It is recommended to consult a gastroenterologist and surgeon before making such a decision. H2 blockers are generally cheaper than proton pump inhibitors and can provide adequate primary treatment or serve as a conditioner for GERD patients with mild symptoms. Proton pump inhibitors are needed to achieve effective long-term maintenance therapy in a significant percentage of patients with heartburn / GERD Acid suppression agents, so-called H2 receptor antagonists or H2 blockers, have been used to treat GERD since the mid-1970s. H2 blockers improve the symptoms of heartburn and belching. This reduces the amount of stomach acid available for reflux.
This is called Barrett’s esophagus, which can sometimes turn into cancer. Esophageal diseases can be perceived in many forms, with heartburn occurring most frequently. The severity of heartburn is measured by how long a particular episode lasts, how often symptoms appear and / or how intense they are. Because the esophageal mucosa is sensitive to stomach contents, persistent and persistent exposure to this content can cause changes such as inflammation, ulcers, bleeding and obstruction healing. A precursor called Barrett’s esophagus can also occur. Barrett’s esophagus severely damages the lining of the esophagus when the body tries to protect the esophagus from acid by replacing its normal lining with cells that resemble the gut lining.
If these steps are not effective or if you have severe pain or difficulty swallowing, contact your doctor to rule out other causes. You may also need medication to control the reflux, even if you make lifestyle changes. People with acid reflux were once instructed to remove all but the softest foods from their diet. “We have evolved since the days when you couldn’t eat anything,” said Dr. Wolf says.
Not only to relieve your symptoms, but also because GERD can lead to more serious problems. A proton pump inhibitor is a medicine that reduces the amount of acid your stomach produces by inhibiting both stimulated and nocturnal acid secretion and has a better effect than H2 blockers. This type of medication is also best suited to healing ulcers in the esophagus and stomach.
Lifestyle changes include lifting the head of the bed to use gravity as a lever and allowing early clearance of recycled acid from the esophagus. Avoid tight clothing to lower abdominal pressure, lower fats, chocolate, mint, coffee, and alcohol from the diet to reduce reflux. Tobacco can cause acid reflux and is one of the greatest risk factors for esophageal cancer. The main symptom of GERD is heartburn, which is often described as a burning sensation in the chest and regresses acid or bitter fluid in the throat or mouth.
The cells in the gastric mucosa release a chemical called “histamine” to tell other cells to start making stomach acid. H2 blockers prevent these acid-producing cells from reacting to histamine, which reduces the amount of acid in the stomach. กรดไหลย้อน However, they are somewhat less effective than proton pump inhibitors. If dietary and lifestyle changes have not alleviated your acid reflux, your doctor may recommend over-the-counter medications and remedies if your symptoms are mild.
Increased hormones and pressure in a growing fetus can combine to form this acid reflux symptom. In most cases, heartburn improves or disappears completely after delivery. Antacids contain aluminum and magnesium, which can cause constipation and diarrhea in some patients. Constipation occurs in less than 2 percent of people in the non-older population, but affects up to 26 percent of men and 34 percent of women over 65.