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 .
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
Proton Pump Inhibitors When H2 Blockers Dont Help
If after a couple weeks of taking H2 blockers your acid reflux symptoms still arent letting up and/or are occuring 2 or more days per week, stop them and try a proton pump inhibitor once daily. PPIs work by blocking an enzyme found in cells in the stomach lining that produce stomach acid. This causes them to make less acid and relieve symptoms of heartburn and GERD.
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Famotidine: Most Effective Heartburn Medication
If youâre in search of a strong relief from heartburn that is relatively cost-effective, Famotidine may be the right option for you. Pepcid is an H2 blocker that works by lowering the levels of acid produced in the stomach. Through this, Pepcid is not only effective in relieving heartburn but also in treating acid reflux.
Pepcid is a viable option in treating heartburn, as it is relatively fast-acting and long-lasting. On average, after taking Pepcid, individuals report noticing relief of heartburn within an hour, and typically, the effects of famotidine last for 10 to 12 hours after an initial dose. Pepcid is also a medication that can be purchased OTC or as a prescription. This unique flexibility of Pepcid allows it to be relatively accessible for all patients while also being capable of coming in higher doses for those who need more intense care. For an OTC pack of Pepcid, the average cost is typically under $10.
Famotidine is best taken with a glass of water. Additionally, it can be taken with or without food. The most common side effects of famotidine include a headache or gastrointestinal pain .
For Instant Relief Antacids
While preventative treatments such as H2 blockers and PPIs are more effective, antacid medication is just what you need if you want fast heartburn relief. These inexpensive, over-the-counter tablets can be used on demand for symptom relief, but it must be noted that antacids dont do anything to prevent acid reflux or GERD.
The common ingredients contained in antacids like calcium carbonate found in Tums and Rolaids and/or magnesium found in Mylanta and Maalox provide heartburn relief within 5 minutes and only work temporarily for 30 to 60 minutes at most. Antacids are typically available as chewable or dissolving tablets, but some brands come in liquid or gum form.
Common OTC Antacids
Side effects are mostly mild and include:
Be careful not to overuse antacids since some brands contain calcium, and excessive calcium intake can lead to kidney stones. If your symptoms persist for more than 2 weeks with an antacid, you might need stronger acid reflux medication.
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When Should You Consider A Ppi
Talk to your doctor if you have symptoms such as trouble swallowing, weight loss, or chest pain. Call the doctor if you dont get better in about two weeks. The doctor will look for signs of problems such as GERD .
If you have GERD, you probably need a PPI. Talk to your doctor if:
- You have heartburn at least twice a week for several weeks.
- Food or acid often come back up into your throat.
- You take antacid or H2 blockers, and you make changes like the ones described on this page, but your heartburn does not go away.
If your doctor thinks you need a PPI:
- Ask to start with a low dose of generic prescription lansoprazole or omeprazole. You can also get these medicines over the counter.
- If the heartburn gets better after a few weeks, talk to your doctor about gradually lowering your dose.
This report is for you to use when talking with your healthcare provider. It is not a substitute for medical advice and treatment. Use of this report is at your own risk.
Heartburn And Reflux: Manage Your Medicine
Heartburn and reflux medicines are often only needed for a short time. Download a factsheet about managing heartburn and reflux.
Prescription medicine for heartburn and reflux, called a proton pump inhibitor, is often only needed for 4-8 weeks. If your symptoms are well managed, talk to your doctor about reviewing your medicine.
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Common Medications For Acid Reflux And Gerd
If diet and lifestyle choices dont improve your acid reflux and GERD symptoms, a doctor may recommend medication. Acid reflux and GERD medicine is available over-the-counter and by prescription.
These medications come in three main types: antacids, H2 blockers and proton pump inhibitors or PPIs.
Many people who have mild or intermittent symptoms of reflux may be able to take over-the-counter treatments alone. Frankly, patients can often self-manage that with little to no clinical input, but many other patients may have more severe GERD symptoms or more complex GI disease, such as gastritis or erosive esophagitis or gastrointestinal ulcers which we dont see often, but they still can occur are times when a prescription treatment makes more sense, said Alexander.
If heartburn is mild and only happens occasionally, people can use weaker OTC medicines such as antacids.
For more serious acid reflux or GERD, medical providers may prescribe stronger medicines such as H2 blockers or PPIs. Weaker medicines like antacids dont treat GERD.
H2 blockers are generally used for more mild disease. For people that require more complete acid suppression, proton pump inhibitors are superior, Alexander said.
Each type has pros and cons and different side effects.
Common Medications for Acid Reflux
Maalox: Best Heartburn Medication For Immediate Relief
Maalox is an antacid used for very fast-acting relief from heartburn. In Maalox, Simethicone is used to help destroy gas bubbles within the gut, and aluminum and magnesium work to reduce acid levels in the stomach. This form of heartburn medication only works on existing stomach acid.
Maalox usually works within five minutes of consumption. However, the catch is that it will only work for 30 minutes to 60 minutes at the most. Thus, if you continue to experience symptoms for up to two weeks following your initial date of taking Maalox, you may need a stronger heartburn medication.
Typically, Maalox should be taken after meals or around bedtime. The most common side effects of Maalox include constipation and diarrhea. If these side effects persist for over two weeks, though, you may consider contacting a physician.
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Best Tea: Traditional Medicinals Organic Gas Relief Digestive Tea
No proven effectiveness
Another natural gas relief option is drinking a carefully curated herbal tea. These tea bags from Traditional Medicinals combine the powers of chamomile and peppermint, two known gas-relieving herbs, to help soothe gas-related bloating and discomfort. The formula also includes caraway fruit, coriander fruit, and lemon balm leaf to further soothe the stomach. Its aromatic and minty with subtle notes of spice, calming your senses as you bring pointed relief to your digestive system.
And unlike the other options on this list, you can enjoy as much tea as you like without fear of overdoing it with certain pharmaceuticals. You also help to rehydrate your body, which can be beneficial in the fight against bloating as well.
Active Ingredients: Chamomile and peppermint | Dose: Drink tea as often as needed | Uses: To relieve symptoms of gas and bloating
Studies on digestive and herbal teas are still in the works. Currently, there isnt enough evidence to support the use of tea for gas relief. Dr. Jessica Nouhavandi, pharmacist
Risks From Ppis Like Nexium Prevacid And Prilosec
The acid in your stomach performs a variety of functions that are lost when taking PPIs. In addition to breaking down food, stomach acid also chemically changes some nutrients so they may be more easily absorbed. It also helps kill pathogens in your gut before they can cause illness.
Traditionally, PPIs have been viewed as safe medications with few drawbacks, namely nausea and headaches. However, studies are showing that suppressing stomach acid secretion for long periods might have these unintended consequences:
- PPI-associated pneumonia: Bacteria are more likely to multiply in the stomachs less acidic environment and travel to the lungs if you inhale your stomach acid.
- Higher risk for C. diff: Clostridium difficile is a bacterium capable of causing life-threatening cases of diarrhea and conditions like colitis, an inflammation of the colon lining.
- Fracture risk: By lowering stomach acid levels, PPIs might affect your body’s absorption of calcium, which is necessary for healthy bones. Over time, this could lead to osteoporosis and fractures, especially in women.
H2 blockers are not without side effects, but they may provide a better option for some people since they do not reduce stomach acid as aggressively as PPIs.
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What Should I Know About Storage And Disposal Of This Medication
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from light, excess heat, and moisture .
It is important to keep all medication out of sight and reach of children as many containers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location â one that is up and away and out of their sight and reach.
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website for more information if you do not have access to a take-back program.
Why Is This Medication Prescribed
Prescription omeprazole is used alone or with other medications to treat the symptoms of gastroesophageal reflux disease , a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus in adults and children 1 year of age and older. Prescription omeprazole is used to treat damage from GERD in adults and children 1 month of age and older. Prescription omeprazole is used to allow the esophagus to heal and prevent further damage to the esophagus in adults and children 1 year of age and older with GERD. Prescription omeprazole is also used to treat conditions in which the stomach produces too much acid such as Zollinger-Ellison syndrome in adults. Prescription omeprazole is also used to treat ulcers and it is also used with other medications to treat and prevent the return of ulcers caused by a certain type of bacteria in adults. Nonprescription omeprazole is used to treat frequent heartburn in adults. Omeprazole is in a class of medications called proton-pump inhibitors. It works by decreasing the amount of acid made in the stomach.
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How Should I Take A Proton Pump Inhibitor
PPIs include , , , and . They are all now available with a prescription. You can also find them over the counter, with the exception of pantoprazole.
PPIs should be taken on an empty stomach about 30 minutes to 1 hour before you eat breakfast, once a day for 14 days unless otherwise directed by your doctor. It can take 1 to 4 days for full effect but some people get complete symptom relief within 24 hours.
If you need to take a PPI for more than 14 days, your doctor may have you continue taking it for 4 to 8 weeks. Youll want to let your doctor know if your reflux continues or worsens.
You May Not Need A Ppi
More than half of the people who take PPIs probably do not need them. Simple heartburn can be treated with antacids or other drugs, plus diet and lifestyle changes.
You may only have heartburn every now and thensuch as after a big, spicy meal. This may be uncomfortable, but it is not serious. You can usually get relief from an antacid, like Rolaids or Tums, or an H2 blocker, such as Pepcid AC or Zantac.
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Cbd Dosage For Gerd & Acid Reflux
CBD comes in a variety of forms, including vape, oils, pills, and creams. The recommended dosages differ depending on the products type and intended use.
When it comes to CBD, there are no formal dosage recommendations. The FDA must first evaluate and demonstrate the efficacy and safety of hemp-derived cannabidiol. CBD oil and other hemp products are currently classified as health supplements, thus dosing, labeling, and manufacturing requirements are not regulated.
Different people have different requirements. Its usually best to start with a modest dose to see how your body reacts to CBD. Twenty-three studies reported that an initial dosage of 16 mg of CBD for every 10 pounds of body weight is recommended. After a week, reevaluate the effects and modify the CBD dosage as needed.
Mylicon: Best Heartburn Medication For Children
Unlike the other medications, mylicon is actually an anti-foaming agent that can act as an antacid for children ages 2-11. Mylicon has an active ingredient, Simethicone, that gently breaks up gas bubbles in the stomach. Additionally, it contains Calcium Carbonate, which is an antacid.
Mylicon was specifically designed to soothe discomfort from gas, acid, indigestion, overeating, and bloating. It is a fast-acting medication you can pick up OTC and typically costs only $11 for 15 milliliters. For most children, Mylicon starts working in just minutes following consumption.
The only potential side effect of Mylicon is loose stools. However, only use Mylicon for your child as directed and no more than 12 times per day. See below for the suggested doses of Mylicon to give your child.
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So Which Works Best For Heartburn
All of these over-the-counter medicines, to a varying degree, can relieve the symptoms of heartburn. If you have more severe heartburn symptoms that these medications don’t relieve, or if you’ve been using these medicines for more than 2 weeks, call your doctor. You may need a stronger prescription medicine and tests to see what’s causing your symptoms.
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.
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Promotility Agents For Heartburn And Reflux
Promotility agents work by stimulating the muscles of the gastrointestinal tract, which may help prevent acids from staying in the stomach too long, and strengthening the lower esophageal sphincter, reducing reflux into the esophagus. Metoclopramide is a promotility agent occasionally used to treat heartburn associated with GERD. The side effects of Reglan can be serious and may include drowsiness, fatigue, diarrhea, restlessness, and movement problems.
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 .
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