Heartburn is caused due to stomach acid spilling into the esophagus and irritating the unprotected lining of the esophagus. There are quite a few causes of the problem, and the medicine has to be an integrated approach. As the problem involves the digestive system, eating habits are the major cause.
Avoid foods that induce copious secretion of acid in the stomach. These foods consist of citrus fruits, chocolate, mint products, tomatoes, raw onions, garlic, black pepper, chili, vinegar, all fatty foods, spicy foods, cloves, nutmeg, coffee, tea, caffeine or carbonated beverages and alcohol. Avoid cooking food with fat or oil, like fried or sautéed dishes. Cook by boiling, baking, grilling, broiling, poaching or steaming. Eat small portions more oftentimes and avoid large meals that thoroughly fill the stomach. Drink plentifulness of water, do not eat very fast and chew the food properly.
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Do not get into bed for at least 2 hours after eating, and try to keep a vertical torso while this time. Elevate the head 4 to 6 inches while sleeping. Try to sleep on the left side, as it improves mobility and empties the stomach quickly. Avoid stress, rehearsal normally and give up smoking. Do not rehearsal after a meal, as this would itself cause heartburn. Tight clothes, constant bending down, clear abdominal exercises, too much fat nearby the abdomen, and lying face down are some things that apply pressure on the stomach, causing heartburn.
Antacid medications in general made of calcium carbonate, aluminum and magnesium neutralize the acid in the stomach. They act very fast, but are efficient only for short periods (1 to 2 hours). Drugs like Cimetidine, Ranitidine, Nizatidine and Famstidine, which are known as H2 blockers, contribute relief from the heartburn by suppressing acid output in the stomach. They take about 1 hour to take succeed and last up to 12 hours. Proton Pump Inhibitors (Ppi) like Omeprazole and Lansoprozole turn off acid output by interfering with the proton pump in the mucus lining of the stomach at the last stage of acid production. It is efficient within one hour and the succeed lasts up to 24 hours.
If self-treatment is not efficient within 3 to 4 weeks, it is imperative that the patient consult a physician. The heartburn could be just a symptom of more serious diseases like Gerd, hiatal hernia, esophagitis or esophagus cancer.
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