For When H2 Blockers Dont Help Proton Pump Inhibitors
If youve been taking H2 blockers for a few weeks and your acid reflux symptoms arent letting up or havent lessened, then you might need a proton pump inhibitor . PPIs are the most powerful drug for reducing acid production and typically the most effective treatment for GERD. PPIs work by blocking an enzyme that produces stomach acid, causing them to make less acid and soothe heartburn symptoms.
PPIs come in pill form, and while many are available by prescription only, some are available over-the-counter. Unless otherwise prescribed by a doctor, PPIs should be taken on an empty stomach 30 to 60 minutes before eating breakfast, once daily for 14 days. While it may take between 1 to 4 days for the full effects to kick in, people may experience complete relief from their symptoms within 24 hours.
Common Proton Pump Inhibitors
- Omeprazole with sodium bicarbonate
A meta-analysis of 41 studies comparing PPIs found no differences among the various kinds of PPIs in treating GERD.
Proton Pump Inhibitors Side Effects
Mild symptoms include:
However, long term use of PPIs has raised concerns with potential associated side effects, including:
- Vitamin B12 deficiency
- Increased risk of fractures
- Increased risk of pneumonia and dementia
- Hypomagnesemia low level of magnesium in the blood that can lead to convulsions, fatigue, and muscle weakness
- Increased risk of Clostridium difficile bacteria infections
Heartburn Relief Home Remedies For Heartburn
Heartburn is a common condition and can strike at any time. Thankfully, there are many ways to relieve heartburn symptoms when they flare up. Chewing an antacid such as TUMS is a first line option, particularly when you need fast relief however, home remedies and changing lifestyle habits can help, too dampening down the painful sensation you feel in your chest and throat.
Possible Side Effects From Using Baking Soda For Heartburn
- Gas belching and farting if you dont burp enough of the gas off.2
- Increased thirst due to the salt intake.
- Frequent urination
- Raised blood pressure due to the sodium content.
- Abdominal distention and cramps as the gas you dont burp off tries to find a way out.
- Diarrhea can occur if you take baking soda in large quantity.
- The lower stomach acids prevent the absorption of certain minerals in the body.
- Loss of appetite and/or unexplained weight loss
- Breathing difficulties
- Swelling in limbs and feet due to excess salt
- Bloody stools
- Urine with blood
- Impaired digestion. Acid is needed to help break down foods and kill certain bacteria and yeast. The decreased stomach acid can also lead to allergies and inflammation because microbes that are normally killed off enter into the bloodstream.
- Over correction of the acid level in the body leading to alkalosis.
- Rupture of the stomach or digestive tract could occur in rare cases if there are other digestive tract issues and is one of the many reasons to consult a doctor first.
Read Also: What Can You Take To Stop Heartburn
Do Herbal Heartburn Remedies Work
There isn’t much research into herbal remedies for heartburn. Most of the research has centered on a product called Iberogast. It is made with 9 different herbs, including:
- Milk thistle
Some studies have shown that Iberogast may reduce heartburn. It’s not clear, however, which herb in the mix relieves symptoms. Plus, peppermint oil can actually worsen heartburn, so it’s not a good idea to take it if you have GERD.
Eat Smaller Portions At Regular Intervals
A large meal often triggers acidity more often than not. What happens if when your stomach is full, there is a greater chance that the stomach acids can be pushed back up the oesophagus which will trigger reflux, indigestion, stomach spasms and discomfort. Instead, eat smaller portions but at regular intervals to prevent acidity. This is a good tip also because staying hungry for too long or having long time gaps between your meals can also cause acidity.
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Buying Guide For Best Heartburn Medicines
Believe it or not, sometimes we do eat the whole thing. Occasional food indiscretions, especially with spicy or acidic dishes, can lead to a painful but temporary discomfort known as heartburn or acid reflux. For many years, the strongest cures for these ailments were only available by prescription, and often expensive. Fortunately, the FDA has approved a number of advanced heartburn-relief medicines for over-the-counter sales, including some of the best-known brands on the market. Now heartburn relief is available at your nearby drugstore, no prescription required.
If youre looking for a powerful pill-size ally in the fight against heartburn and acid reflux, we at BestReviews have created this shopping guide to walk you through the sometimes challenging process of finding exactly the right medication to meet your particular needs.
Heres what you need to know the next time your favourite pizza or spicy taco decides not to play fair.
Which Type Of A Diet Can Fight Gerd
A certain type of food or diet can help fight gastroesophageal reflux disorder , which include the following:
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What Is Acid Reflux
Acid reflux is quite a common and irritating medical condition. Also called heartburn, it occurs when stomach acid and other stomach contents back up into the esophagus through the lower esophageal sphincter . It is estimated to affect up to 20% of Americans. Frequent acid reflux may be an indication of gastroesophageal reflux disease a more severe type of acid reflux that, if left untreated, may lead to serious health implications.
Finding Heartburn Relief At Home
A few simple strategies can help soothe the burn of heartburn:
- Watch what you eat. Avoid specific foods that trigger your heartburn, but also watch out for peppermint, caffeine, sodas, chocolate, citrus fruits and juices, tomatoes, onions, and high-fat foods. Eat more fiber to keep your digestive tract moving and healthy. Also, reduce your portion sizes. Try eating five or six small meals a day, rather than three big ones. Eating too much at once is a big heartburn trigger.
- Watch when you eat. Push away the plate at least two or three hours before bedtime so your stomach has a chance to empty before you lie down.
- Watch how you eat. Eat slowly, taking smaller bites.
- Lose weight. Excess abdominal fat can press against the stomach, forcing acids up into the esophagus. Follow a diet and exercise program to shed extra pounds.
- Keep a diary. Write down what you’ve eaten and when your heartburn symptoms occur so you can pinpoint which foods are your triggers and avoid them.
- Toss the cigarettes.Smoking can reduce the effectiveness of the muscle that keeps acids in the stomach. For this, and so many other health reasons, it’s always the perfect time to quit.
- Loosen your belt. Ditch the skin-tight jeans. Tight clothes put added pressure on the abdomen.
- Tilt up. Put wood blocks under your bed to raise the head about 6 inches. Don’t bother raising your pillows, though — it’s not effective for heartburn.
Also Check: Top Foods That Cause Heartburn
How Is Heartburn Diagnosed
Often all that a health-care professional requires is a thorough history and physical to make the preliminary diagnosis of heartburn. To evaluate if there is any damage and how severe your heartburn is, the doctor my suggest some of the following tests:
- Endoscopy: A flexible scope is passed down the esophagus to examine the esophagus as well as the stomach. Biopsies can be taken if indicated. This lets the doctor see if there is any obvious damage, and also eliminate other reasons for the patient’s symptoms .
- Upper GI series : After drinking a liquid that coats the inside of the digestive tract, X-rays are taken. These X-rays will show the outline of the digestive system.
- Ambulatory pH testing: This test measures the acidity in the esophagus via a small tube that goes through the nose into the stomach.
What Foods And Drinks Cause Heartburn
- Alcohol: Alcohol can relax the lower esophageal sphincter.
- Coffee and orange or other acidic juices are some of the beverages that can worse or trigger heartburn.
- Fatty foods, fried foods, and some acidic foods as well as spicy foods can cause heartburn.
- Additional foods that make heartburn worse.
Every person reacts somewhat differently to specific food groups. To track what foods worsen your symptoms, keep a food journal. In this journal, you should keep track of what you eat, the time you ate, any activity that worsened or made the heartburn better, and indicate which days you have heartburn symptoms. Over time, you will be able to correlate the offending foods with heartburn events. Print this and take this with you to your next doctor’s appointment to discuss possible causes of heartburn you may be experiencing.
Pregnancy tends to aggravate heartburn because the lower esophageal sphincter is weakened during pregnancy. This weakened resolves after delivery of the baby. Pregnancy also distorts the organs in the abdomen and the increased abdominal pressure from the growing fetus causes heartburn. These changes promote the reflux of acid and heartburn.
Approximately 17% to 45% of women who become pregnant will suffer from heartburn.
Management of heartburn during pregnancy consists of many of the same home remedies and lifestyle changes for a person with heartburn who is not pregnant .
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When Can I Expect Heartburn To End
Someday, scientists may very well invent a miracle medication that promises permanent pregnancy heartburn relief. Unfortunately, that hasnt happened yet.
So, if youre wondering how long you can expect to deal with heartburn while youre pregnant, it will probably be throughout your entire pregnancy.
However, just because theres no cure, that doesnt mean you cant find some relief in the meantime.
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A Maintain A Healthy Body Weight
Do you know your body mass index ? If not, start now by entering your weight and height into a BMI calculator to use the NIH calculator and find your current BMI.
A healthy BMI is between 19 and 25, but anyone with a compromised LES should not be at the high end of normal. We recommend a BMI of 24 or less. Why is this important? We wrote a cornerstone article titled How is your excess weight destroying your LES , which we highly recommend you read if you have a BMI greater than 24.
This excess weight does two things that will increase your GERD symptoms. First, it distends the stomach, pulling down on the LES and stretching it out. Over a long-term, this will reduce the effectiveness of the LES to act as an effective barrier between the stomach and the oesophagus.
Second, it puts added pressure on the diaphragm, potentially pushing stomach content into the esophagus. Many research studies have proven that a reduction in BMI will reduce GERD symptoms. In an NIH published paper researchers concluded the following:
In summary, our findings suggest that, beyond being overweight or obese, the risk of GERD symptoms rises progressively with increasing BMI, even among normal weight individuals. This appears true for all degrees of symptom severity and duration, as well as for nocturnal symptoms. Notably, weight loss was associated with a decreased risk of symptoms.
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Elevate Your Head At Bedtime
Another way to reduce heartburn symptoms quickly is to elevate your head at bed time. If you have an adjustable bed, raise the top half up. If not, use an extra pillow under your bed at night.
Or, put 2-by-4 blocks of wood under the headboard of your bed to prop it up a bit. All of these solutions can elevate your upper body and help alleviate heartburn symptoms.
Heartburn certainly can put a dent in your lifestyle, especially if youre a food lover like I am. However, by taking the steps listed above, you can reduce or eliminate heartburn symptoms altogether.
Try the natural ways listed above for heartburn relief. If youre still not having any luck reducing heartburn symptoms, consider a visit to your doctor.
He or she may have other ideas to get rid of heartburn.
Have you ever experienced heartburn? If so, how did you cope with the pain and burning? What helped? What didnt? Share your experience in the comments below.
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A Few Lifestyle Changes Are Worth Trying Before Resorting To Drugs For Controlling Gastroesophageal Reflux
If you are sounding a little hoarse and have a sore throat, you may be bracing for a cold or a bout of the flu. But if you’ve had these symptoms for a while, they might be caused not by a virus but by a valveyour lower esophageal sphincter. That’s the muscle that controls the passage between the esophagus and stomach, and when it doesn’t close completely, stomach acid and food flow back into the esophagus. The medical term for this process is gastroesophageal reflux the backward flow of acid is called acid reflux.
Acid reflux can cause sore throats and hoarseness and may literally leave a bad taste in your mouth. When acid reflux produces chronic symptoms, it is known as gastroesophageal reflux disorder, or GERD. The most common symptom of GERD is heartburnpain in the upper abdomen and chest.
Three conditionspoor clearance of food or acid from the esophagus, too much acid in the stomach, and delayed stomach emptyingcontribute to acid reflux, says Dr. Jacqueline Wolf, a gastroenterologist and associate professor of medicine at Harvard Medical School and author of A Woman’s Guide to a Healthy Stomach: Taking Control of Your Digestive Health.
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Some Factor Which Can Aggregate Heartburn So You Should Avoid That Factor
Try to avoid eating too much spicy food. Some food acts as a trigger for heartburn. You should identify that food and avoid them as much as possible. Usually chocolate, tomato, fatty food, spicy food, fast food may act as a trigger for heartburn.
Body weight issue:
Study shows that, obese person are more sufferer than the person whose body weight is normal. Because excessive body weight produces more pressure on the stomach so try to control your body weight.Leave smoking: smoking can make your heartburn more painful. So try to avoid smoking completely, at least leave smoking during the period of heartburn.
See your doctor:
we hope, if you follow above mentioned tips than surely you will get benefit. But if you face heartburn frequently than you should visit doctors chamber for actual diagnosis.
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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How To Cure Heartburn Four Quick Fixes And Long
How to cure heartburn you ask? Well, theres no easy answer to that question.
If youve been struggling with acid reflux for any length of time, then you know there isnt a quick fix to this disease as a whole. GERD has many symptoms, one of which is heartburn. At the crux of this disease is the lower oesophageal sphincter . Located at the junction of the oesophagus and the stomach, the LES can weaken and no longer function as an effective barrier, allowing the acidic contents of the stomach to back-flow up into the oesophagus. When this happens, heartburn often follows. This weakening of the LES is progressive, so the more often you reflux, the more frequent the episodes become.
Learn more: GERD explained: The role of the LES
Medications can help relieve acid reflux symptoms by making the contents of the stomach less acidic however, they dont stop reflux from happening. Thats why managing GERD requires commitment and diligence: Watching what and how you eat and making lifestyle choices aimed at minimizing reflux can reduce your symptoms AND help stop the progression of the condition.
But sometimes, despite your best efforts to manage your GERD, heartburn strikes and you need relief . So though we cant provide a definite answer to how to cure heartburn? We can offer four quick fixes to help you cool the burn.