H-2-receptor blockers. Over-the-counter H-2-receptor blockers, such as cimetidine (Tagamet HB), famotidine (Pepcid AC), nizatidine (Axid AR) or ranitidine (Zantac 75), are available at half the strength of their prescription versions. Instead of neutralizing the acid, these medications reduce the production of acid. They don't act as quickly as antacids, but they provide longer relief. Take these medications before a meal that you think may cause heartburn because it takes them about 30 minutes to work. They're also effective in reducing reflux at night if taken at bedtime. Some H-2-receptor blockers can cause infrequent side effects, including dizziness, diarrhea, headache, kidney problems and temporary breast enlargement in men. In rare instances they can also react dangerously with other medications.
Elevation of the upper body at night generally is recommended for all patients with GERD. Nevertheless, most patients with GERD have reflux only during the day and elevation at night is of little benefit for them. It is not possible to know for certain which patients will benefit from elevation at night unless acid testing clearly demonstrates night reflux. However, patients who have heartburn, regurgitation, or other symptoms of GERD at night are probably experiencing reflux at night and definitely should use upper body elevation. Reflux also occurs less frequently when patients lie on their left rather than their right sides.
Patients with mild symptoms are treated as needed with non-prescription remedies like antacids, a non-prescription H2 blocker, or the non-prescription proton pump inhibitor (PPI), omeprazole (brand name: Prilosec OTC). For patients with more severe symptoms, or for those who do not respond adequately to non-prescription therapies, continuous treatment with a prescription-strength H2 blocker or PPI is recommended. H2 blockers and PPIs both work by decreasing the production of stomach acid that causes many of the symptoms of gerd.
Decreasing the size of portions at mealtime may also help control symptoms. Eating meals at least 2 to 3 hours before bedtime may lessen reflux by allowing the acid in the stomach to decrease and the stomach to empty partially. In addition, being overweight often worsens symptoms. Many overweight people find relief when they lose weight.
Treatment for GERD and heartburn ranges from over-the-counter remedies to surgery. Here's a rundown on the pros and cons of your heartburn treatment options.
Pay Close Attention to Your Diet—Foods and drinks that aggravate GERD include spicy foods, acid based foods, greasy foods, alcohol, and caffeine. Before you bite into that pizza or fried chicken, think about how you are going to feel a couple of hours from now. Before you drink those beers, followed by that cup of coffee, think about the last time you did that and were up all night. If you are suicidal and enjoy great pain, drink that big glass or orange juice on an empty stomach. Sometimes changing your diet can be the key in controlling acid reflux.
Whereas the stomach has a protective lining so that it doesn't succumb to the acid, the esophagus has no such lining. That's why upwardly mobile stomach acid burns, sometimes so badly that you may think you're suffering a heart attack.
Medications ranging from over-the-counter antacids to prescription drugs are used to treat acid reflux. Find out what your options are and which are best for you.
Read about
home remedies .Read about
skin whitening treatment and
eye stye causes treatment remedies
