At least one big feast in a series of New Year's holidays is already over, which means clients with a burning sensation in the esophagus have already made their way to the nearest pharmacy. Overeating and heavy doses of alcohol almost inevitably lead to problems with the gastrointestinal tract, even for those who do not normally suffer from this. Pharmacy workers who celebrate the holiday are required to dispense “something for heartburn.” How to answer the strangest or trickiest questions from clients about antacids? We offer you the following answer options.
Recommend me something for heartburn that will last longer.
Modern antacid drugs that are not absorbed in the digestive tract, such as aluminum phosphoric acid or aluminum-magnesium drugs, are suitable for you. They bind hydrochloric acid quite quickly - usually within a few minutes after ingestion - and their effect lasts up to several hours. Maximum duration of action
characteristic of drugs containing aluminum hydroxide. They act for 2.5–3 hours [2].
What medications effectively help with heartburn?
Why can't you drink soda if you have heartburn?
You've probably heard that you can get rid of heartburn at home with baking soda.
This is what our grandparents did (the case when folk remedies are more likely to cripple). From chemistry lessons we know: an acid can be neutralized with an alkali to water. But we must remember that this chemical reaction releases carbon dioxide. Once in the stomach, it provokes the production of a new portion of acid. It's like putting out a fire and adding fuel to it at the same time. There is a short-term effect, but then it gets worse.
How to choose a drug for heartburn?
To begin with, we will list the reasons that can lead to heartburn, so that you take your health seriously and, if the symptom appears frequently, consult a specialist for diagnosis.
Possible causes of heartburn:
- chronic gastritis with increased acid secretion,
- hiatal hernia,
- ulcer,
- reflux disease,
- zero acidity (achlorhydria).
Heartburn can also be caused by the effects of gastric surgery, the use of certain medications, hypersensitive esophageal syndrome, and pregnancy.
Medicines used for heartburn:
- Antacids
. Contains magnesium, calcium or alginic acid salts that neutralize hydrochloric acid. These are natural substances for our body, so they do not irritate the mucous membranes. There are analogues containing aluminum salts, but they can lead to digestive disorders. - Preparations that form a gel barrier
, preventing acid reflux. - Drugs that suppress acid secretion
. Drugs of this type should be prescribed by a doctor; for some diagnoses their use is not recommended. - Prokinetics
. Increase muscle tone, accelerate the transit of food from the stomach to the intestines. Specialist consultation is required.
Antacid complexes are the most gentle way to get rid of unpleasant symptoms.
CONSUMED offers five antacid complexes for heartburn, which differ in release form (tablets, suspension, gel suspension), as well as auxiliary components.
Additional recommendations:
- For 1.5–2 hours after eating, do not bend over or take a horizontal position.
- Avoid tight clothing, belts and corsets that compress the gastrointestinal tract.
- Avoid heavy lifting.
- Stop smoking.
- Eat small portions, do not overeat.
- Avoid irritating foods: too hot, cold, spicy, sour, fatty.
- Reduce your consumption of coffee, strong tea, chocolate and alcohol.
Dietary supplement IT IS NOT A MEDICINE. BEFORE USE, IT IS RECOMMENDED TO CONSULT WITH A SPECIALIST.
Give me heartburn medicine. And it would be desirable to also help with bloating - are there any such remedies?
Yes, today there are combination drugs that simultaneously neutralize hydrochloric acid and stop the manifestations of flatulence due to the inclusion of simethicone in the antifoam composition. It reduces the surface tension of gas bubbles in the digestive tract, promoting their rupture. An example of such a drug is a combination of aluminum, magnesium hydroxide and simethicone in the form of a suspension. It simultaneously neutralizes hydrochloric acid, reduces gas formation in the intestines, and also envelops the mucous membrane of the digestive tract, protecting it from the damaging effects of aggressive substances [5].
Preventing heartburn
Like any other problem, heartburn is easier to prevent than to fight it. To forget about unpleasant sensations, you need to adhere to the following rules:
- Do not overeat or eat at night. Yes, during the holidays such advice seems impossible, but if heartburn haunts you, it’s still worth a try. It is best to switch to fractional meals - 5-6 times a day in small portions. The last meal should be 2-3 hours before bedtime.
- Reduce your consumption of certain foods. Health should always come first! Heartburn is caused by sweets, baked goods, some types of black bread, very fatty or spicy foods, concentrated broths, tomatoes, sour fruits, chocolate, ice cream, strong tea or coffee, and alcohol. Nutritionists advise keeping a food diary to determine your individual set of foods that cause heartburn.
- Stop smoking. Nicotine relaxes the muscles of the esophagus, so smokers are more likely to get heartburn.
- Don't wear tight clothes. A tight belt or belt that compresses the stomach can cause the release of hydrochloric acid into the esophagus.
- Do not exercise after eating. Some exercises put a lot of pressure on the abdominal cavity. Intensive leg lifting while lying on your back can also cause heartburn. To avoid this, you need to wait at least 3 hours after eating.
What is the difference between tablets and suspension from heartburn? Do they act differently?
The mechanism of action of a drug does not depend on the form (tablets, gel, suspension), but on its components. But the pharmacokinetic properties - the speed of onset of the effect, the duration of action - may differ between tablets and suspensions. It is believed that tablet forms maintain the acidity of gastric juice longer at a level of more than 4 ( acidity of gastric juice is considered normal in the range of 1.3–7.5 pH - editor's note.
) than suspensions. When chewable tablets for heartburn are taken correctly, acid-neutralizing components enter the digestive tract evenly, which has a positive effect on the result. At the same time, for heartburn, suspensions can begin to work faster than tablets [3]. In addition, they are optimally distributed over the surface of the mucous membrane, and in the lumen of the esophagus and stomach they form small drops with a large surface area, which enhances their medicinal properties [6].
And yet it cannot be said unequivocally that any form has an advantage. To draw such conclusions, you need to consider the properties of a particular drug.
Cooking and eating
Dishes are prepared boiled, baked, food is salted normally. The food should be warm. Diet: at least 4 times a day, preferably 5-6 times.
Allowed
Bread: day-old or dried wheat, rye and other types of bread, shortbread cookies
Soups: various soups from vegetables, cereals, pasta with vegetable broth or milk, fruit soups Meat and poultry dishes: products from lean beef, poultry, boiled or baked after boiling, in pieces or chopped. Milk sausages
Fish dishes: various low-fat varieties of fish (cod, pike perch, navaga, pike, carp, silver hake) boiled or steamed
Vegetables: various types of vegetables and herbs, sour sauerkraut, canned green peas, ripe tomatoes
Dishes made from flour, cereals, legumes and pasta: crumbly semi-viscous porridges, puddings, casseroles, dishes made from oatmeal and buckwheat porridge are especially recommended
Eggs: no more than one per day, added to dishes, egg white omelet
Fruits, berries, sweet dishes: various fruits and berries except very sour ones, canned fruits, compotes, jelly, lemon (with tea), sugar, jam, honey
Milk, dairy products: milk with tea, condensed, dry, low-fat cottage cheese, small amounts of sour cream, mild cheeses (Dutch, etc.). Cottage cheese and cottage cheese products are especially recommended Fats: butter, vegetable oil (up to 50 g per day)
Appetizers: soaked herring, pressed caviar, salads and vinaigrettes, jellied fish
Drinks: tea and weak coffee with milk, non-acidic fruit and berry juices, tomato juice, rose hip decoction
Must be excluded
All alcoholic drinks, fresh baked goods, pastry products (cakes, pancakes, pancakes, fried pies, etc.), soups with meat, fish, mushroom broths, fatty varieties of beef, lamb, pork, goose, duck, fatty varieties of fish (stellate sturgeon, sturgeon, beluga, catfish), mushrooms, spinach, sorrel, radish, radish, green onions, pickled vegetables, canned food, smoked meats, caviar, ice cream, products with cream, chocolate, legumes, mustard, pepper, horseradish, black coffee, cocoa, cold drinks, cooking fats, lard, cranberries, sour fruits and berries, hard-boiled and fried eggs.
Download and print:
Diet No. 5
Make an appointment Do not self-medicate. Contact our specialists who will correctly diagnose and prescribe treatment.
general information
In 80% of cases, the cause of the development of the inflammatory process with high acidity of the stomach is the microorganism Helicobacter pylori, which disrupts the natural protective properties of the stomach and leads to damage to the epithelium of the organ. Gastritis with high acidity can develop in people regardless of age, including children.
Other factors predisposing to the development of this condition include:
- Regular exposure to stress on the body.
- Poor nutrition, predominance of fried and fatty foods in the diet, as well as deep-fried dishes.
- Abuse of so-called snacks.
- Long-term or uncontrolled use of drugs from the group of non-steroidal anti-inflammatory drugs. Frequently eating food that is too hot or too cold. In addition, people with thyroid diseases, diabetes mellitus and gout have a high predisposition to the development of hyperacid gastritis.
Why is high acidity dangerous?
Gastric juice contains hydrochloric acid, which is necessary to break down food components. To prevent the acidic environment from damaging the walls of the stomach, protective mucus is produced. With increased acidity of the stomach, destruction of the mucous protective layer is observed, followed by the formation of an inflammatory process, the formation of erosions and ulcers.
Clinical symptoms
Inflammatory damage to the organ with increased secretion of gastric juice often worsens during the off-season, in the autumn or spring months. Symptoms of high stomach acidity include:
- Drawing or cramping pain in the epigastric region, which often intensifies after eating. In the acute course of the inflammatory process, the pain may be accompanied by vomiting, which brings temporary relief.
- Heartburn, which is caused by acidic stomach contents refluxing into the esophagus.
- Belching sour.
- Bad breath.
- Stool disorders such as constipation or diarrhea.
Other symptoms of increased stomach acidity during gastritis include weakness, dizziness, increased sweating, excessive gas formation in the intestines (flatulence), increased salivation, increased or decreased appetite, and the appearance of a white or gray coating on the surface of the tongue. Reduced stomach acidity is accompanied by symptoms such as decreased appetite, a feeling of heaviness in the epigastrium, and rotten belching.
