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Hello Anonymous,

Welcome to EmpowHER and thank you for reaching out to our community.

Heartburn is a burning pain in your chest, just behind your breastbone. The pain is often worse when lying down or bending over.

Occasional heartburn is common and no cause for alarm. Most people can manage the discomfort of heartburn on their own with lifestyle changes and over-the-counter medications.

Lifestyle changes can help ease heartburn:

Maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus.

Avoid tight fitting clothing, which puts pressure on your abdomen and the lower esophageal sphincter.

Avoid foods that trigger your heartburn.

Avoid lying down after a meal. Wait at least three hours.

Avoid late meals.

Elevate the head of your bed if you regularly experience heartburn at night or while trying to sleep. If that's not possible, insert a wedge between your mattress and box spring to elevate your body from the waist up. Raising your head with additional pillows usually isn't effective.

Avoid smoking. Smoking decreases the lower esophageal sphincter's ability to function properly.

Both acid reflux and heartburn are common digestive conditions that many people experience from time to time. When these signs and symptoms occur at least twice each week or interfere with your daily life, or when your doctor can see damage to your esophagus, you may be diagnosed with GERD.

Over-the-counter treatments that may help control heartburn include:

Antacids that neutralize stomach acid. Antacids, such as Maalox, Mylanta, Gelusil, Gaviscon, 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 constipation.

Medications to reduce acid production. Called H-2-receptor blockers, these medications include cimetidine (Tagamet HB), famotidine (Pepcid AC), nizatidine (Axid AR) or ranitidine (Zantac). H-2-receptor blockers don't act as quickly as antacids do, but they provide longer relief and may decrease acid production from the stomach for up to 12 hours. Stronger versions of these medications are available in prescription form.

Medications that block acid production and heal the esophagus. Proton pump inhibitors are stronger blockers of acid production than are 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, Zegerid OTC).

Regards,
Maryann

June 22, 2017 - 8:24am

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