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.