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Heartburn (cont.)

Self-Care at Home

For mild or occasional symptoms, simple lifestyle modifications can be helpful.

  • Avoid large meals.

  • Avoid caffeine (coffee, teas, some soft drinks).

  • Avoid foods or drinks that reduce pressure on the lower esophageal sphincter such as chocolate, peppermint, caffeine-containing beverages, and fatty or fried foods.

  • Avoid foods that damage the esophagus such as spicy foods, citrus fruits and juices, tomatoes and tomato sauces.

  • After eating, beware of activities that force acid back into your esophagus. Such activities include lifting, straining, coughing, and wearing tight clothing.

  • Use gravity to your advantage. Avoid lying down within 3 hours of meals. If you suffer from nighttime heartburn, elevate the head of your bed when sleeping. Place 6-inch blocks underneath the head of the bed, or place a wedge under the mattress. Simply using more pillows under your head will not help. In fact, it may worsen the heartburn by increasing the pressure on your stomach.

  • Lose weight if you are overweight.

  • Stop smoking.

  • Limit alcohol intake.

  • Antacids such as Maalox, Mylanta, Tums, or Rolaids can also be helpful. Antacids work by neutralizing acid. They should be taken 1 hour after meals or when heartburn symptoms occur.

  • Low doses of drugs that block the production of stomach acid are available over-the-counter. Some examples include cimetidine (Tagamet), ranitidine (Zantac), and famotidine (Pepcid).


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