturnal symptoms . Although the frequency and intensity of acid complaints significantly influence the health-related quality of life of patients with GERD , a number of other gastrointestinal symptoms, such as upper abdominal/stomach complaints, lower abdominal/digestive complaints, and nausea, also have a major role . The impact of GERD is most striking on measures of pain, mental health, and social function . The presence of GERD is also associated with reduced work productivity for affected individuals in the labor force .
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When To See A Doctor
Treating heartburn involves more than just popping a pill or munching on a fistful of antacids. These medications work in tandem with lifestyle changes such as cutting out caffeine consuming smaller, more frequent meals quitting smoking and avoiding alcohol, a known heartburn trigger. Other tips that may help extinguish heartburn include not eating after 7 p.m. and propping your head up while you sleep. “You can’t expect a pill to work if you are drinking eight cups of coffee and smoking two packs a day,” Dr. Chutkan says.
Caffeine relaxes the lower esophageal sphincter, a circular muscle that creates a valve between the esophagus and the stomach. Think of the muscle as a door. “When the door is shut, no acid comes back up. But when the door opens, the acid backs up from stomach to food pipe,” Dr. Cappell says. “Caffeine, smoking, and alcohol all tend to make reflux more severe, and they may act by opening this door.”
“If you have classic acid reflux or heartburn such as a pain in chest with frequent burping or nausea, it’s OK to try over-the-counter remediesespecially if it occurs after a large, fatty meal or late at night,” Dr. Chutkan says. Steer clear of the over-the-counter aisle and head straight to your doctor if you have any of these red flags: pain or difficulty swallowing, vomiting, unexplained weight loss, or persistent abdominal pain, she says.
Otc Vs Prescription Gerd Drugs
You may wonder if an OTC or prescription GERD medication would be better for you.
The OTC forms of H2 blockers and PPIs have lower dosage levels than the prescription versions. Theyre safe to use for short-term relief of minor discomfort.
However, if OTC medications do not resolve your symptoms, or symptoms frequently return, you should speak with a doctor.
Prescription medications can provide stronger relief from GERD symptoms. Certain prescription-strength medications, such as prescription PPIs, can also help heal damage to the esophagus caused by acid reflux.
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Side Effects Of Antacids
Antacids do not usually have many side effects if they’re only taken occasionally and at the recommended dose.
But sometimes they can cause:
- feeling sick or vomiting
These should pass once you stop taking the medicine.
Speak to a pharmacist or a GP if side effects do not improve or are troublesome. You may need to switch to another medicine.
Esomeprazole Vs Omeprazole For Reflux Esophagitis
Reflux esophagitis is caused by stomach acid entering into your esophagus. When this occurs 2 or more days per week, clinically it is referred to as gastroesophageal reflux disease . Esomeprazole and omeprazole are available both as an over-the-counter drug and as a prescription . When taken as an OTC, each is used to treat frequent heartburn. Under the supervision of a doctor, omeprazole and esomeprazole can each be used to treat GERD. In addition to treating similar conditions, omeprazole and esomeprazole have similar chemical structures. There is evidence that esomeprazole may be more effective at controlling acid, but other studies have not found a significant difference between omeprazole versus esomeprazole. As a result, taking omeprazole or esomeprazole for GERD often comes down to personal choice. Please discuss with your healthcare provider for more details and about potential side effects for using these medicines to treat GERD.
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Acid Reducers For Heartburn
There are two types of drugs that cut down on the production of acid in the stomach: histamine antagonists and proton pump inhibitors .
Examples of H2 blockers available over the counter include:
Note: The H2 blocker ranitidine, which was in older Zantac products, was removed from the market in 2020 after it was found to contain a cancer-causing agent.
The proton-pump inhibitors esomeprazole , lansoprazole , and omeprazole are sold over-the-counter to treat frequent heartburn for 14 days. These types of medicines are also available as higher-strength prescriptions. Take them according to the directions on the package or as advised by your doctor.
If these medications don’t relieve your symptoms, or if your heartburn symptoms get worse or last for longer than 2 weeks, you should see your doctor.