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Do you suffer from acid reflux or frequent heartburn? The burning sensation at the back of your throat or down by the breat bone can be quite painful. Most physicians will first recommend lifestyle modifications for treatment of acid reflux. Preventative measures are the preferred method of relief.


Lifestyle Modifications


* Avoid soft drinks that contain caffeine. Other foods to avoid are chocolate Ravens Hayden Hurst Jersey , peppermint, spicy foods, acidic foods like oranges Black Maxx Williams Jersey , canned tomatoes, onions, cabbage Black Ronnie Stanley Jersey , cauliflower, broccoli, Brussels and sprouts.


* Milk and milk-based products contain calcium and fat Black Marlon Humphrey Jersey , so should be avoided before bedtime.


* Avoiding food for 2 hours before bedtime and not lying down after a meal are frequently recommended lifestyle modifications.


* Elevation to the head of the bed is the next-easiest to implement. Products are also available as seen on tv that will elevate the head of your bed through the use of an inflatable mattress lifter. This is an ideal low cost solution for relief from acid reflux.


You can also accomplish the correct elevation by placing cinder blocks as noted above or with other items: plastic or wooden bed risers which support bed posts or legs, a bed wedge pillow.


The height of the elevation is critical and must be within the range of 6 to 8 inches in order to be as effective as possible in hindering the backflow of gastric fluids. Elevating the bed is also known as “positional therapy”.


Drug treatments


A number of drugs are registered for the treatment of acid reflux, and they are among the most-often-prescribed forms of medication in most Western countries. They can be used in combination with other drugs Black Mark Andrews Jersey , although some antacids can impede the function of other medications.


* Antacids before meals or symptomatically after symptoms begin can increase the pH and reduce gastric acidity. Alginic acid may coat the mucosa as well as increase the pH and decrease reflux.


* Gastric H2 receptor blockers such as ranitidine or famotidine can reduce gastric secretion of acid. These drugs are technically antihistamines. They relieve complaints in about 50% of all acid reflux patients.


* Proton pump inhibitors such as omeprazole are the most effective in reducing gastric acid secretion, as they stop the secretion of acid at the source of acid production, i.e. the proton pump.


To maximize effectiveness of this medication the drug should be taken a half hour before meals. Prokinetics strengthen the lower esophageal sphincter and speed up gastric emptying. Cisapride Black Hayden Hurst Jersey , a member of this class, was withdrawn from the market for causing Long QT syndrome.


If one implements pharmacologic therapy in combination with food avoidance before bedtime and elevation of the head of the bed over 95% of patients will have complete relief.


Surgical treatment


The standard surgical treatment, sometimes preferred over longtime use of medication Maxx Williams Jersey , is the Nissen fundoplication. The upper part of the stomach is wrapped around the lower esophageal sphincter to strengthen the sphincter and prevent acid reflux and to repair a hiatal hernia. The procedure is often done laparoscopically.


An obsolete treatment is vagotomy, the surgical removal of vagus nerve branches that innervate the stomach lining. This treatment has been largely replaced by medication.


Disclaimer
The information presented here should not be interpreted as medical advice. If you or someone you know suffers from acid reflux, please seek professional medical advice for the latest treatment options.

I am a medical author for a European pharmaceutical company. Read a lot more here Acid Reflux Surgery Ronnie Stanley Jersey , Acid Reflux Disease


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