How Do I Treat Persistent Heartburn?

More than simple indigestion, persistent heartburn can cause lasting discomfort and eventually lead to more serious medical problems. The term "heartburn" is often used interchangeably with acid reflux, a common condition experienced by many people. The best method for treating persistent heartburn usually depends on the severity of one's symptoms. Some standard treatment options include diet modification, over-the-counter remedies, prescription medications, and occasionally surgery.

Persistent heartburn typically occurs when stomach acid travels into the esophagus, causing discomfort and pain in the throat, chest, or abdomen. Though many people experience heartburn at least once a month, according to most medical professionals, persistent heartburn that occurs two or more times per week could be an indication of a more serious condition. The most common of these is gastroesophageal reflux disease (GERD), which is normally defined as severe or chronic acid reflux.

One of the first recommended treatments for persistent heartburn is making lifestyles changes, including dietary modifications. This usually means that one should steer clear of so-called "trigger foods," which can often be identified by keeping a log and noting the foods that seem to cause heartburn. Most health professionals also advise people not to eat large meals and to avoid lying down after eating or eating close to bedtime. Sleeping on one's side, or lying with the head of the bed propped up, might also prevent stomach acid from entering the esophagus.

When natural treatments are ineffective, antacids and acid blockers are two types of over-the-counter medications commonly used to treat the symptoms of persistent heartburn. In general, antacids neutralize stomach acid while acid blockers aim to decrease acid production. Medical professionals usually advise against taking such remedies for long periods without consulting a doctor since the individual may require testing and further treatment.

Stronger prescription medications are typically recommended when other treatment methods have proven unsuccessful. Like over-the-counter options, most prescription medications have certain objectives, such as neutralizing stomach acid, for example. Physicians will often try a variety or combination of treatments, depending on the symptoms and the severity of the acid reflux.

Surgery is an option for persistent heartburn as well. Prior to recommending surgery, physicians often perform several diagnostic tests to determine whether the heartburn is an indication of a more serious medical condition, such as a hiatal hernia or cancer. Surgical procedures can vary and might include open abdominal surgery or a less invasive procedure performed with a laparoscope.