Treatment FAQ

what is the best treatment for heartburn

by Prof. Rod Cummings Published 3 years ago Updated 2 years ago
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Treatment
  • Antacids, which help neutralize stomach acid. Antacids may provide quick relief. ...
  • H-2-receptor antagonists (H2RAs), which can reduce stomach acid. ...
  • Proton pump inhibitors, such as lansoprazole (Prevacid 24HR) and omeprazole (Nexium 24HR, Prilosec OTC), which also can reduce stomach acid.

Medication

Some users experiencing severe heartburn pain could be disappointed by the elapsed time between treatment and relief. Anticipate the need for preventative heartburn relief. The best time to take an H2RA or PPI is hours ahead of a meal or other occasion when spicy foods may be served. While a traditional antacid tablet can provide temporary and immediate relief after an …

Procedures

Nov 23, 2021 · The best medication for heartburn includes classes of heartburn medications: antacids, histamine-2 (H2) blockers, and proton pump inhibitors (PPIs). To avoid these symptoms, you can take various kinds of medications— from over-the …

Nutrition

Mar 05, 2018 · We’ll go over some quick tips to get rid of heartburn, including: wearing loose clothing standing up straight elevating your upper body mixing baking soda with water trying ginger taking licorice supplements sipping apple cider vinegar chewing gum to help dilute acid staying away from cigarette ...

What is a good homemade remedy for heartburn?

“Proton pump inhibitors are often the first thing doctors give patients for heartburn,” Lauren B. Gerson, M.D., a gastroenterologist at California Pacific Medical Center in San Francisco, said.

How to naturally get rid of heartburn?

Nov 30, 2021 · Remedies that are said to help with some heartburn and reflux include: Apple cider vinegar Ginger Aloe vera juice Bananas Turmeric DGL licorice D-limonene Honey Marshmallow Slippery elm Summary Acid reflux is a medical condition where the contents of your stomach flow back into your esophagus.

What can ease severe heartburn?

Jan 09, 2022 · Avoiding trigger foods may help, along with these other tips to reduce heartburn: Chew slowly and thoroughly to break down the food as much as possible for digestion. Drink your nutrients through protein and fruit shakes. Eat small meals throughout the day. Elevate your torso—not just your ...

What is medication for heartburn works best?

Antacids are usually the first type of drugs doctors recommend for chronic heartburn. You can get them over the counter. They work by stamping out the acid in your stomach. Antacids work right...

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I take quite a few prescriptions medications every day. Will an H2RA or PPI have a negative interact...

Yes, there might be some issues with drug interaction with certain H2RA and PPI heartburn medicines, so it’s important to discuss this with a medic...

I just took a PPI heartburn pill for my acid reflux, but I’m still in a lot of discomfort. Can I tak...

In most cases, it’s perfectly safe to use a fast-acting antacid in combination with an H2RA or PPI. The two medications have different mechanisms a...

If I start taking an H2RA or PPI for my acid reflux, will I have to keep taking that same medicine f...

Over-the-counter heartburn medicines are intended for short-term relief of occasional acid reflux or other digestive issues. They aren’t habit-form...

How to get acid out of your stomach?

Don't drink carbonated beverages. They make you burp, which sends acid into the esophagus. Drink flat water instead of sparkling water. 4. Stay up after eating. When you're standing, or even sitting, gravity alone helps keeps acid in the stomach, where it belongs. Finish eating three hours before you go to bed.

How to get rid of esophagus?

1. Eat sparingly and slowly. When the stomach is very full, there can be more reflux into the esophagus. If it fits into your schedule, you may want to try what is sometimes called "grazing"—eating small meals more frequently rather than three large meals daily. 2.

What is the backward flow of acid called?

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.

What foods cause reflux?

But there are still some foods that are more likely than others to trigger reflux, including mint, fatty foods, spicy foods, tomatoes, onions, garlic, coffee, tea, chocolate, and alcohol.

Can you eat mint with acid reflux?

"We've evolved from the days when you couldn't eat anything," Dr. Wolf says. But there are still some foods that are more likely than others to trigger reflux, including mint, fatty foods, spicy foods, tomatoes, onions, garlic, coffee, tea, chocolate, and alcohol. If you eat any of these foods regularly, you might try eliminating them to see if doing so controls your reflux, and then try adding them back one by one. The Foodicine Health website at www.foodicinehealth.org has diet tips for people with acid reflux and GERD as well as for other gastrointestinal disorders.

What medications relax the sphincter?

Some—including postmenopausal estrogen, tricyclic antidepressants, and anti-inflammatory painkillers—can relax the sphincter, while others—particularly bisphosphonates like alendronate (Fosamax), ibandronate (Boniva), or risedronate (Actonel), which are taken to increase bone density—can irritate the esophagus.

How to sleep on an incline?

Ideally, your head should be 6 to 8 inches higher than your feet. You can achieve this by using "extra-tall" bed risers on the legs supporting the head of your bed. If your sleeping partner objects to this change, try using a foam wedge support for your upper body.

How to help a heartburn?

Eat in a heartburn-smart way. Large meals put pressure on the muscle that normally helps keep stomach contents from backing up into the esophagus. The more you eat, the longer it takes for the stomach to empty, which contributes to reflux.

How to get rid of a swollen stomach?

Leave enough time for the stomach to clear out. Don't exercise right after meals. Give your stomach time to empty; wait a couple of hours. But don't just lie down either, which will worsen reflux. Sleep on an incline. Raising your torso up a bit with a wedge-shaped cushion may ease nighttime heartburn.

How to get rid of a sensitive gut?

The tight-fitting clothing and belts that come with weight gain may also be a factor. For more on relieving heartburn and treating a sensitive gut, purchase The Sensitive Gut by Harvard Medical School.

Does chewing gum help with heartburn?

Chew sugarless gum after a meal. Chewing gum promotes salivation, which helps neutralize acid, soothes the esophagus, and washes acid back down to the stomach. But avoid peppermint-flavored gum, which may trigger heartburn more than other flavors. Rule out medication side effects.

Can heartburn cause cancer?

This is formally called gastroesophageal reflux disease (GERD). More than just a minor discomfort, heartburn can significantly reduce quality of life. "Heartburn can cause damage to the esophagus and even increase the risk of cancer if ignored and untreated," says Dr. William Kormos, editor in chief of Harvard Men's Health Watch ...

Best Heartburn Medications

There are three main classes of heartburn medications: antacids, histamine-2 (H2) blockers, and proton pump inhibitors (PPIs). These different forms of heartburn medications all have unique benefits, side effects, and each one tends to be better suited for specific health condition needs.

Famotidine: Most Effective Heartburn Medication

If you’re in search of a strong relief from heartburn that is relatively cost-effective, Famotidine (commonly known as Pepcid) 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.

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.

Esomeprazole: Best Heartburn Medication for GERD

Esomeprazole, commonly known as Nexium, is a PPI used to combat GERD and, therefore, heartburn by reducing the creation of acid in the stomach. Nexium is prescribed frequently as 40 mg. However, it recently became available for 20 mg doses of OTC at an affordable price.

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.

Calcium Carbonate: Best Heartburn Medication for Pregnancy

Unfortunately, heartburn is a medical issue that bothers many women at a higher incidence during pregnancy. To combat these symptoms, OTC antacids such as Calcium Carbonate (TUMS) tend to be best. TUMS work by neutralizing the acid present within the stomach, which aids in taking away heartburn.

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.

What is the best medicine for heartburn?

Licorice root is another folk remedy that’s been used to treat heartburn. It’s believed that it might help increase the mucous coating of your esophageal lining, which may protect your esophagus from damage caused by stomach acid.

How to prevent heartburn?

Adjusting your daily habits can also help prevent heartburn symptoms from developing in the first place. For example, try to: 1 avoid common heartburn triggers, such as fatty and spicy foods 2 eat at least three hours before bedtime 3 avoid lying down after eating 4 maintain a healthy weight

How to stop heartburn from sitting?

Stand up straight. Your posture can also contribute to heartburn. If you’re sitting or lying down, try standing up. If you’re already standing, try standing up more straightly. An upright posture puts less pressure on your lower esophageal sphincter (LES).

How to calm a heartburn?

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.

Does apple cider vinegar help with heartburn?

One researcher suggested that drinking diluted apple cider vinegar after a meal may help alleviate heartburn for some people.

Is smoking bad for you?

You probably already know that smoking is bad for your health. But did you know that smoking can contribute to heartburn? If you’re a smoker and you get an attack of heartburn, don’t light up.

Does ginger help with heartburn?

Ginger has been used as a folk remedy for heartburn for centuries. Ginger can 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.

Why is it so hard to quit heartburn?

Quitting heartburn drugs can be difficult because you might get rebound symptoms. They cause your stomach to produce less acid, and stopping suddenly can cause it to overproduce acid. If you’re taking a PPI or H2 blocker once a day, ask your doctor about cutting back, perhaps to every other day, and then every few days.

How to stop acid reflux in the esophagus?

A number of steps can help: Raise the head of your bed 6 to 8 inches to prevent acid from traveling back into your esophagus. Lose weight. Extra pounds put pressure on the abdomen, pushing stomach contents into the esophagus. Don’t eat for 2 to 3 hours before bedtime, and avoid having large, fatty meals in general.

How to treat a swollen esophagus?

A number of steps can help: 1 Raise the head of your bed 6 to 8 inches to prevent acid from traveling back into your esophagus. 2 Lose weight. Extra pounds put pressure on the abdomen, pushing stomach contents into the esophagus. 3 Don’t eat for 2 to 3 hours before bedtime, and avoid having large, fatty meals in general. 4 Track which foods cause symptoms, and cut back on them.

What is the best medicine for a swollen ear?

If your symptoms strike less often, use a fast-acting over-the-counter antacid such as Maalox, Mylanta, Rolaids, or Tums. Or try an over-the-counter H2 blocker, such as famotidine (Pepcid AC) or ranitidine (Zantac 75). They tend to cause fewer side effects and are typically cheaper than PPIs.

How long does it take for esomeprazole to work?

Some people say they think that these drugs provide immediate relief, but they can take one to four days to work and should be taken for at least two weeks, ...

Is a proton pump inhibitor safe?

All proton pump inhibitors are equally effective and safe. So if you need a PPI, choose by price. As the chart below shows, you could save $200 a month or more by taking nonprescription generic versions of lansoprazole or omeprazole. Where you shop matters, too.

Can heartburn cause ulcers?

Self-medicating with over-the-counter heartburn drugs can mask underlying health problems. Frequent burning or pain in the upper abdomen or chest can signal an ulcer or even esophageal cancer. Some people mistake pain from gallstones or heart disease for heartburn.

How to reduce heartburn symptoms?

Losing weight may help to reduce your heartburn symptoms. Speak with your healthcare provider about an eating and exercise plan that can help you reach a healthy weight. 2 

How to avoid acid reflux?

Avoid Tight-Waisted Clothing. Clothing with snug waistlines or belts puts pressure on your stomach, which can lead to acid reflux. Try wearing pants that don't cinch you in the waist (like lower-rise pants), pants with an elasticized waist, or moving up a pant size.

What foods cause heartburn?

You may have already discovered that certain foods can trigger your heartburn and reflux symptoms. Try keeping a food and symptom diary to help you identify foods that worsen your reflux, and steer clear of them. Here are some common food triggers: 1 Coffee and tea 2 Chocolate 3 Spicy food 4 Beer, wine, and other forms of alcohol 5 Fried or greasy foods 6 Mint 7 Tomatoes and tomato-based foods

Does night time reflux reduce acid reflux?

In a small study published in the Journal of Gastroenterology and Hepatology, people with night reflux were found to have reduced acid reflux (measured by esophageal acid exposure and acid clearance time) when the head end of their bed was elevated with a 20-centimeter block. 4 

Does smoking cigarettes help with heartburn?

Since nicotine may weaken the lower esophageal sphincter (a band of muscle involved in closing off the esophagus and preventing acid reflux), quitting smoking may help shield you from heartburn.

Can acid reflux cause heartburn?

Over time, heartburn-associated acid reflux may in jure your esophagus and lead to complications.

How to raise the head of a bed?

Bed risers, wedge pillows, and mattress wedges (that fit between the mattress and box spring) are some ways to raise the head of the bed. Although some experts recommend raising the head of the bed by 6 to 8 inches or more, raising the head of the bed can cause back and hip discomfort or pain in some people.

How to get rid of heartburn from eating too much?

Instead, eat five or six smaller meals throughout the day, chewing slowly and thoroughly to maximize digestion . When the stomach is too full or the food is too fatty, the esophageal valve opens and food and acid move from the stomach back up toward your throat, leading to heartburn, says Scott Gabbard, M.D., a gastroenterologist at the Cleveland Clinic. Meals that are more than 500 calories cause more reflux than lower-calorie meals, says Dr. Gabbard, and foods that contain more than 10 to 15 grams of fat tend to increase the amount of heartburn.

How to reduce heartburn in a baby?

Avoiding trigger foods may help, along with these other tips to reduce heartburn: Chew slowly and thoroughly to break down the food as much as possible for digestion. Drink your nutrients through protein and fruit shakes.

What does it mean when you have heartburn?

Heartburn could be a sign of gastroesophageal reflux disease, or GERD.

What essential oils are good for heartburn?

Edible essential oils most commonly used for heartburn include lavender, lemon, ginger and orange. Add a drop or two to hot tea or water. Not all heartburn-friendly essential oils are ingestible. Eucalyptus essential oil may be used in a diffuser or in bath water instead.

Does milk help with heartburn?

Milk is another old-school remedy for heartburn. Like calcium-based over-the-counter antacids, milk counteracts the acidity of your stomach, says Zumpano. Stick with skim or low-fat milk —the fat content in whole milk could actually contribute to heartburn. Along the same lines, low-fat yogurt may also ease your heartburn ...

What fruit is good for heartburn?

Bananas are a low-acid fruit. They can help soothe your irritated esophageal lining and are high in fiber, which helps keep your digestive tract healthy. Beyond bananas, honeydew melons and cantaloupe are also good for heartburn. They contain magnesium, an ingredient in many over-the-counter heartburn medicines.

Does mustard help with reflux?

Zumpano suggests that mustard may also work because its tangy taste stimulates saliva production, coating the esophagus and creating a barrier from stomach acid during reflux. Chewing gum has a similar stimulating effect on saliva, protecting the esophagus and washing acid back into your stomach. (Avoid peppermint gum, which may trigger heartburn.)

What is the best medicine for heartburn?

If you have chronic severe heartburn, you may need medications. Both over-the-counter and prescription drugs are available. Antacids are usually the first type of drugs doctors recommend for chronic heartburn. You can get them over the counter. They work by stamping out the acid in your stomach.

How to stop heartburn from burning?

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.

What medications cause heartburn?

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. Eat several small meals during the day.

How does cimetidine work?

They work by slowing down how much acid your stomach makes. They include cimetidine ( Tagamet) and famotidine ( Pepcid ). Ranitidine (Zantac) was removed from the market in 2020 after it was found to contain a cancer causing agent. Proton pump inhibitors (PPIs) also block acid production.

Does smoking cause acid reflux?

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.

How to stop stomach acid from leaking?

But instead, your doctor puts a thin tube called an endoscope down your throat and into your esophagus. They then use stitches or heat to create scar tissue to tighten the sphincter and stop stomach acid from leaking.

Does alcohol help with heartburn?

Alcohol can relax the muscles around the lower end of your esophagus, making it easier for acid to bubble up. Stay slim. One study found that overweight people who lost weight were more likely to have their heartburn go away. Another reason to lose weight: You’ll respond better to heartburn medications.

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Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Preparing For Your Appointment

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Generally, the treatment begins with over-the-counter medication to control the stomach acid. If the pain prolongs for a few weeks the doctor may prescribe other treatments which include medications and surgery.
Medication

Antacids: Acts by neutralizing stomach acids, thereby providing quick relief.

Omeprazole . Aluminium hydroxide/Magnesium hydroxide/Simethicone . Magnesium Hydroxide


H-2 receptor blockers: H-2-receptor blockers do not act as quickly as antacids, but they provide longer relief and may decrease acid production from the stomach for up to 12 hours.

Cimetidine . Famotidine

Procedures

Linx surgery: Surgeon wraps a ring of tiny beads around LES, strong enough to keep the opening closed to refluxing acid but food can pass through it.

Nissen fundoplication: The upper part of the stomach is wrapped around the lower esophageal sphincter. This prevents the refluxes back in the esophagus.

Nutrition

Foods to eat:

  • Vegetables
  • Ginger
  • Oatmeal
  • Noncitrus fruits
  • Lean meats and egg whites.

Foods to avoid:

  • High fat foods
  • Tomatoes and citrus fruits
  • Chocolates
  • Garlic, onion and spicy foods
  • Caffeine and mint

Specialist to consult

Gastroenterologist
Specializes in the digestive system and its disorders.

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