Heartburn (Reflux) (cont.)
Heartburn Treatment
Treating heartburn requires adjustments to your lifestyle, medications, and
possibly surgery if your heartburn is due to GERD or a hiatal hernia.
Tips to Alleviate Heartburn Symptoms
- Raise the head of your bed about 6 inches to allow gravity to help keep the
stomach's contents in the stomach. (Do not use piles of pillows because this
puts your body into a bent position that actually aggravates the condition by
increasing pressure on the abdomen. Instead, put books under the legs of the bed
to raise it up.)
- Eat meals at least three to four hours before lying down and avoid bedtime
snacks.
- Eat smaller meals.
- Maintain a healthy weight to eliminate unnecessary intra-abdominal pressure
caused by extra pounds.
- Limit consumption of fatty foods, chocolate, peppermint,
coffee, tea, colas,
and alcohol -- all of which can relax the lower esophageal sphincter -- and
tomatoes and citrus fruits or juices, which contribute additional acid that can
irritate the esophagus.
- Give up smoking, which also relaxes the lower esophageal sphincter.
- Wear loose belts and clothing.
Heartburn can be treated with medicine. Medicines used to treat heartburn can
range from over-the-counter remedies to medicine requiring a doctor's
prescription.
Over-the-Counter Heartburn Treatments
- Antacids. Antacids neutralize excess stomach acid to relieve heartburn, sour
stomach, acid indigestion, and stomach upset. They are also occasionally
recommended to help relieve the pain of ulcers. Some antacids also contain
simethicone, an ingredient that helps eliminate excess gas. Examples of antacids
include: Tums, Rolaids, and
Maalox. You should take antacids exactly as directed
by your doctor, or according to the manufacturer's directions. If you are using
the tablets, chew them well before swallowing for faster relief. Serious side
effects can occur with an overdose or overuse of antacids. Side effects include
constipation,
diarrhea, change in color of bowel movements and
stomach cramps.
- Acid Blockers. These medicines relieve heartburn, acid indigestion, and sour
stomach, and are available without a prescription. Pepcid AC, Tagamet HB, Zantac
75, Axid AR, and Prilosec OTC are examples of over-the-counter acid blockers.
Acid blockers work by reducing the production of stomach acid. Take these
medications according to the directions on the package, or as advised by your
doctor. Possible serious side effects that need to be reported to your doctor
right away include confusion, chest tightness, bleeding,
sore throat,
fever,
irregular heartbeat, weakness, and unusual
fatigue. Other less serious side
effects include mild headache,
dizziness and diarrhea, which are usually
temporary and will likely go away on their own.
People who have more severe heartburn symptoms that aren't relieved with
these medications or who have been using these drugs for more than two weeks
should contact their doctor. They may need medicine only obtained with a
doctor's prescription.