Any over the counter meds that will help ACID-REFLUX?

Is there any over the counter medicines that will help my acid-reflux? Anything that will keep it from coming back? What can I do to get some instant relief from the burning pain in my chest and throat?

TUMS don’t help at all!
Thanks everyone…….!!!!!! :)

Try Pepcid…. available over the counter.

Treatment

Physicians recommend lifestyle modifications when not recommending drugs to treat GERD. A 2006 review suggested that evidence for most dietary interventions is anecdotal; only weight loss and elevating the head of the bed were supported by evidence[6]. A subsequent randomized crossover study showed benefit by avoiding eating two hours before bed.[2]

Foods

Certain foods and lifestyle are considered to promote gastroesophageal reflux:

* Coffee, alcohol, and excessive amounts of Vitamin C supplements stimulate gastric acid secretion. Taking these before bedtime especially can cause evening reflux. (Although a study published in 2006 by Stanford University researchers indicates there is no published evidence of dietary changes benefiting those with GERD.[6])
* Antacids based on calcium carbonate (but not aluminum hydroxide) were found to actually increase the acidity of the stomach. However, all antacids reduced acidity in the lower esophagus, so the net effect on GERD symptoms may still be positive.[7].
* Foods high in fats and smoking reduce lower esophageal sphincter competence, so avoiding these tends to help. Fat also delays stomach emptying.
* Eating within 2-3 hours before bedtime.
* Large meals. Having more but smaller meals reduces GERD risk, as it means there is less food in the stomach at any one time.
* Carbonated soft drinks with or without sugar.
* Chocolate and peppermint.
* Acidic foods, such as oranges and tomatoes.
* Cruciferous vegetables: onions, cabbage, cauliflower, broccoli, spinach, brussels sprouts.
* Milk and milk-based products contain calcium and fat, and should be avoided for 2 hours before bedtime.

Positional therapy

Sleeping on the left side has been shown to drastically reduce nighttime reflux episodes in patients.[8].

Elevating the head of the bed is also effective. When combining drug therapy, food avoidance before bedtime, and elevation of the head of the bed, over 95% of patients will have complete relief[citation needed]. Additional conservative measures may be considered if there is incomplete relief. Another approach is to apply all conservative measures for maximum response. A meta-analysis suggested that elevating the head of bed is an effective therapy, although this conclusion was only supported by nonrandomized studies [6].

The head of the bed can be elevated by plastic or wooden bed risers that support bed posts or legs, a bed wedge pillow, or a wedge or an inflatable mattress lifter that fits in between mattress and box spring. The height of the elevation is critical and must be at least 6 to 8 inches (15 to 20 cm) to be at least minimally effective to prevent the backflow of gastric fluids. It should be noted that some innerspring mattresses do not work well when inclined and tend to cause back pain, thus foam mattresses are to be preferred. Some practitioners use higher degrees of incline than provided by the commonly suggested 6 to 8 inches (15 to 20 cm) and claim greater success.

Drug treatment

A number of drugs are registered for GERD treatment, and they are among the most-often-prescribed forms of medication in most Western countries. They can be used in combination with other drugs, although some antacids can interfere with the function of other drugs:

* Proton pump inhibitors are the most effective in reducing gastric acid secretion. These drugs stop acid secretion at the source of acid production, i.e., the proton pump.
* Antacids before meals or symptomatically after symptoms begin can reduce gastric acidity (increase pH).
* Alginic acid (Gaviscon) may coat the mucosa as well as increase pH and decrease reflux. A meta-analysis of randomized controlled trials suggests alginic acid may be the most effective of non-prescription treatments with a number needed to treat of 4 [9].
* 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 GERD patients. Compared to placebo (which also is associated with symptom improvement), they have a number needed to treat of eight (8) [9].
* Prokinetics strengthen the LES and speed up gastric emptying. Cisapride, a member of this class, was withdrawn from the market for causing Long QT syndrome.
* Sucralfate (Carafate®) is also useful as an adjunct in helping to heal and prevent esophageal damage caused by GERD, however it must be taken several times daily and at least two (2) hours apart from meals and medications.

Posture and GERD

In adults, a slouched posture is an important factor contributing to GERD. With a slouched posture there is no straight path between the stomach and esophagus; muscles around the esophagus go into a spasm. Gas and acidity get blocked in the spasm, causing coughing and other asthma-like symptoms. A meta-analysis suggested that elevating the head of the bed is an effective therapy, although this conclusion was only supported by nonrandomized studies.[6]

Surgical treatment

The standard surgical treatment, sometimes preferred over longtime use of medication, is the Nissen fundoplication. The upper part of the stomach is wrapped around the LES to strengthen the sphincter and prevent acid reflux and to repair a hiatal hernia. The procedure is often done laparoscopically.[10]

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

Other treatments

In 2000 the U.S. Food and Drug Administration (FDA) approved two endoscopic devices to treat chronic heartburn. One system, Endocinch, puts stitches in the LES to create little pleats that help strengthen the muscle. Another, the Stretta Procedure, uses electrodes to apply radio frequency energy to the LES. The long-term outcomes of both procedures compared to a Nissen fundoplication are still being determined.

Subsequently the NDO Surgical Plicator was cleared by the FDA for endoscopic GERD treatment. The Plicator creates a plication, or fold, of tissue near the gastroesophageal junction, and fixates the plication with a suture-based implant. The Plicator is currently marketed by NDO Surgical, Inc. [1].

Another treatment that involved injection of a solution during endoscopy into the lower esophageal wall was available for about one year ending in late 2005. It was marketed under the name Enteryx. It was removed from the market due to several reports of complications from misplaced injections.

10 Responses to “Any over the counter meds that will help ACID-REFLUX?”

  1. David B said on October 23rd, 2009 at 10:13 am:

    lay on your other side when you sleep.
    References :

  2. an_articulate_soul said on October 23rd, 2009 at 11:00 am:

    prilosec is now OTC but it’s expensive

    walmart has a generic version of zantac that’s a lot less expensive than the brand name…just double up the pills to get the prescription strength
    References :
    acid reflux sufferer for years

  3. Lissa said on October 23rd, 2009 at 11:35 am:

    Absolutley! Pepsid, Prilosec (which is the best), mylanta…theres tons of them at the pharmacy. I recommend the first two though. Hope you feel better.
    References :

  4. fuzzymum said on October 23rd, 2009 at 11:46 am:

    Gaviscon advance is very good. If over the counter remedies don’t seem to work for u, then see a doctor and get a stronger medicine on prescription.
    References :

  5. onesmaartlady said on October 23rd, 2009 at 11:52 am:

    Try Pepcid…. available over the counter.

    Treatment

    Physicians recommend lifestyle modifications when not recommending drugs to treat GERD. A 2006 review suggested that evidence for most dietary interventions is anecdotal; only weight loss and elevating the head of the bed were supported by evidence[6]. A subsequent randomized crossover study showed benefit by avoiding eating two hours before bed.[2]

    Foods

    Certain foods and lifestyle are considered to promote gastroesophageal reflux:

    * Coffee, alcohol, and excessive amounts of Vitamin C supplements stimulate gastric acid secretion. Taking these before bedtime especially can cause evening reflux. (Although a study published in 2006 by Stanford University researchers indicates there is no published evidence of dietary changes benefiting those with GERD.[6])
    * Antacids based on calcium carbonate (but not aluminum hydroxide) were found to actually increase the acidity of the stomach. However, all antacids reduced acidity in the lower esophagus, so the net effect on GERD symptoms may still be positive.[7].
    * Foods high in fats and smoking reduce lower esophageal sphincter competence, so avoiding these tends to help. Fat also delays stomach emptying.
    * Eating within 2-3 hours before bedtime.
    * Large meals. Having more but smaller meals reduces GERD risk, as it means there is less food in the stomach at any one time.
    * Carbonated soft drinks with or without sugar.
    * Chocolate and peppermint.
    * Acidic foods, such as oranges and tomatoes.
    * Cruciferous vegetables: onions, cabbage, cauliflower, broccoli, spinach, brussels sprouts.
    * Milk and milk-based products contain calcium and fat, and should be avoided for 2 hours before bedtime.

    Positional therapy

    Sleeping on the left side has been shown to drastically reduce nighttime reflux episodes in patients.[8].

    Elevating the head of the bed is also effective. When combining drug therapy, food avoidance before bedtime, and elevation of the head of the bed, over 95% of patients will have complete relief[citation needed]. Additional conservative measures may be considered if there is incomplete relief. Another approach is to apply all conservative measures for maximum response. A meta-analysis suggested that elevating the head of bed is an effective therapy, although this conclusion was only supported by nonrandomized studies [6].

    The head of the bed can be elevated by plastic or wooden bed risers that support bed posts or legs, a bed wedge pillow, or a wedge or an inflatable mattress lifter that fits in between mattress and box spring. The height of the elevation is critical and must be at least 6 to 8 inches (15 to 20 cm) to be at least minimally effective to prevent the backflow of gastric fluids. It should be noted that some innerspring mattresses do not work well when inclined and tend to cause back pain, thus foam mattresses are to be preferred. Some practitioners use higher degrees of incline than provided by the commonly suggested 6 to 8 inches (15 to 20 cm) and claim greater success.

    Drug treatment

    A number of drugs are registered for GERD treatment, and they are among the most-often-prescribed forms of medication in most Western countries. They can be used in combination with other drugs, although some antacids can interfere with the function of other drugs:

    * Proton pump inhibitors are the most effective in reducing gastric acid secretion. These drugs stop acid secretion at the source of acid production, i.e., the proton pump.
    * Antacids before meals or symptomatically after symptoms begin can reduce gastric acidity (increase pH).
    * Alginic acid (Gaviscon) may coat the mucosa as well as increase pH and decrease reflux. A meta-analysis of randomized controlled trials suggests alginic acid may be the most effective of non-prescription treatments with a number needed to treat of 4 [9].
    * 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 GERD patients. Compared to placebo (which also is associated with symptom improvement), they have a number needed to treat of eight (8) [9].
    * Prokinetics strengthen the LES and speed up gastric emptying. Cisapride, a member of this class, was withdrawn from the market for causing Long QT syndrome.
    * Sucralfate (Carafate®) is also useful as an adjunct in helping to heal and prevent esophageal damage caused by GERD, however it must be taken several times daily and at least two (2) hours apart from meals and medications.

    Posture and GERD

    In adults, a slouched posture is an important factor contributing to GERD. With a slouched posture there is no straight path between the stomach and esophagus; muscles around the esophagus go into a spasm. Gas and acidity get blocked in the spasm, causing coughing and other asthma-like symptoms. A meta-analysis suggested that elevating the head of the bed is an effective therapy, although this conclusion was only supported by nonrandomized studies.[6]

    Surgical treatment

    The standard surgical treatment, sometimes preferred over longtime use of medication, is the Nissen fundoplication. The upper part of the stomach is wrapped around the LES to strengthen the sphincter and prevent acid reflux and to repair a hiatal hernia. The procedure is often done laparoscopically.[10]

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

    Other treatments

    In 2000 the U.S. Food and Drug Administration (FDA) approved two endoscopic devices to treat chronic heartburn. One system, Endocinch, puts stitches in the LES to create little pleats that help strengthen the muscle. Another, the Stretta Procedure, uses electrodes to apply radio frequency energy to the LES. The long-term outcomes of both procedures compared to a Nissen fundoplication are still being determined.

    Subsequently the NDO Surgical Plicator was cleared by the FDA for endoscopic GERD treatment. The Plicator creates a plication, or fold, of tissue near the gastroesophageal junction, and fixates the plication with a suture-based implant. The Plicator is currently marketed by NDO Surgical, Inc. [1].

    Another treatment that involved injection of a solution during endoscopy into the lower esophageal wall was available for about one year ending in late 2005. It was marketed under the name Enteryx. It was removed from the market due to several reports of complications from misplaced injections.
    References :

  6. Kir S said on October 23rd, 2009 at 12:36 pm:

    Try mylanta for the instant relief. I find it works better because it’s a liquid and it coats everything rather than just minimizing the acid. For long term relief, you can take the meds others have mentioned like zantac, pepcid, and prilosec.
    References :

  7. Bubbles_2008 said on October 23rd, 2009 at 12:44 pm:

    Zantac 150 helps. It works really fast. Make sure you don’t lay down right after you eat and Sort of prop yourself up when you lay down. I think you will be amazed at how fast it works.
    References :

  8. some-yank said on October 23rd, 2009 at 1:01 pm:

    Ranitidine and Cimitidene are the active ingredients in OTC antacids. Just read the ingredients and look for either of these. You need not pay extra for brand name products.
    References :

  9. BabyGirlK said on October 23rd, 2009 at 1:11 pm:

    pepcid ac, or prilosec….i preferred prilosec while i was pregnant, it helped with my acid reflux, and heartburn
    References :

  10. chipmunkcall said on October 23rd, 2009 at 1:18 pm:

    I am not a doctor, so either way you will want to talk to them, but this is what I have to say as a long time sufferer of Acid Reflux (G.E.R.D.)!

    Three part answer: information, what not to do, and what to do!

    INFORMATION!!!!!!
    I have a very severe case of Acid Reflux (G.E.R.D.). I have had to go to the hospital for some of the heartburn that I have had because the pain can become overwhelming or your breathing can be effected. It can be caused by Smoking, Drinking Beverages with caffeine (My case with hereditary), Drinking Beverages with Alcohol, Stress, Anxiety or can be Hereditary

    The good thing about G.E.R.D. is that it can be a temporary thing and can be cured. It is never a permit thing even if you end up with it for the rest of your life it has the ability to be cured.

    G.E.R.D. is caused by too much acid being created in your stomach. This can lead to or cause ulcers, esophagus damage, heartburn and/or damage in the mouth. . Other symptoms that can be found in a few cases are dizziness, tingling in limbs, numbness of Limbs, Chest/Back pain focused on the left side (in most cases), and shortness/difficulty breathing.

    WHAT NOT TO DO!!!!!!!!
    In most cases, stress is a factor to the reflux if you watch what you eat and reduce some of the stress it will help. If you watch what you eat for about a week you should find relief, if you do not then that is when you definitely what to listen to the doctor. Things to watch for are as follows:

    Fatty Foods
    Citrus Foods
    Foods That Contain Grease
    Fried Foods
    Chocolate (including any Coco)
    Caffeine
    Smoking
    Alcohol
    Tomato Based Products
    Lactose
    Roughage (Berries and Nuts)
    Onions

    WHAT TO DO!!!!
    The two foods that I recommend is Black strap Molasses and Raw honey. The apple is better for night time reflux while these will work for just about all of it. What you will do is take about a tsp. of whatever one you chose. Molasses being the better because of strength and nutrition, but must be use to the taste. What the substance will do is stick to the sides of the esophagus and do two things, one is heal and the other is protect.
    On the healing end, both substances have a healing property in them, and as they sit on the walls of the esophagus they will heal it. This is also helpful if you have a sore throat in the morning from refluxing.
    On the protection end, both substances are high in sugar and when acid that is refluxed comes up to that the sugar will neutralize it and it will not longer be a problem at that point.

    I would also look to putting Cinnamon and Ginger in you diet, they have been know to help with digestion and will help you reduce the amount of acid needed to brake down food, therefore causing you to reflux less.
    References :

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