conditions may be caused by insults to the digestive
One may present with a variety of symptoms all of
be addressed with changes in diet, position and medicine.
is a pain or burning sensation in the middle chest or high
which medically is associated with the regurgitation of
the esophagus from the stomach.
This pain may be constant or intermittent and one
may see a
direct relation between certain foods and the worsening of
pain. Heartburn is
often worse after lifting or rebumbency; it may follow
or alcohol ingestion. Sometimes
the pain may travel across the chest and into the jaw
One may describe a sour taste in the mouth,
especially upon awakening in the morning.
• In terms of
body position and gravity: Do not lie down
immediately after eating.
• Elevate the
head of the bed 6-8 inches. This can be done by
placing blocks under the head posts of
the bed or placing pillows beneath the mattress at the
head of the
bed. This helps to
keep an angle from your head to your stomach which may
the tendency of reflux of stomach contents upward into the
• Avoid large
• Small frequent
meals may be better for ease of
• Avoid snacking
in the nighttime.
Avoid fatty foods. Avoid
caffeine products such as coffee, tea, cola, chocolate.
Peppermint and citrus food like orange juice and
should be avoided. Increase
protein into your diet which will diminish the tendency
and therefore heartburn.
• Avoid alcohol
which causes irritation in the
gastrointestinal tract and increases reflux into the
• Stop smoking -
nicotine predisposes one to reflux.
• If obesity is a
problem, weight loss is recommended
for this condition to decrease the abdominal pressure on
cavity as a result of the added weight.
• We recommend
antacids, which are medicines one can
purchase in any pharmacy or supermarket.
The real difficulty is the frequency of taking
order to arrest the symptoms.
One needs to take the medicine 20 minutes to 30
after eating and every two hours.
Theoretically, one needs to take these for at least
6 to 8
weeks for containment of the process. Compliance
is a real issue here.
• In addition to
antacids, the physician can order a
prescription which may be used in substitution or along
antacid therapy for treatment.
One needs to make an appointment in order to
• There is a range
of severity of heartburn.
One may "get away with" a few doses of antacids
and resolve the situation. For
a more persistent problem, please come in to be evaluated.