Heartburn Outcomes Boosted With Right Match of Drugs
(HealthDay News) -- Chronic heartburn caused by acid reflux is one of the most common complaints among Americans, and a new study outlines which approaches appear to work best to ease patients' suffering.
The Danish study found that people with the condition -- formally called gastroesophageal reflux disease (GERD) -- typically feel best when placed on medications called proton pump inhibitors (PPIs) by a doctor with whom they have a good rapport.
"The treatment we have isn't always perfect," conceded Dr. Maria T. Abreu, professor of medicine and chief of the division of gastroenterology at the University of Miami Miller School of Medicine, who was not involved in the study. She agreed that communicating well with patients can go a long way toward increasing their satisfaction, because reflux treatments don't always relieve all symptoms. If doctors said that up front, patients "might be more likely to feel satisfied," Abreu said.
Click here to comment on this article.The report is published in the August issue of Clinical Gastroenterology and Hepatology.
For the study, Dr. Peter Bytzer, from Copenhagen University, reviewed 11 studies published between 1970 and 2007. Each study examined the reasons why people were satisfied or dissatisfied with their GERD treatment.
"Patient satisfaction can be influenced by a number of factors including treatment regimen, general level of well-being, the 'bedside manner' of the physician, the patient's expectations and the quality of patient/physician communication," Bytzer said in a news release from the American Gastroenterological Association.
He found that patients given prescriptions for proton pump inhibitors (PPIs) -- drugs that include blockbusters such as Prevacid, Prilosec and Nexium -- were more satisfied with their treatment than those given H2-receptor antagonists, which include Tagamet and Zantac. And, not surprisingly, people whose symptoms were only partially relieved were less satisfied than patients whose symptoms were completely relieved.
Although prescription medications can help relieve the symptoms of GERD, studies have shown that some patients are still not satisfied with their treatment.
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This is something I have to take note of since my hubby and I have suffered GERD before. We had to drink a liquid medication (Malox or something like that) for it and Nexium also sounds familiar. One of the best things we did that we believed really helped is habit. When we both got hit with GERD, we started eating every 3 hours - and believe me eating if you have GERD is not the easiest or most comfortable thing to do. Not eating a huge meal at least an hour before bedtime also helped.