Heartburn Remedies

πŸ”₯+ Heartburn Remedies 27 May 2020 They are mostly given to people with acid reflux conditions, which cause symptoms such as indigestion and heartburn. But some heart patients take PPIs, too.

Heartburn Remedies FAMILY PRACTICE MANAGEMENT

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Feel like you''t go away? There''re taking medication correctly
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“Typically, the proton pump inhibitors are given 30 to 60 minutes before breakfast,” says David A. Johnson, MD, a professor of medicine and the chief of gastroenterology at Eastern the 1 last update 27 May 2020 Virginia Medical School, in Norfolk, Va., and past president of the American College of Gastroenterology.

However, some people do better taking two doses a day to stave off nighttime symptoms, he adds.If you don’t know how and when to take your meds, call your doctor for specific instructions.

“Typically, the proton pump inhibitors are given 30 to 60 minutes before breakfast,” says David A. Johnson, MD, a professor of medicine and the chief of gastroenterology at Eastern Virginia Medical School, in Norfolk, Va., and past president of the American College of Gastroenterology.

However, some people do better taking two doses a day to stave off nighttime symptoms, he adds.

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Don’t hit the sack on a full belly

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Lying down within three to four hours of consuming a large meal, particularly a late-evening feast, could spell trouble.

"" says Dr. Johnson. Such a triple threat may pose too large of an insult on the body, one that even PPIs—the gold standard in GERD treatment—can’t handle.

For nighttime symptoms, Dr. Johnson suggests elevating the head of the bed with blocks or using a bed wedge to elevate the upper torso.

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Shed a few pounds

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A 2006 study in the New England Journal of Medicine found that overweight and obese women were two to three times as likely as thinner women to have frequent reflux symptoms.

Moderate weight gain, even in normal-weight people, may exacerbate reflux symptoms, according to the survey of more than 10,500 people.

"" Dr. Johnson points out.

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Drugs like Tagamet HB, Pepcid AC, Axid AR, and Zantac 75 are very effective in knocking out acid, says Joel Richter, MD, the chair of the department of medicine at Temple University, in Philadelphia.

The paradox is they’re not very effective when taken daily, because people develop a tolerance to the drug, he adds.

"" he says. ""

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Know your triggers

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If jalapeños or onions always get you, consider skipping them. If you’re going to eat spicy food, taking an H2 blocker an hour or so before may help stop symptoms.

But if you make changes and still have heartburn, get help.

“If people are having residual symptoms several times per week, and certainly if they’re having residual symptoms to the point that it’s interfering with their ability to sleep…or function on a day-to-day basis, they should definitely talk to their physician about it,” says William D. Chey, MD, director of the gastrointestinal physiology laboratory at the University of Michigan Health System, in Ann Arbor.

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