Five different PPIs are approved for the treatment of GERD, including omeprazole (Prilosec, Dexilant), lansoprazole (Prevacid), rabeprazole (Aciphex), pantoprazole (Protonix), and esomeprazole (Nexium), and dexlansoprazole (Dexilant). A sixth PPI product consists of a combination of omeprazole and sodium bicarbonate (Zegerid). PPIs (except for Zegarid) are best taken an hour before meals. The reason for this timing is that the PPIs work best when the stomach is most actively producing acid, which occurs after meals. If the PPI is taken before the meal, it is at peak levels in the body after the meal when the acid is being made.
Excess weight increases the pressure on the stomach, increasing the chance of acid reflux into the esophagus. Every person reacts somewhat differently to specific food groups.
The feeling worsens if you bend down or lie down, as stomach acids and other stomach contents back up into the esophagus. It may or may not cause lasting injury to the esophagus, depending on the frequency and severity.
It is possible therefore, that the acid is stimulating the pain nerves within the esophageal wall just beneath the lining. Although this may be the case, a second explanation is supported by the work of one group of scientists. These scientists find that heartburn provoked by acid in the esophagus is associated with contraction of the muscle in the lower esophagus. Perhaps it is the contraction of the muscle that somehow leads to the pain. It also is possible, however, that the contraction is an epiphenomenon, that is, refluxed acid stimulates pain nerves and causes the muscle to contract, but it is not the contraction that causes the pain.
Warm milk with honey may soothe your stomach and reduce heartburn symptoms. The size of the fetus also plays a role. Heartburn can worsen as pregnancy progresses and the fetus starts to fill out the entire uterus.
My cardiologist said my heart was fine as did the pulmonary doctor say that my lungs were fine. Then primary care physician told me it was a combination of things partly due to my age. I did not buy that and after a year and a half of being almost an invalid I requested a second opinion on the HH. This doctor did think it was causing the breathing problems. When the hernia was repaired the doctor told me my entire stomach was in my chest area.
Your doctor will review your medical history, examine your mouth and ask you to describe your symptoms, your oral habits and your oral care routine. In addition, he or she will likely perform a general medical examination, looking for signs of any associated conditions. If you have persistent pain or soreness in your tongue, lips, gums or other areas of your mouth, see your doctor. Your doctor can search for the possible cause or causes to guide treatment.
I had a constant heartburn and nausea for about 1 month. When I went to a gastroenterologist he said that it was GERD and gave me medicines. But since the medicine did not help I went to another doctor and he said I had large hiatal hernia. I constantly have heartburn and regurgitate foods that I eat and it is very problematic. I’ve had to drop out of my college due to this.
These symptoms are more common when you don’t have heartburn. GERD may also cause stomach acid to stimulate nerves in your esophagus or cause damage to its lining that can result in discomfort. IMPORTANT! Never ignore pain in your chest.
If you have heartburn more than twice a week or if it interferes with your life, talk to your doctor. You may have gastroesophageal reflux disease (GERD). Heartburn is a symptom of GERD.
Symptoms of Acid Reflux and Heartburn
A growing body of research shows that your weight can have a significant impact on acid reflux and related symptoms. Barrett’s esophagus occurs when the lining of the esophagus is damaged, usually by acid reflux. Symptoms of swallowing an object include coughing, choking, vomiting, throat pain, breathing trouble, and more.