One study found that it might actually reduce acid production in the stomach, but there isnt enough research.5 Use in moderation. But if your indigestion began suddenly, and you are experiencing severe symptoms or are older than age 55, your doctor may recommend: Our caring team of Mayo Clinic experts can help you with your indigestion-related health concerns By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Use in moderation. Antacids. The first step in finding the right treatment involves understanding the differences between heartburn and GERD. (2021). (2017).

Meta-analysis of proton pump inhibitors induced risk of community-acquired pneumonia.

But before starting these medications, talk to your provider or pharmacist. Lower fat milk might be easier to tolerate during bouts of heartburn. Feldman M, et al., eds. Herbal therapies, including plain peppermint, or a combination of peppermint and caraway oils and the Japanese herbal formula Rikkunshito. Let us text you a link to download our free Android or iPhone app! Heartburn is a burning sensation in your chest that usually occurs after eating. Could any of my medications be causing my symptoms? (2020). Antacids can also affect how other medications are absorbed. Here's a run-down of the three main categories of over-the-counter heartburn treatment, each with its own advantages and disadvantages. Over-the-counter antacids are generally the first choice. How to tell the difference between a heart attack and heartburn is discussed in more detail in a previous GoodRx Health article. They work by blocking histamine-2 receptors in your stomach. 1998-2022 Mayo Foundation for Medical Education and Research (MFMER). Most of the medications used to treat heartburn, both prescription and OTC, have gone through rigorous testing and studies to establish safe and effective use, but what about natural remedies? Yes. There are also a few lifestyle changes you can make such as quitting smoking, reducing your consumption of spicy foods, and knowing/avoiding heartburn triggers. You have new or worse symptoms of indigestion. 26th ed.

STW 5 (Iberogast), a liquid supplement containing extracts of nine herbs, may work by reducing the production of gastric acid. Your healthcare provider may recommend taking other medications 1 hour before or 4 hours after taking antacids. In: Goldman-Cecil Medicine. This enzyme is known as the proton pump. The proton pump is necessary for the stomach to make acid. It's also a good idea to know your test results and keep a list of the medicines you take. Antacids are fast-acting; they relieve reflux symptoms, especially heartburn, right away. (2014). Please turn on JavaScript and try again. See your doctor if your symptoms last longer than a few days or if medications don't improve your comfort. Heartburn is the most common symptom of GERD, but other symptoms include persistent sore throat, hoarseness, chronic coughing, frequent throat clearing, difficult or painful swallowing, asthma, unexplained chest pain, bad breath, erosion of enamel on teeth, a feeling of a lump in the throat, and an uncomfortable feeling of fullness after meals. PPIs take longer than antacids or H2 blockers to improve heartburn symptoms. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. There are prescription and nonprescription H2 blockers. It's easy to grab over-the-counter heartburn remedies at a drugstore, and these are often the first line of defense against GERD. The most obvious and painful symptom of GERD is heartburn. American Family Physician.

If you use H2 blockers for a long time, they may not work as well as they did at first. Be ready to answer questions your doctor may ask: Mayo Clinic does not endorse companies or products. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. If you're looking for effective heartburn relief, there are many different products available to try. But when the door opens, the acid backs up from stomach to food pipe," said Dr. Cappell. Acupuncture, which may work by blocking the pathways of nerves that carry sensations of pain to the brain. Nizatidine is an H2 blocker thats available by prescription only. Here's some information to help you get ready for your appointment and know what to expect from your doctor. However, they can also be used after you start having symptoms. Unlike antacids, PPIs take time to work, said Dr. Chutkan. If so, do you smoke, chew or both? Other tips that may help extinguish heartburn include not eating after 7 p.m. and propping your head up while you sleep. But there isnt any good evidence that vinegar will speed up gastric emptying, so you are better off using a medication made for that purpose. International Journal for Quality in Health Care. A single copy of these materials may be reprinted for noncommercial personal use only. Common side effects of antacids, H2 blockers, and PPIs are listed below. (2017). For mild or occasional indigestion, antacids such as Tums or Gaviscon may help. Just how effective are PPIs? GERD is a chronic condition defined by an improperly functioning sphincter between the esophagus and stomach (lower esophageal sphincter), which causes stomach contents to regularly push up into the esophagus. Start Here. Your doctor may recommend: If your indigestion persists, medications may help. You just finished eating a delicious, cheesy slice of deep-dish pizza. Other heartburn symptoms include a burning feeling in the throat, difficulty swallowing, and a salty or acidic taste in your mouth and throat. It can happen when acid travels backwards from your stomach to your esophagus. Acid reflux happens when your stomach contents flow backward into your esophagus (the tube that carries food from your mouth to your stomach.). If you have questions about a medical condition or this instruction, always ask your healthcare professional. It's best to eat several small meals instead of two or three large meals. You may need a proton pump inhibitor, which well cover next.

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Occasional heartburn might result after a large holiday meal, or a night out drinking alcohol and eating greasy food, or perhaps from not having eaten recently enough. Generally, peppermint can actually worsen heartburn, but the combination of herbs in this product is still often effective in those with heartburn. Heartburn feels like a painful, burning sensation in your chest. Do not smoke or chew tobacco. Yibirin, M., et al. 2020; doi:10.1155/2020/3872919. Side effects may include headache, dizziness, diarrhea, constipation, nausea, and vomiting. Certain doses of famotidine and cimetidine are also available by prescription. Acid reflux and proton pump inhibitors. All rights reserved. All of these PPIs are available by prescription as well. Health's content is for informational and educational purposes only. Goldman L, et al., eds. Make sure to talk to your healthcare provider or pharmacist about the side effects of these OTC medications before starting them. If you used to have heartburn, but now food feels like it is stuck in your chest, for example, it might be time to seek medical attention. 2020; doi:10.3389/fpsyt.2020.00601. If you're overweight, try to lose some weight to help lessen your symptoms. Elevating the head of your mattress six to eight inches when you sleep can help prevent night time heartburn. Antacids with calcium can cause kidney stones, and antacids with aluminum can cause weaker bones (osteoporosis). Proton pump inhibitors (PPI). U.S. Food and Drug Administration. These treatments include: Always check with your doctor before taking any supplements to be sure you're taking a safe dose and that the supplement won't adversely interact with any other medications you're taking. If it does not tighten properly, stomach acid can flow back up, resulting in heartburn and acid reflux. Soothe heartburn.

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Elsevier; 2021. https://www.clinicalkey.com. By blocking it, PPIs lower acid production in the stomach.

This causes a painful, burning sensation that results from the stomach acid leaking up and into the esophagus through the lower esophageal sphincter, a valve between the stomach and esophagus. Additionally, H2 blockers help heal the esophageal lining to some extent. They usually start working 1 to 3 hours after you take them, and can provide relief for several hours. (2021). Histamine-2 receptor antagonists (H2RAs) work by blocking the effect of histamine, which stimulates certain cells in the stomach to produce acid, and include cimetidine (Tagamet), ranitidine (Zantac), famotidine (Pepcid), and nizatidine (Axid). Comparison of the effect of the antacid Rennie versus low-dose H2-receptor antagonists (ranitidine, famotidine) on intragastric acidity. CVS Health Maximum Strength Famotidine 20mg Tablets, 200CT, Mylanta Maximum Strength Liquid Antacid + Anti-Gas, Classic Flavor. Mayo Clinic. Youve likely seen long lists of natural heartburn cures, or maybe had friends or family members who swear by baking soda or apple cider vinegar to relieve their heartburn, but what does the evidence say about these methods?

There are also lifestyle changes you can try to reduce your reliance on medication, however, including not sleeping or lying down immediately after eating, losing weight, limiting your intake of alcohol and fatty foods, quitting smoking and reducing your consumption of fizzy drinks. Biochemistry, proteins enzymes. Relieve occasional heartburn and reflux symptoms with CVS Pharmacy's range of heartburn medicines. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Some medications may also trigger heartburn including simple pain medications like aspirin and ibuprofen. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Heartburn symptoms can also resemble signs of a heart attack. All Rights Reserved.

nausea Mild indigestion can often be helped with lifestyle changes, including: Alternative and complementary treatments have been used for many years to ease indigestion, although their effectiveness varies among different individuals.

Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. (2021). But they usually dont last long. If you experience these symptoms of GERD, please consult your physician, because the treatment for this disease is more complex than the treatment for occasional heartburn and will likely involve prescription medicines. "Caffeine, smoking, and alcohol all tend to make reflux more severe, and they may act by opening this door.". Its most common with cimetidine, but can happen with any H2 blocker. An antacid is not a good choice for a recurring problem.". FDA drug safety communication: Possible increased risk of fractures of the hip, wrist, and spine with the use of proton pump inhibitors. Try a calcium-based OTC treatment (such as Tums or Maalox), which have the benefits of the calcium in milk without the drawbacks. Over-the-counter (OTC) heartburn treatment. Therefore, consuming acids helps to restore the normal acidity level in your stomach and aids digestion. These include chest pain, feeling weak, and pain in one or both arms. Proton pump inhibitors (PPIs) may be recommended for people with frequent heartburn symptoms occurring 2 or more days per week. Generally, you shouldnt use these products for longer than two weeks and, if you feel like you need to, then it can be a sign that you might have GERD or that your prescription GERD medication isnt working well enough. Gas, bloating, and belching: Approach to evaluation and management.

Try to avoid taking more than the recommended dose and be weary of any potential side effects. Talk with your healthcare provider or pharmacist before taking these medications. (2019). Stronger than antacids and more long-lasting, these remedies reduce the amount of acid the stomach produces by blocking histamine, an organic compound that is released when your body encounters an allergen. Dont use for heartburn. (2012). Wilkinson JM (expert opinion). Proton pump inhibitors and risk of vitamin and mineral deficiency: Evidence and clinical implications. Netzer, P., et al. The best objective measure of the effectiveness of a heartburn remedy is its ability to reverse erosive esophagitis, a condition in which the lining of the esophagus is visibly irritated or injured.

medicine pepcid zantac tagamet petfinder It depends on your heartburn symptoms and how frequent they are. National Kidney Foundation. This lowers the amount of acid made there. Lewis, T., et al. But a glance down the pharmacy aisle shows a vast array of choices, including Tums, Rolaids, and Pepcid, to name just a few. Gastrointestinal & Indigestion Treatments, Nexium 24HR (Capsules) All-Day, All-Night Protection from Frequent Heartburn Medicine with Esomeprazole Magnesium 20mg Acid Reducer, Prilosec OTC Frequent Heartburn Relief Medicine and Acid Reducer, Omeprazole Delayed-Release Tablets 20mg, Proton Pump Inhibitor, CVS Health Omeprazole Delayed Release Tablets 20 mg 42 CT. Buy 1, Get 1 40% Off - Add 2 or more to qualify!

If your symptoms havent improved, you might need a stronger medication. World Journal of Gastrointestinal Pharmacology and Therapeutics. This content does not have an English version. Dyspepsia. Acid reflux. With such a variety of over-the-counter (OTC) treatments, miscellaneous herbal or other natural remedies, and prescription medications available, choosing the right treatment can be an adventure. Our saliva is slightly alkaline due to the presence of various enzymes. It will work quickly and there is little downside, but the negative is that an hour later it's gone from your system. Jordana Haber, MD, MACM, is an emergency physician at University Medical Center in Las Vegas, where she serves as director of Clinical Education and Simulation for the residency program.

More on this later. The burning sensation you might feel is because the contents of your stomach are acidic. They usually contain calcium, aluminum, magnesium or some combination of these. Are your symptoms better or worse on an empty stomach? Accessed April 20, 2021.

Avoid foods that make your symptoms worse. Iberogast: containing nine herbal extracts, Iberogast is a prokinetic medication proven to help ease heartburn, along with several other digestive ailments and disorders, including GERD, irritable bowel syndrome, functional dyspepsia, nausea, constipation, bloating, cramping, and diarrhea. Heartburn occurs when stomach acid backs up into the esophagus. Functional gastrointestinal disorders: Irritable bowel syndrome, dyspepsia, esophageal chest pain, and heartburn. ", So, how long is it safe to take an antacid? Never lie down directly after eating and try to chew your food as thoroughly as possible between bites. Histamine2-receptor antagonists: Rapid development of tachyphylaxis with repeat dosing. (1998). Wilkinson JM, et al. Mayo Clinic is a not-for-profit organization.

Gastrointestinal Society 2022. "These drugs have been around since the 1970s and appear to be relatively safe," said Dr. Cappell. The acid churned out by the stomach can erode the lining of the esophagus over time, which could cause Barrett's esophagus, a precancerous condition that can lead to esophageal cancer. Antacids.

Untreated and persistent GERD can also lead to more harmful diseases such as esophagitis, Barretts esophagus, and esophageal cancer. Please seek medical advice before starting, changing or terminating any medical treatment. Adverse effects associated with proton pump inhibitor use. (1995).

Nugent, C. C., et al. If you get indigestion often, it may be a sign of a more serious medical problem. Antihistamines, such as famotidine, decrease the amount of acid your stomach produces. Physicians generally do not recommend this method. They offer quick relief for occasional heartburn, and are available at any drug store or grocery chain. Those evaluations may be sufficient if your indigestion is mild and you're not experiencing certain symptoms, such as weight loss and repeated vomiting. Your doctor also may recommend over-the-counter acid reducers, such as Pepcid AC (famotidine) or omeprazole. Antacids work the quickest to provide immediate relief, but their effects dont last long. Merck Manual Professional Version. Have you vomited blood or black material? CSIR Registered Charity 108090374RR0001. However, when heartburn becomes frequent and chronic, it is likely a symptom of gastroesophageal reflux disease (GERD). They should be taken before eating or drinking anything that can cause heartburn. (2022). Gingerroot: ginger has many benefits when it comes to stomach aches and nausea, and it might also help reduce acid reflux. If you need a pain medicine, try acetaminophen (Tylenol), which does not cause stomach upset. This site complies with the HONcode standard for trustworthy health information: verify here. Studies have shown that roughly 85% of people with erosive esophagitis are healed when they take a PPI, according to Dr. Schreiber. And while it is true that initially milk can ease your discomfort, the fat and protein it contains can lead to worse heartburn once digestion begins. Evidence-Based Complementary and Alternative Medicine. You may also feel pain in your chest whenever you bend over or lay down.

Eating five or six small meals a day instead of three large meals, Reducing or eliminating the use of alcohol and caffeine, Avoiding certain pain relievers, such as aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve), Finding alternatives for medications that trigger indigestion. Enter your email to sign up. They can also interact with other medications youre taking. But if your symptoms last a long time or dont improve with OTC medications, you may need a prescription medication. Acids: this is an odd remedy, and typically involves consuming either apple cider vinegar or lemon juice to quell heartburn. This could lead to unwanted side effects. Thankfully, there are many medications available to relieve heartburn, and several are available over-the-counter (OTC). Morrow ES. Although heartburn does not cause heart attacks, its important to know the signs of a heart attack. (Adding extra pillows does not work.). It makes sense that people reach for this common household item to treat heartburn. Read the label to make sure that you are not taking more than the recommended dose. 7 Medications That Can Help Heartburn and Other GERD Symptoms, Feeling Stressed? These medications work in tandem with lifestyle changes such as cutting out caffeine; consuming smaller, more frequent meals; quitting smoking; and avoiding alcohol, a known heartburn trigger. Some basic questions to ask your doctor include: In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment. If you experience mild heartburn frequently, and your doctor has ruled out serious causes, the occasional use of antacids and acid reducers can help soothe symptoms. "If you have very occasional reflux symptomsand who doesn't?it may be reasonable to take over-the-counter medication. Proton pump inhibitor-induced hypomagnesemia: A new challenge. In the drugstore, you can find Tagamet-HB, Pepcid-AC, and Zantac 360, which has been reformulated to include famotidine (a type of H2 blocker). "They are also preventive in that they block acid production in the first place," said Dr. Schreiber. But if you take medicine to relieve your indigestion without making diet and lifestyle changes, your symptoms are likely to return again and again. McRorie, J. W., et al. It is that familiar burning sensation behind the breastbone resulting from acidic stomach contents rising into the esophagus (acid reflux). As mentioned, heartburn symptoms happen when stomach contents flow back towards the esophagus. In addition, the very act of swallowing might help to push stomach contents back into the stomach. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. They may also improve healing by keeping excess acid out of your throat. National Institute of Diabetes and Digestive and Kidney Diseases. StatPearls. H2 blockers can have serious side effects in people with kidney or liver issues and people over 50 years old. Gastroenterology. Chewing gum stimulates the production of saliva, which can help reduce reflux when you swallow. Some people may not feel better until 24 hours or more after taking them, and that's a lot to ask of someone who feels like their chest is on fire. We've updated our Privacy Policy, which will go in to effect on September 1, 2022. difference between heartburn and heart attacks.

(n.d.). Some people mistake heartburn for a heart attack since it can also cause feelings of tightness in the chest. Enter W912 in the search box to learn more about "Indigestion (Dyspepsia or Heartburn): Care Instructions". Are there any dietary restrictions that I need to follow?

These antacids and acid reducers help soothe excess stomach acid and decrease indigestion to keep you comfortable after large meals and other heartburn triggers. Do you have heartburn from acid reflux that just won't quit?

Ginger may help calm indigestion and stomach irritation. No matter what, if your heartburn continues for longer than two weeks even with the help of heartburn relief products, talk to your doctor as soon as possible. Prescription H2 blockers can treat GERD and certain types of ulcers in the stomach and intestines. You can unsubscribe at any time. American Journal of Therapeutics. This theory might stem from the fact that some individuals experience heartburn or GERD as a result of delayed gastric emptying. Taking antacids too often for a long time can cause problems. International Foundation for Gastrointestinal Disorders. Frontiers in Psychiatry. Buy 1, Get 1 50% Off - Add 2 or more to qualify! Stollman, N. H. (n.d.). (2020). Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our. Make a donation. Rolaids (calcium carbonate/magnesium hydroxide), Mylanta (aluminum hydroxide/magnesium hydroxide/simethicone). Some antacids are also a supplemental source of calcium. Always take heartburn medication as indicated on the packaging. World Journal of Nephrology.

Current trends in the management of gastroesophageal reflux disease. StatPearls. Find out about COVID-19, COVID-19 vaccines, and Mayo Clinic patient and visitor updates. (2017). Confusion, slurred speech, and hallucinations can occur. Mayo Clinic. "PPIs as a group are very effective and safe, but they don't work very quickly," said Dr. Schreiber. Heartburn is a common problem that affects many Canadians at one time or another. Heartburn is a common condition that can cause pain and indigestion. Treatment for GER & GERD. OTC heartburn medications can be effective, but they shouldnt be used indefinitely. Esophagus disorders. Do not take anti-inflammatory medicines, such as aspirin, ibuprofen (Advil, Motrin), or naproxen (Aleve). GI Society Registered Charity 817065352RR0001 Milk is alkaline, and it can feel soothing to drink. heartburn medications foaming counter When used OTC, PPIs should only be used for 14 days at a time up to 3 times each year. If you use these medicines often, talk with your doctor.

(2013). GoodRx provides no warranty for any information. These may include chocolate, mint, alcohol, pepper, spicy foods, high-fat foods, or drinks with caffeine in them, such as tea, coffee, colas, or energy drinks. OTC medications can help prevent or treat symptoms of heartburn. Accessed May 3, 2021. There are three groups of OTC heartburn medications. This content does not have an Arabic version. Its unclear just how much PPIs contribute to the risk of these side effects, but theyre still worth discussing with your healthcare provider. Heartburn can be extremely uncomfortable and even painful. H2 blockers and PPIs take longer to work but their effects last longer. Most of those who have experienced heartburn are familiar with OTC medicines. The best-known class of drugs for curbing heartburn are the antacidsincluding Tums, Rolaids, and Mylanta. Another option is to try a ginger root supplement. It typically feels like a burning sensation in your chest near the center and behind the breastbone. It can also cause your medications to work less effectively. Salisbury, B. H., et al. For casual heartburn sufferers, antacids are recommended. PPIs are available as tablets, capsules, or liquids.

Most cases of an upset stomach with bloating, burning, burping, and nausea are minor and go away within several hours. Effects of aluminum/magnesium hydroxide and calcium carbonate on esophageal and gastric pH in subjects with heartburn. Centers for Disease Control and Prevention. Pantoprazole (Protonix) and dexlansoprazole (Dexilant) are other PPIs available by prescription only. Dont use for heartburn. OTC heartburn medications may interact with other medications and cause unwanted side effects. Heartburn is very common. Dyspepsia. Certain products can treat frequent heartburn that occurs two or more times per week, and they typically contain a higher dose of medication. Talk to your healthcare provider if you need an antacid for more than 2 weeks. However, please consult your physician if you have any questions or concerns. It might be difficult to figure out what to do when heartburn strikes.

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