Putting Out the Fire: Relief for Heartburn and Dyspepsia

What Kind of a Doctor Treats GERD?

Heartburn is a sensation of burning in the chest caused by stomach acid backing up into the esophagus (food pipe). The burning is usually in the central part of the chest, just behind the sternum (breast bone). The burning can worsen or can be brought on by lying flat or on the right side. Pregnancy tends to aggravate heartburn.

When women do experience pregnancy symptoms they may include symptoms include missed menstrual period, mood changes, headaches, lower back pain, fatigue, nausea, breast tenderness, and heartburn. Signs and symptoms in late pregnancy include leg swelling and shortness of breath. Options for relief of pregnancy symptoms include exercise, diet, and other lifestyle changes. FundoplicationFundoplication is a surgical procedure for treating GERD (gastroesophageal reflux disease).

Heartburn and GERD feels like a painful or burning sensation in your upper abdomen behind the breastbone, sometimes going up into your throat. It may feel as if there is a hot, acidic, or sour tasting fluid at the back of the throat or you may have a sore throat.

GERD is usually caused by changes in the barrier between the stomach and the esophagus, including abnormal relaxation of the lower esophageal sphincter, which normally holds the top of the stomach closed, impaired expulsion of gastric reflux from the esophagus, or a hiatal hernia. These changes may be permanent or temporary. The earliest pregnancy symptom is typically a missed period, but others include breast swelling and tenderness, nausea and sometimes vomiting, fatigue, and bloating. Second trimester symptoms include backache, weight gain, itching, and possible stretch marks.

Medications that block acid production and heal the esophagus. These medications – known as proton pump inhibitors – are stronger acid blockers than H-2-receptor blockers and allow time for damaged esophageal tissue to heal. Over-the-counter proton pump inhibitors include lansoprazole (Prevacid 24 HR) and omeprazole (Prilosec OTC, Zegerid OTC). The LINX device is an expandable ring of metal beads that keeps stomach acid from refluxing into the esophagus, but allows food to pass into the stomach. Based on your condition, your doctor will prescribe medicines (including antacids) to counter the acidity.

Barrett’s esophagus, in turn, raises the risk of cancer of the esophagus. If you have Barrett’s esophagus, your doctor will want to examine you regularly for signs of dysplasia, a precursor to cancer. This is done by surveying the area through endoscopy, in which a doctor slides a thin tube with a tiny camera at the end down the throat to take pictures and biopsy samples. Heartburn is caused by stomach acid travelling back up your oesophagus (acid reflux).

  • Ann Pharmacother.
  • Learn more about the symptoms, testing that can be done and treatment options with our guide, Your Guide to GERD.
  • Lying down with a full stomach puts increased pressure on your lower esophageal sphincter (LES) – the ring of muscle that separates your stomach from your esophagus.
  • Various antacid brands are available to buy online.

I also get a salty taste. Would I be low in stomach acid ? Which natural products or supplements do u recommend?

Antacids that neutralize stomach acid. Antacids, such as Mylanta, Rolaids and Tums, may provide quick relief. But antacids alone won’t heal an inflamed esophagus damaged by stomach acid. Overuse of some antacids can cause side effects, such as diarrhea or sometimes kidney problems. More potent than H2 blockers, PPIs also stop your stomach from producing acid.

Ive tried ppi’s & zantac, both didn’t work. I’ve had camera down & all clear. I am now tab free, my throat, stomach & chest feels inflammed & sore. Hurts to talk.

The esophagus contains two sphincters (valves). The upper esophageal sphincter are under conscious control. The lower esophageal sphincter is controlled by the parasympathetic and sympathetic nervous system. On Day 4 of all that crud – I could barely function at work with frequent nausea and a constant burning/”zinging” in my nose (this actually had me up most of the previous night as well). I actually started feeling the heartburn pain, which I’ve never had with the silent reflux.

Most cases of gastroesophageal reflux disease get better with lifestyle modifications, antacids, or prescription drugs. However, relapse is common when treatment is stopped. Most varieties of antacids you can buy without a prescription are combinations of aluminum hydroxide and magnesium hydroxide. Antacids containing these ingredients may produce unwanted diarrhea or constipation. Antacids containing calcium carbonate are the most potent in neutralizing stomach acid.

A recent study12 demonstrated a potential role for a proton pump inhibitor, omeprazole (Prilosec), in the diagnosis of GERD. The response of symptoms to omeprazole, in a dosage of 40 mg per day for 14 days, was shown to be about as specific and sensitive for the diagnosis of GERD as the results of 24-hour pH monitoring.

Sleep on your left side. Studies found sleeping on your stomach or right side can cause additional pressure that increases GERD symptoms. Left-side sleepers report relief. 1. Lose weight.

Heartburn pain is sometimes mistaken for the pain associated with heart disease or a heart attack, but there are differences. Exercise may aggravate pain resulting from heart disease, and rest may relieve the pain.

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