Antacids should be taken 1 hour after meals or when gastroesophageal reflux disease symptoms occur. Liquid antacids usually work faster than tablets or chewables. If symptoms occur soon after meals, they should be taken before the meal.
Heartburn is not a condition on its own, and it has nothing to do with the heart. Instead, it is a symptom of acid reflux.
In effect, chewing gum exaggerates one of the normal processes that neutralize acid in the esophagus. It is not clear, however, how effective chewing gum is in treating heartburn. Nevertheless, chewing gum after meals is certainly worth a try. In addition, patients with GERD may find that other foods aggravate their symptoms. Examples are spicy or acid-containing foods, like citrus juices, carbonated beverages, and tomato juice.
The longer the time spent awake in bed the greater the esophageal acid exposure experienced. Poor quality of sleep and a variety of sleep disturbances have been recently added to the growing list of extraesophageal symptoms of GERD such as hoarseness, throat-clearing, sore throat, wheezing, and chronic cough. Most importantly, the overall quality of life of those with nighttime heartburn appears to be significantly worse than the quality of life of those with daytime heartburn only.
It also can limit sleep positions that may put pressure on your abdomen and aggravate heartburn and reflux symptoms. 3. Avoid trigger foods and drinks. For me, that would be tomatoes. And coffee.
These include foods that can trigger your heartburn, either by increasing acid production and gastric pressure or by loosening the lower sphincter muscle. Also, avoid foods that can irritate the lining of the esophagus, such as spicy foods, coffee, citrus fruit, and juices.
PPIs are used when H2 antagonists do not relieve symptoms adequately or when complications of GERD such as erosions or ulcers, strictures, or Barrett’s esophagus exist. Five different PPIs are approved for the treatment of GERD, including omeprazole (Prilosec, Dexilant), lansoprazole (Prevacid), rabeprazole (Aciphex), pantoprazole (Protonix), and esomeprazole (Nexium), and dexlansoprazole (Dexilant). A sixth PPI product consists of a combination of omeprazole and sodium bicarbonate (Zegerid). PPIs (except for Zegarid) are best taken an hour before meals.
Nocturia or Frequent Urination at Night
Visit your doc. If none of these lifestyle changes makes a difference, itâ€™s time to head to your MD. OTC medications may be able to help, but you should consult a medical professional before taking one, says Besser. And if youâ€™re already on a medication, the fix may be as simple as taking it before bed instead of in the morning, but you should check with your doctor before switching things up.
When GERD affects the throat or larynx and causes symptoms of cough, hoarseness, or sore throat, patients often visit an ear, nose, and throat (ENT) specialist. The ENT specialist frequently finds signs of inflammation of the throat or larynx. Although diseases of the throat or larynx usually are the cause of the inflammation, sometimes GERD can be the cause. Accordingly, ENT specialists often try acid-suppressing treatment to confirm the diagnosis of GERD. This approach, however, has the same problems as discussed above, that result from using the response to treatment to confirm GERD.