Treatment plans should be tailored to the specific diagnosis and etiology of the heartburn. Management of heartburn can be sorted into various categories. Most examples provided here are assuming a diagnosis of GERD or functional heartburn. Pharmacologic Management * Antacids (i.e. calcium carbonate) are often taken to treat the immediate problem * H2 receptor antagonists or proton pump inhibitors are effective for the two most common causes of heartburn (eg - gastritis and GERD) * Antibiotics are used if H. pylori is present. Behavioral Management * Taking medications 30–45 minutes before eating suppresses the<unk> 's acid generating response to food * Avoiding spicy foods, foods high in fats, peppermint, and chocolate * Avoiding reclining 2.5-3.5 hours after a meal to prevent the reflux of<unk> 's contents Lifestyle Modifications * Early studies show that diets that are high in fiber may show evidence in decreasing<unk> s of dyspepsia. *Weight loss can decrease abdominal pressure that both delays gastric emptying and increases gastric acid reflux into the esophagus Alternative and Complementary Therapies<unk> s of heartburn may not always be the result of an organic cause. Patients may respond better to therapies targeting anxiety and<unk> s of hyper-vigilance, through medications aimed towards a psychiatric etiology, osteopathic manipulation, and even acupuncture. *Psychotherapy may show a positive role in treatment of heartburn and the reduction of distress experienced during<unk> s. * Acupuncture - in cases of functional heartburn (eg - heartburn of unknown origin) acupuncture may be as effective if not more than PPIs alone. Surgical Management In the case of GERD causing heartburn<unk> s, surgery may be required if PPI is not effective. Surgery should not be undergone if functional heartburn is the leading diagnosis.
symptom of Stomach cancer
symptom of Small intestine cancer
symptom of Helicobacter pylori
symptoms of Helicobacter pylori
symptom of Gastroesophageal reflux disease
symptom of Gastritis
symptom of Peptic ulcer disease
symptoms of Small intestine cancer