Part II of II.
Gastro-esophageal reflux is the phrase used to describe the backward flow or regurgitation of stomach contents passing up into the esophagus. The typical symptom of GERD is a burning discomfort behind the breast bone. Some describe heartburn as indigestion, a "sour" stomach, pain in the upper abdomen or chest, regurgitation of food or bitter liquid into the mouth or excessive production of saliva. GERD is a common condition and symptoms of heartburn are experienced at least once a month by more than 60 million Americans.
For women, the first experience with heartburn is often during pregnancy. Studies suggest that over 50% of pregnant women will experience heartburn during pregnancy. This is due to hormones of pregnancy and pressure from the growing fetus. Symptoms of heartburn resolve in most of these women after delivery of the baby.
What causes GERD?
Acid is produced in the stomach every day. Normally, a small amount of acid passes into the esophagus through a valve between the esophagus and stomach called the lower esophageal sphincter. When the frequency or amount of acid in contact with your esophagus increases, symptoms and damage to your esophagus can occur.
What are the stimuli of heartburn?
Pregnancy
Eating a large, especially fatty meal
Tomato sauces (spaghetti & pizza)
Lying down after a meal
Chocolate, peppermint
Coffee and tea
Smoking
Alcohol and carbonated beverages
Some muscle relaxers and blood pressure medicines
Excess weight
Eat more frequent, but smaller meals
What to avoid?
fatty food, coffee & tea, chocolate, peppermint, alcohol, smoking, carbonated beverages.
What to do?
Maintain a normal weight
Avoid eating 2-3 hrs before bedtime
Elevate the head of the bed 4-6 inches
Don’t lie down after eating
What medications are effective in relieving symptoms?
Antacids
(liquid or tablets):
Tums®, Rolaids®, Mylanta®, Maalox®, Gaviscon®, and many others.
OTC Acid Blockers:
Pepcid AC® , Tagamet HB® , Zantac AC® ., Prilosec OTC®
*Important Note: If you are pregnant or nursing a baby, seek the advice of a doctor before using OTC acid blockers.
Proton Pump Inhibitors:
esomeprazole, Nexium®; or
lansoprazole, Prevacid®; or
pentaprazole, Protonix®; or
rabeprazole, Aciphex®;
Pro-motility Drugs:
cisapride, Propulsid®
Prescription Strength Antacids:
sucralfate, Carafate®
Prescription Strength H2 Blockers:
cimetidine, Tagamet® , ranitidine, Zantac® , famotidine, Pepcid® , nizatadine, Axid®
When should you see a doctor about symptoms of heartburn?
If you have any of the following:
Symptoms of heartburn two or more times a week
Don’t get lasting relief on medication you are taking
Difficulty swallowing, especially solids
Choking, wheezing, hoarseness caused by regurgitation of acid into the throat
Signs of bleeding (vomiting dark coffee ground-like material or passage of tarry black bowel movements)
Unexplained weight loss
Reflux symptoms over more than one year
What treatments for heartburn are safe during pregnancy?
During pregnancy, the medical treatment of reflux should be balanced to alleviate the mother’s symptoms of heartburn, while protecting the developing fetus.
Step 1: Modification of diet & lifestyle
Step 2: Antacids are probably safe.
Sodium bicarbonate can cause a condition known as metabolic acidosis and should be avoided during pregnancy. Magnesium containing antacids may interfere with uterine contractions during labor and should be avoided during the last trimester of pregnancy.
Step 3: sucralfate (Carafate®) has a good record for safety and results with pregnant patients. Acid blockers can probably be administered safely, but require a doctor’s supervision.
Step 4: Other medical therapy should only be used when the benefit of the medicine for the mother outweighs the risk of the medicine to the developing fetus.
Please remember, as with all our articles we provide information, not medical advice.
For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Showing posts with label antacid. Show all posts
Showing posts with label antacid. Show all posts
Tuesday, May 19, 2009
Monday, May 18, 2009
Is it Heartburn or a Heart Attack?
Part I of II :GERD
The experts say “It doesn’t often begins as a sharp, burning sensation in the chest. Many times it seems either like a pressure or burning or indigestion in the chest.”
Is the pain heartburn, or might it be a heart attack?
It's often difficult for people to tell the difference. Complicating the issue is that some people with diagnosed heart disease will also have heartburn, Those are the patients who want to say, 'Oh, this is just heartburn' and not worry about it. If, however, you have any heart history, a cardiologist should be consulted.
But even people without known heart disease who have heartburn shouldn't always just pop an over-the-counter antacid either. Overreacting in seeking medical help is always better than under-reacting.
In the common variety heartburn, or GERD [ gastro-esophageal reflux disorder] stomach acid moves up into the esophagus and causes irritation. It might require a doctor's intervention, to rule out that what a person is feeling stems from heartburn and not heart problems, which can have similar symptoms.
So what's a person to do?
Pay attention to the pattern of heartburn. If people have heartburn on a regular basis after eating specific foods -- every time they eat a greasy pepperoni pizza or drink a large glass of orange juice, for instance -- the food is generally the origin of the symptoms. If, however, if they start having “heartburn” and have not eaten any of the food or drinks that previously triggered a heartburn episode. That would merit a call for medical help.
Pay attention to when the heartburn occurs. If the heartburn follows consumption of a specific food, it's probably run-of-the-mill heartburn, which when it becomes severe will need prompt medical attention.
See a doctor if heartburn is severe and begins to affect quality of life. A medical visit in such an instance, though, would not be as urgently needed as it would be for those with pain and swallowing problems along with heartburn.
If heartburn is a new experience, have it checked out asap. That needs to be evaluated pretty quickly because people with first-time heartburn and risk factors for heart disease -- including high blood pressure, high cholesterol, diabetes, a family history of heart problems and active cigarette smoking -- should seek prompt medical help.
Other “red flag” reasons to quickly talk to a doctor or go to the emergency room.
• If heartburn accompanies exercise or other exertion.
• If a severe episode of heartburn does not get better with antacids. Garden-variety heartburn should subside fairly quickly. An episode might last up to a few hours, and then disappear in varying lengths of time, depending on the type of remedy used to combat it. "If you take an antacid, their effect is usually immediate," "If you take an H-2 blocker [such as Zantac or Tagamet], it may be 30 minutes.
• If heartburn comes with other symptoms, such as shortness of breath or arm pain.
Please remember, as with all our articles we provide information, not medical advice.
For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
The experts say “It doesn’t often begins as a sharp, burning sensation in the chest. Many times it seems either like a pressure or burning or indigestion in the chest.”
Is the pain heartburn, or might it be a heart attack?
It's often difficult for people to tell the difference. Complicating the issue is that some people with diagnosed heart disease will also have heartburn, Those are the patients who want to say, 'Oh, this is just heartburn' and not worry about it. If, however, you have any heart history, a cardiologist should be consulted.
But even people without known heart disease who have heartburn shouldn't always just pop an over-the-counter antacid either. Overreacting in seeking medical help is always better than under-reacting.
In the common variety heartburn, or GERD [ gastro-esophageal reflux disorder] stomach acid moves up into the esophagus and causes irritation. It might require a doctor's intervention, to rule out that what a person is feeling stems from heartburn and not heart problems, which can have similar symptoms.
So what's a person to do?
Pay attention to the pattern of heartburn. If people have heartburn on a regular basis after eating specific foods -- every time they eat a greasy pepperoni pizza or drink a large glass of orange juice, for instance -- the food is generally the origin of the symptoms. If, however, if they start having “heartburn” and have not eaten any of the food or drinks that previously triggered a heartburn episode. That would merit a call for medical help.
Pay attention to when the heartburn occurs. If the heartburn follows consumption of a specific food, it's probably run-of-the-mill heartburn, which when it becomes severe will need prompt medical attention.
See a doctor if heartburn is severe and begins to affect quality of life. A medical visit in such an instance, though, would not be as urgently needed as it would be for those with pain and swallowing problems along with heartburn.
If heartburn is a new experience, have it checked out asap. That needs to be evaluated pretty quickly because people with first-time heartburn and risk factors for heart disease -- including high blood pressure, high cholesterol, diabetes, a family history of heart problems and active cigarette smoking -- should seek prompt medical help.
Other “red flag” reasons to quickly talk to a doctor or go to the emergency room.
• If heartburn accompanies exercise or other exertion.
• If a severe episode of heartburn does not get better with antacids. Garden-variety heartburn should subside fairly quickly. An episode might last up to a few hours, and then disappear in varying lengths of time, depending on the type of remedy used to combat it. "If you take an antacid, their effect is usually immediate," "If you take an H-2 blocker [such as Zantac or Tagamet], it may be 30 minutes.
• If heartburn comes with other symptoms, such as shortness of breath or arm pain.
Please remember, as with all our articles we provide information, not medical advice.
For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
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