Heartburn is an unpleasant symptom that you want to get rid of faster. After all, eating and feeling full should bring pleasure and relaxation, not torment. Let’s find out what drugs can help with heartburn.
Heartburn occurs when acidic stomach contents enter the esophagus. The mucous membrane of the esophagus is not adapted to such an environment and there is an unpleasant burning sensation. In the process of life, such a condition can happen to anyone with overeating, a strong bend after eating, in women during pregnancy. With prolonged symptoms, the esophagus may suffer, erosion, ulcers may develop, and scar tissue may form, which will lead to a narrowing of the lumen. Cell degeneration and the development of neoplasms can occur.
The most common cause of heartburn is gastroesophageal reflux disease (GERD). It occurs in 83% of patients with this problem. In addition to heartburn, symptoms such as:
regurgitation, esophageal vomiting, belching;
pain when swallowing food;
obstructed passage of food;
hoarseness of voice;
interruptions in the work of the heart.
In addition to gastroesophageal reflux disease, heartburn can be closely associated with :
Peptic ulcer of the stomach and duodenum.
Functional dyspepsia (a group of diseases that do not lead to changes in the structure, structure of the digestive organs, but cause disturbances in their functions).
Many drugs have the ability to reduce the tone of the lower esophageal sphincter, which can lead to the reflux of contents into the esophagus or cause inflammation themselves. Hormonal, antihypertensive, anti-inflammatory drugs can have such side effects. Therefore, you need to carefully read the instructions.
The cause of heartburn can be increased intra-abdominal pressure and conditions leading to this:
chronic obstructive pulmonary disease, etc.
Without treatment of the underlying disease, taking remedies for heartburn will not only not help in the future, but will also mask the symptoms of the underlying problem.
Confused with heartburn can be pain in coronary heart disease.
If heartburn does not bother you often, once a week or less, you can take antacids and alginates for self-medication .
This group of drugs neutralizes hydrochloric acid produced by the cells of the gastric mucosa. Reducing acidity in the stomach increases the tone of the lower esophageal sphincter.
Modern combined drugs that additionally have an enveloping, sometimes calming effect include:
Almagel A ;
The main thing is that these drugs do not have the ricochet syndrome like regular soda. When applied, the acidity first decreases, and after a few hours, re-growth occurs.
Gaviscon Double Action .
Preparations from the group of alginates form a gel film on the surface, which protects the mucous membrane from the action of acid and pepsin. Some drugs have a double effect, since they contain an antacid component.
H2-histamine receptor blockers
They reduce the production of hydrochloric acid by the parietal cells of the stomach. The advantage of their action is that the secretion associated with food intake is suppressed to a lesser extent, which means that the digestive processes will be affected to a lesser extent. At the first symptoms of heartburn, it is possible to take 2 times reduced doses of H2-histamine receptor blockers. The effect can last up to 12 hours, and there is no need to take additional antacids.
Proton pump inhibitors (PPIs)
Proton pump inhibitors inhibit the final stage of hydrochloric acid formation in the parietal cells of the stomach. The maximum effect of admission develops on the 5-7th day of admission. The secretion of hydrochloric acid is restored 2 days after stopping the intake. With prolonged use of drugs for several years and a pronounced lack of hydrochloric acid in the stomach, pathogenic flora can develop. Drugs in this group do not have an instant effect and can only be prescribed by a doctor after diagnosis.
If the symptoms of heartburn go along with impaired motor function of the stomach, the organ is sensitive to stretching, prokinetics help to speed up the evacuation of food into the small intestine. The propulsive motility of the stomach is enhanced.
Sometimes not only the contents of the stomach are thrown into the esophagus, but also the contents of the small intestine, for example, bile. Such a situation can arise in liver diseases, when drugs that reduce acidity in the stomach have already been used, there is no reflux of the acidic part, but there is irritation and heartburn in the esophagus. In this case, ursodeoxychoic acid (UDCA) preparations are recommended. They help the liver to restore its function, normalize the formation and outflow of bile, and can reduce the symptoms of heartburn. The course of application is from 2 weeks to 6 months.
Prevention of recurrent heartburn
To prevent heartburn, you need to follow simple rules that will help reduce the load on the stomach and make unpleasant symptoms less likely:
Small portions of food 4-5 times a day.
Reduce consumption of very spicy, salty, fatty foods.
Eliminate carbonated drinks and foods that lead to gassing (soda, beer, simple carbohydrates)
Raise the pillow 15-20 cm while sleeping.
Try not to eat before bed or lie down after eating.
Give up bad habits (alcohol, smoking).
Reduce excess weight.
Do not lean strongly forward and do not strain, exclude lifting weights of more than 8-10 kg (do not strain the abdominal muscles).
Remove corsets, tight belts from the wardrobe, wear looser clothes that do not squeeze the stomach.
Self-medication can be done for mild, rare symptoms. For this, drugs from the group of antacids and alginates are used; a single dose of Ranitidine 75 mg is also possible. If heartburn bothers more than once a week , you need to see a doctor . Taking medications should not be uncontrolled. Self-administration should not last longer than 7-10 days. Otherwise, you may not notice other serious diseases in time, one of the symptoms of which may be heartburn.