If self-care and treatment with nonprescription medication does not work, your health-care professional likely will prescribe one of a class of stronger antacids. This therapy may be needed only for a short time or over a longer period while you make gradual changes in your lifestyle.
Generally, PPIs are well tolerated. The most common side-effects, when they do occur, include headache, nausea and diarrhoea. Rare side effects include kidney disease, vitamin B12 deficiency and increased risk of pneumonia.
Is There Surgery to Treat Acid Reflux (GERD)?
There are several treatments that are effective in relieving the uncomfortable symptoms of gastro-oesophageal reflux (GOR). The right treatment for you will depend on how often you have reflux symptoms, as well as the severity of your symptoms. It might be difficult to figure out what to do when heartburn strikes. With such a variety of over-the-counter (OTC) treatments, miscellaneous herbal or other natural remedies, and prescription medications available, choosing the right treatment can be an adventure.
Only if all else fails is surgery recommended. Because lifestyle changes and medications work well in most people, surgery is done on only a small number of people.
Talk to your health-care professional about taking over-the-counter pain relievers such as aspirin, ibuprofen (Advil, Motrin), or medicines for osteoporosis. These can aggravate reflux in some people. Stand upright or sit up straight, maintain good posture. This helps food and acid pass through the stomach instead of backing up into the esophagus. You receive sedation then a flexible probe with a tiny camera on the end is passed down your throat.
The Best Heartburn Medication: Summed Up
H2 blockers These drugs work by reducing acid production. They donâ€™t offer relief from symptoms as quickly as antacids, but they can work for up to 12 hours. They may also help heal your esophagus, although not as well as other options. Antacids These drugs treat symptoms by neutralizing acid in your stomach.
People with a hiatal hernia may be more likely to have acid reflux. Find out why. A growing body of research shows that your weight can have a significant impact on acid reflux and related symptoms. Acid Reflux (GER & GERD) in Adults. National Institute of Diabetes and Digestive and Kidney Diseases.
The side effects of Reglan can be serious and may include drowsiness, fatigue, diarrhea, restlessness, and movement problems. In prescription form (usually higher doses than the over-the-counter versions), H2 blockers can generally relieve heartburn and treat reflux, especially if youâ€™ve never had treatment before. These drugs are particularly useful at alleviating heartburn, but may not be as good for treating esophagitis (inflammation that occurs in the esophagus) that is the result of GERD.
Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to reflux into your esophagus. Medication to strengthen the lower esophageal sphincter. Baclofen may ease GERD by decreasing the frequency of relaxations of the lower esophageal sphincter. Side effects might include fatigue or nausea.
Antacids, H2 blockers, and PPIs (proton pump inhibitors) all protect against heartburn using different mechanisms – which means each group relies on a separate class of drugs. 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).