Heartburn & Acid Reflux

Heartburn is a burning chest pain from acid reflux, where stomach acid flows back into the oesophagus.

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Dr. Georgi Varbanov

General Medicine Doctor | UIN: 0400005105

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Dr. Georgi Varbanov is a family medicine physician dedicated to evidence-based care and disease prevention.

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Treatment Information

What Is Heartburn & Acid Reflux?

Heartburn and acid reflux occur when stomach acid backs up into the oesophagus, causing a burning sensation in the chest. This happens when the lower oesophageal sphincter (LES) weakens or relaxes inappropriately, allowing acid to escape from the stomach.

Common Conditions Related to Acid Reflux:

  • Gastroesophageal Reflux Disease (GERD): Chronic acid reflux causing frequent heartburn, throat irritation, and regurgitation.
  • Laryngopharyngeal Reflux (Silent Reflux): Acid reaches the throat, leading to hoarseness, cough, and a lump sensation.
  • Peptic Ulcers: Stomach acid can damage the lining of the stomach and small intestine, leading to ulcers and discomfort.

If untreated, frequent acid reflux can lead to oesophagitis, Barrett’s oesophagus, and an increased risk of oesophageal cancer.

Who Needs Treatment for Heartburn & Acid Reflux?

Treatment is recommended for individuals experiencing:

  • Frequent heartburn (twice a week or more).
  • Regurgitation of acid or food.
  • Chronic sore throat, coughing, or voice hoarseness.
  • A feeling of food being stuck in the throat.
  • Pain or discomfort after eating, lying down, or bending over.

Best Ways to Treat Heartburn & Acid Reflux

Managing acid reflux involves medications, lifestyle changes, and dietary modifications:

Medications for Acid Reflux Relief:
  • Proton Pump Inhibitors (PPIs): Reduce stomach acid production (Omeprazole, Pantoprazole, Esomeprazole, Lansoprazole, Rabeprazole, Nexium, Losec Mups, Zoton FasTab).
  • H2 Receptor Blockers: Decrease acid levels to prevent reflux (Famotidine).
  • Prokinetics: Help move food through the digestive tract (Domperidone, Metoclopramide, Maxolon, Motilium).
  • Antacids & Acid Neutralizers: Provide quick symptom relief by neutralizing stomach acid.
Dietary & Lifestyle Adjustments:
  • Eating smaller meals and avoiding heavy meals before bedtime.
  • Avoiding trigger foods such as spicy, fatty, or acidic foods.
  • Elevating the head of the bed to prevent nighttime reflux.
  • Quitting smoking & reducing alcohol consumption, as these weaken the oesophageal sphincter.
Gut Health & Digestive Support:
  • Probiotics & digestive enzymes (Lefax DE) can help support digestion and reduce bloating.
  • Rifaximin (Xifaxan) is used for bacterial overgrowth linked to reflux symptoms.

Additional treatment information

A proper treatment plan can:

  • Reduce acid production and heartburn symptoms.
  • Prevent long-term damage to the esophagus.
  • Improve digestion and reduce bloating.
  • Enhance sleep quality by minimizing nighttime reflux.
  • Improve overall digestive health and comfort.

Frequently Asked Questions

Get answers to common questions about Heartburn & Acid Reflux

For immediate relief, antacids like Gaviscon or Maalox can neutralize stomach acid within minutes. For long-term control, PPIs such as omeprazole or pantoprazole reduce acid production and provide sustained relief.
Proton pump inhibitors (Omeprazole, Nexium, Pantoprazole, Lansoprazole) start working within 24 hours, but maximum acid reduction occurs after 3-5 days of continuous use.
Lifestyle changes and medications can control acid reflux, but some cases, especially GERD, require long-term management. Surgery is an option in severe cases where other treatments fail.
Avoid spicy foods, coffee, alcohol, chocolate, fried foods, tomatoes, citrus fruits, and carbonated beverages to reduce reflux symptoms.
Chronic acid reflux can lead to esophagitis, ulcers, Barrett's oesophagus, and an increased risk of oesophageal cancer. Seek medical attention if symptoms persist.

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