Instead of as-needed treatment, scheduled pharmacologic therapy is required in patients who have moderate to severe symptoms with or without documented erosive esophagitis.5, 16 In this treatment stage, suppression of gastric acid through the use of pharmacologic agents remains the primary approach for reducing reflux symptoms, healing esophagitis and maintaining remission. Antacids and Alginic Acid .
H2 blockers help relieve and prevent occasional heartburn by lowering the amount of acid your stomach makes. Though they don’t work as fast as antacids, their effects last longer.
Which Types of Doctors Treat Acid Reflux? When Should I See One?
The second type of drug developed specifically for acid-related diseases, such as GERD, was a proton pump inhibitor (PPI), specifically, omeprazole (Prilosec). A PPI blocks the secretion of acid into the stomach by the acid-secreting cells. The advantage of a PPI over an H2 antagonist is that the PPI shuts off acid production more completely and for a longer period of time. Not only is the PPI good for treating the symptom of heartburn, but it also is good for protecting the esophagus from acid so that esophageal inflammation can heal.
If dietary and lifestyle changes fail to control gastro-oesophageal reflux disease in pregnancy, an antacid or an alginate can be used. If this is ineffective, ranitidine can be tried. Omeprazole is reserved for women with severe or complicated reflux disease. Whether it’s a desire to go all-natural or to address heartburn symptoms that don’t respond to medication, some people turn to diet and lifestyle modifications and natural remedies to relieve symptoms. Prescription drugs for GERD are generally safe and easy to take.
Refluxed liquid that passes from the throat (pharynx) and into the larynx can enter the lungs (aspiration). The reflux of liquid into the lungs (called aspiration) often results in coughing and choking.
Arch Intern Med. Medical treatment of gastroesophageal reflux disease in the managed care environment.
Baking soda is a base not an acid, meaning that drinking some of it will neutralize acid in your stomach or esophagus. This is, in my opinion, the best natural remedy to help anyone with acid reflux. This is how I got rid of my pain – before I fixed my root causes. Many people will even take a shot of it before meals to pre-empt the acid reflux.
Another kind of acid reflux, which causes respiratory and laryngeal signs and symptoms, is called laryngopharyngeal reflux (LPR) or “extraesophageal reflux disease” (EERD). Unlike GERD, LPR rarely produces heartburn, and is sometimes called silent reflux.
The approach depends primarily on the frequency and severity of symptoms, the adequacy of the response to treatment, and the presence of complications. Transient LES relaxations appear to be the most common way in which acid reflux occurs.