- Causes Heartburn
- Antacids - medications for heartburn, reduce acidity
- antisecretory funds from heartburn
- Stimulants GI motility
- How to get rid of heartburn - general advice and prevention
Heartburn is a common symptom of diseases of internal organs - the digestive system.The main cause of heartburn is gastroesophageal reflux disease, that is cast into the esophagus of gastric contents containing hydrochloric acid.Since the mucosa of the esophagus does not have the natural physiological protection as gastric mucosa, it happens faster inflammation, manifested by a burning sensation in the chest, a sour or bitter taste in the mouth (see the bitterness in the mouth -. Cause).It is clear that to get rid of constant heartburn, you should determine the cause of its occurrence, and to treat the underlying disease and its causes.However, in this article we will talk about drugs that only help to reduce the unpleasant symptoms of heartburn tablets.
strong and often appearing heartburn - this is one of the main symptoms of reflux gastritis.Also in diseases such as peptic ulcer, diabetes, diaphragmatic hernia, gastritis, heartburn occurs frequently.By way of provoking factors of such discomfort also include:
- Obesity, overweight
- Heartburn - a frequent companion of pregnancy, especially in the later stages
- Taking certain drugs - NSAIDs, theophylline, aspirin, etc.
- Smoking, alcohol .
- Overeating, especially fried, fatty, spicy and acidic foods.
And as for inflammatory diseases of the gastrointestinal tract, the high acidity of the stomach promotes inflammation of the esophagus, the foundation to combat acid reflux - a decrease in the acid concentration in the stomach.Which pill for heartburn best what they have contraindications, side effects, advantages and disadvantages?
Antacids - medications for heartburn, acidity reducing
There are several groups of funds from heartburn, it is one of the most popular and safest - antacids are drugs of aluminum, magnesium, as these substances are neutralized with acid.
habit of individual patients to quickly and cheaply to extinguish heartburn baking soda - is fundamentally wrong and dangerous.Yes.Heartburn first extinguished (acid is neutralized with alkali), but further, a large amount of carbon dioxide, which irritates the stomach lining and stimulates the release of even more acid.Even a single dose of soda - the wrong strategy.
antacids therefore considered more appropriate, they slowly neutralized with acid than soda.The action of antacids is almost the same, they differ only at the price, the name, the manufacturer.Since aluminum products contribute to the development of constipation, and magnesium preparations - diarrhea, better take aluminum hydroxide and magnesium, while the side effects are neutralized, as it were, but it is very individual and it is possible the appearance of diarrhea or constipation at their reception.How to quickly get rid of heartburn?
Antacids are considered the best remedy for heartburn and reflux, if it is of short duration and is rare, and is not accompanied by other symptoms that require treatment by a doctor.
Be sure to consult a doctor in cases where besides heartburn concerned and other symptoms or discomfort:
- Heartburn became a frequent symptom and you have never been consulted on this issue with your doctor
- An weight loss
- appeared vomiting, high body temperatureweakness
- there was a difficulty in swallowing food, frequent bouts of hiccups
- periodically appear heartburn, the cause of which you do not know, and self-treatment does not help or even worsen the situation.
Currently used only nonabsorbable antacids, because the first products (mixture of Bourget, magnesium oxide) is not only absorbed into the blood, but also given, like soda rebound effect of increasing acidity.Nonabsorbable antacids:
- aluminum hydroxide + magnesium hydroxide: Almagel, Maalox, Almagel A (+ anastezin)
- aluminum phosphate: Aluminium phosphate gel
- -aluminum magnesium bicarbonate: Rutatsid, Taltsid
- calcium carbonate, magnesium carbonate: Rennie
- connectionmagnesium, aluminum and silicon: Gelusil varnish
- magnesium carbonate, bismuth subnitrate + + sodium bicarbonate: Vikair, Vikalin.
aluminum hydroxide and magnesium
These tablets from heartburn reduce acidity in the stomach to the physiological level, as well as reduce diarrheal disorders caused by an excess of hydrochloric acid in gastric juice.The interval between administration of these preparations and other drugs for at least 2 hours.Antacids are contraindicated for children under 6 years of age, after 6 years of use with caution.Analogues:
Fosfalyugel (240-340 rubles)
This gel for oral administration.Fosfalyugel The drug can be used in diluted form in 0.5 cups of water, and in its pure form.Sometimes it is possible development of constipation, and should increase the amount of fluid consumed daily.
Rutatsid (140-200 rubles) Taltsid, Tisatsid
This chewable tablets is contraindicated in children under 6 years of age and in patients with renal insufficiency.The use of antacids and any tablets from heartburn during pregnancy is possible only on doctor's advice.At high doses may develop diarrhea.
Calcium and magnesium carbonate
Rennie (120-300 rubles) Chewable Tablets
contraindicated in children under 12, these chewable tablets for heartburn in pregnancy is considered safe in recommended doses.At simultaneous reception of all antacids, Rennie including antibiotic -. Ftrohinolonami, tetracyclines, iron drugs, cardiac glycosides, and so reduces the absorption of these drugs.
Ira rhizomes + olhovidnoy Buckthorn bark + Bismuth subnitrate + Magnesium carbonate + Sodium bicarbonate
astringent, mild laxative, antacid, antispasmodic action.Contraindications hypoacid gastritis, pregnancy, lactation, renal insufficiency, children.During reception of feces becomes dark color.
Price 130-200 rubles.In combination with an antacid preparations carminative (simethicone, aluminum hydroxide, magnesium hydroxide, dried liquorice extract).
Reltser - this antacid medication with substances that reduce flatulence.Contraindicated for children under 10 years, during pregnancy and lactation.Side effects: stomach cramps, constipation, vomiting, renal failure, osteoporosis, allergic reactions.
Benefits drug use - antacids for heartburn:
- These drugs for heartburn are sold in pharmacies without a prescription
- They should not be taken as a preventive measure, but only as a symptomatic treatment immediately in case of discomfort
- short-acting drugs, most 2:00
- can exhibit side effects of antacids - diarrhea and constipation
- These funds from heartburn do not treat the cause of its occurrence and therefore do not protect against relapse, repeated bouts of heartburn and reflux
- Antacids - for pregnant women is rarely indicated on doctor's advice (Rennie), children up to 6 years or 12 years, they are contraindicated
- These funds have an impact on the effectiveness of the other drugs that should be considered when using
- Frequent and prolonged treatmentthese pills can contribute to a violation of mineral metabolism, their uncontrolled reception is invalid.
antisecretory drugs for heartburn
This means that reduce acid production, their use can only be prescribed by a doctor when any antacids or dieting, do not lead to a decrease in the frequency and intensity of heartburn.
Advantages of drugs that reduce acid production:
- longer duration of action of these agents than antacids, up to 8 hours, so the reception is carried out once a day
- Also, these funds are sold without a prescription
- considered to be effective and relatively safe means
- prevent the recurrence of heartburn at regular admission
- For the treatment of acid reflux in children are issued special suspension, easy-to-use.
- effect does not occur immediately as when taking antacids, and after about an hour.
- These drugs are more serious side effects, and in rare cases can occur depression, headache, hepatitis, diarrhea and so on.
- As well as antacids, they have an impact on the safety and effectiveness of other medicines taken at the same time.
- during pregnancy and lactation are cures for heartburn are contraindicated for use
blockers, proton pump
Omeprazole - this drug reduces the stimulated and basal acid, irrespective of the nature of the stimulus, analogs:
rabeprazole - more effective means than omeparazol analogues:
esomeprazole - equivalents:.
Heartburn passes within 5 days of esomeprazole.Upon receipt of these funds at a dose of 40 mg every other month, 80% comes healing of reflux esophagitis, and 2 months in 93% of patients.
histamine H2 receptor blockers
This group of drugs has an antiulcer effect, inhibits acid secretion and reduces the volume of gastric juice, therefore used only on prescription, and dose rate indicated.
Ranitidine - has a more pronounced side effects such as dry mouth, abdominal pain, constipation, vomiting, arthralgia, allergic reactions, headache, insomnia, tachycardia, etc. Smoking reduces the effectiveness of blockers of histamine receptors..
famotidine - with one-time admission with antacids containing magnesium and aluminum, reduced absorption Famosana and ranitidine, so their intake should not be simultaneous, but only with a break of 2 hours.
GI motility stimulants Stimulants
GI motility can also be used to get rid of heartburn, they do not affect the acidity, but help reduce reflux symptoms and reduce nausea, providing antiemetic effect.
Domperidone This drug is used for the treatment of functional gastrointestinal disorders, it increases the duration of peristaltic contractions of the stomach, digestive tract emptying during deceleration process accelerates it, and also increases the tone of the lower esophageal sphincter, thereby reducing vomiting or nausea.
How to get rid of heartburn - general advice and prevention
Overeating, alcohol abuse, acidic foods, fried, greasy, canned, smoked - enhances the development of heartburn.Especially not the desired effect is fried and fatty foods, as they are staying longer in the stomach, stimulating the production of acid.
It is best to eat a little more and, after a meal, it is desirable to move, not to take a horizontal position for at least 1 hour, dinner must be no later than 3-4 hours before bedtime.The more dietary fiber and complex carbohydrates - bran, cereals, pasta, the better.
They help neutralize the excess acid and a beneficial effect on the digestive tract.Ambiguous effect on the development of acid reflux also has milk . In a small number of its reception brings relief by neutralizing the acid, but with a significant volume of milk production of acid on the contrary increases as excess calcium stimulates the release of pepsin, so to consumption of this product should be treated with caution.
Moreover, it is desirable to use separately from receiving other foods, especially those with pancreatic diseases.(See that you can eat at a pancreatitis, a diet with stones in the gall bladder, which can be eaten with gastritis.)
coffee, strong tea, and instant chicory - negatively affect the esophagus and stomach, and if you noticethat occurs after receiving a heartburn or nausea, then cut their consumption.
Nicotine promotes heartburn and increase its intensity, contributing to damage the lining of the esophagus and stomach - give up this bad habit
Many drugs harmful effect on the mucous membrane of the gastrointestinal tract, particularly NSAIDs, aspirin, etc.., their use should only be prescribed by a doctor.
- Clothes, work, sleep
tighten the belt on the trousers or tight, slimming odezha creates strain on the stomach from the outside, further provoking heartburn.Avoid operation or movement, with the incline, gravity can facilitate ingress and food acid into the esophagus, which is also undesirable and cause heartburn.When an acid reflux during the night, for the prevention is better to use a higher pillow at least 15 cm. From the body, it is convenient to put under the mattress of the roller towels.