Acid Reflux Medication: Keeping Heartburn at Bay

In a normal digestive process, the partially digested food is being forwarded by muscular movements from the stomach to the intestines. However, for some people, the stomach contents travel back to the esophagus from the stomach. This condition is known as acid reflux.

Common symptoms of this disease include heartburn, difficulty in swallowing, regurgitation, chest pains, dental erosion, hoarseness, asthma, dyspepsia, vomiting, and many others.

If not properly treated, acid reflux can last for several months. But drug treatment can play an essential part in the treatment process of a patient.

The most common medications used include the following:

Antacids. These drugs are used to neutralize the acids in the digestive tract and are primarily taken in for relief of mild symptoms, such as occasional episodes of indigestion and heartburn. They also act to incite the defensive mechanisms of our stomach by building up the secretion of mucous and bicarbonate. Most antacids can be bought over the counter even without a medical prescription. Moreover, these drugs are one of the first to be recommended by professionals to lessen the pain brought about by heartburn or mild symptoms. The three basic ingredients of antacids are magnesium, calcium, and aluminum.

Acid suppressants such as histamine blockers are also commonly used. Histamine blockers obstruct the production of stomach acids by alienating the actions of histamine. Histamine is a chemical in the body that promotes the production and secretion of acids in the stomach. Anti-histamines are available even without prescription and offers relief of symptoms in most of the patients with frequent acid reflux. Patients have to wait for 30 to 90 minutes for these drugs to take effect. But their effect also lasts six to 24 hours. In cases of severe symptoms, a patient may have to take two dosages a day. In some researches, histamine blockers have shown to improve asthmatic symptoms in those who endure from both acid reflux and asthma.

However, in a study dated 2001, it was suggested that histamine blockers occasionally impart complete relief of symptoms for dyspepsia and heartburn.

Proton pump inhibitors are also employed as a medication. They act to trim down the production of stomach acids by reacting with the cells found in the stomach wall which produce and release acids into the stomach. However, researches have revealed that the use of proton pump inhibitors poses some concerns. Side effects, although uncommon, include diarrhea, headache, itching, and nausea. Moreover, these drugs should also be stayed away from by pregnant and breast-feeding mothers.

Another medication that is generally handled is the use of agents which protect the mucus lining in the gastrointestinal region. This kind of drug acts by attaching to an ulcer crater so that it will be guarded from damage caused by digestive acids. It is advisable for people undergoing maintenance therapy with mild or moderate acid reflux conditions. Likewise, it has minor side effects, including constipation.

Anti-spasm drugs are also utilized to prevent acid and even non-acid reflux. A gamma-amino acid butyric acid agonist, an anti-spasm drug is generally used to abate the spasms in the muscles. Unlike most medicines used for acid reflux, it can also lessen non-acid refluxes and amplify the pressure in the lower esophageal sphincter, a muscle that separates the esophagus from the stomach and prevents backing up of stomach contents.

The American Academy of Medical Acupuncture

It is surprising to many people that a large and growing number of traditional physicians support the use of and practice of acupuncture techniques. The American Academy of Medical Acupuncture was organized by physicians who want to further the use of acupuncture in regular medical treatment. The Academy was founded nearly twenty years ago by a group of physicians trained in acupuncture, which graduated from courses sponsored by the UCLA School of Medicine.It used to be that acupuncture practitioners had vast knowledge of the traditional acupuncture techniques and philosophy, but little or no training in traditional western medicine. At the other end of the medical spectrum were physicians, who knew nothing about traditional Chinese medicine, and looked with some doubt on the claims of acupuncture treatment. However, a number of studies and experiments showed that acupuncture gave consistently good results in a number of areas, and so physicians started referring their patients for particular problems, such as persistent pain. After some time traditional physicians starting learning and using acupuncture techniques as part of their own methods of treatment. In addition to the techniques, they learned the long history behind the current acupuncture techniques.

The Academy (known as AAMA) is important to both physicians and patients, for members of the AAMA meet the highest standards for both traditional medicine and certified acupuncture practitioners. Most patients implicitly trust physicians, both for their extensive training and for their high standards of practice. They extend both of these to the practice of acupuncture within their offices.

One of the goals of the AAMA is to spread knowledge and appreciation of acupuncture to other physicians and health professionals that presently know little about its use. Most physicians in hospitals have heard of the possible use of acupuncture instead of anesthesia, but it is also becoming more accepted in other areas, such as minimizing pain and nausea for the patient once the operation is over and the patient is in the recovery room. Acupuncture also has some interesting uses possible in emergency room treatments.

The AAMA is also very dedicated to pursuing research and studies into new applications for acupuncture in both the hospital and physician office settings. It is especially interested in researchers to look into the fundamentals of why certain acupuncture techniques are as successful as they are. In other words, many doctors want a traditional medical explanation of the process that the acupuncture treatment starts. It seems that a simple insertion of a number of needles is a mystifying way to accomplish the results, and there is a good deal of research into how to exactly explain the mechanisms that occur. Doctors who do research into these areas may publish their results in a magazine called
Medical Acupuncture, the official journal of the American Academy of Medical Acupuncture. These magazine presents authoritative papers, case reports, and research findings that integrate concepts from traditional and modern forms of acupuncture with Western medical training. This publication covers the effectiveness and safety of acupuncture in pain relief, cancer, stroke, pulmonology, urology, OB/GYN, gastroenterology, and much more.

The existence of a large and growing numbers of qualified physicians that are also trained acupuncturists guarantees that the benefits of each discipline will continue to make current American health practice better for the patients.

Acid Reflux Disease Symptoms: Knowing your Body

Acid reflux disease is a condition in which the stomach acids abnormally reflux into the esophagus. This phenomenon is irregularly experienced by most people, most especially after eating.

Our body uses gastric and stomach acids to break down the food that we eat. Normally, after the digestion in the stomach, the food is delivered by the digestive muscles to the intestines for extra digestion. But in patients who have acid reflux disease, the acidic stomach contents are moved back to the esophagus, which then causes inflammation. Cigarettes, alcohol, caffeine, pregnancy, and fatty foods are some factors which worsens acid reflux conditions.

Our present knowledge about acid reflux based on medical researches tells us that this disease is common in men as it is in women. There is no sexual preference. Moreover, the prevalence of acid reflux is more frequent in people of 40 years of age or more.

Symptoms of acid reflux may be typical or atypical. But based on the diagnosis of acid reflux patients, only 70% of those who have this disease manifest typical symptoms.

Typical or esophageal symptoms concern indicators which are related with the esophagus. Such symptoms include the following:

Heartburn. This is a condition in which the patient feels a painful burning feeling in the esophagus. The pain often develops in the chest and may swell to the neck or throat. This is most probable to occur in relation with these activities: after a heavy meal, lifting, bending over, and lying down. Based on one study, about 75% of acid reflux patients experience this symptom at night. These nigh-time patients also tend to experience more harsh pain than those whose symptom occurs at other times.

Dyspepsia. Researches show that about half of acid reflux patients have dyspepsia. This is a syndrome which consists of pain and distress in the upper abdomen, nausea after a meal, and stomach fullness. It is not a rule however, that those who have dyspepsia have acid reflux.

Regurgitation. This is when the gastric contents back up into the pharynx and sometimes as far as the mouth. In cases where the acids have spilled into the tracheobronchial tree, respiratory complications can be stimulated.

There are many instances, though, that acid reflux patients do not manifest symptoms such as regurgitation and heartburn. Instead, they experience atypical or extraesophageal symptoms which include the following:

Throat Symptoms. Although it does not commonly happen, acid reflux patients suffer from symptoms that occur in the throat. Hoarseness, the feeling of having a lump in the throat, dry cough are undergone by those who have acid laryngitis, a throat symptom. Patients can also have difficulty in swallowing, a condition known as dysphagia. In critical cases, the food may get trapped in the throat or even choke, which can result to a severe chest pain. Other throat symptoms are chronic sore throat and persistent hiccups.

Vomiting and Nausea. When a patient suffers from nausea which persists for weeks, he may have acid reflux. There are few instances where vomiting can occur as often as once a day.

Respiratory Symptoms. Coughing and wheezing are counted as respiratory symptoms. These result from the overrunning of the stomach acids into the tracheobronchial tree creating bronchoconstriction.

Acid reflux disease can last for several months if not given proper medical attention. Drug treatment may only be required for a short time. But when the symptoms tend to repetitively occur, the drug treatment may have to be reapplied.

Long Term Anxiety Characterized as Generalized Anxiety

Generalized Anxiety Disorder (GAD) is characterized by long-term anxiety, excessive worry, and tension, even though there appears to be no reason to feel this way. This disorder affects about 6.8 million American adults (and twice as many women as men). The disorder usually develops gradually. It can start at any age but the highest-risk years are between childhood and middle age, a rather large time span. Evidence shows that genes play a modest role in GAD.
Those who suffer from GAD will go through the day feeling worried and aprehensive. They often anticipate disaster in even minor situations and are usually overly concerned about various issues such as health, money, family problems, or difficulties at work. It may even be hard getting started in the morning because of the thought of what lies ahead of them for the day.

If you find you have been over-worrying about many every-day problems for at least 6 months, you may be diagnosed with GAD. Although you may realize that your concerns are exaggerated, the problem still persists. Not being able to relaxe, startling easily, having difficulty concentrating are all symptoms of generalized anxiety disorder. Other problems include having trouble falling asleep or staying asleep. Physical symptoms that often accompany the anxiety include fatigue, headaches, muscle tension, muscle aches, difficulty swallowing, trembling, twitching, irritability, sweating, nausea, lightheadedness, having to go to the bathroom frequently, feeling out of breath, and hot flashes.

The level of severity of your GAD can vary greatly. If you are diagnozed with a mild case, you can function socially for the most part and hold down a job with little difficulty. If your GAD is severe, you can find it difficult even to complete what may seem like the simplest activities.

GAD is usually treated with medications and/or psychotherapy. You may benefit most from a combination of the two. It may take some trial and error to discover exactly what treatments work best for you.

Medications include antidepressants like fluoxetine (Prozac), paroxetine (Paxil), escitalopram (Lexapro), sertaline (Zoloft), venlafaxine (Effexor) and imipramine (Tofranil); Buspirone (BuSpar); and Benzodiazepines like clonazepam (Klonopin), lorazepam (Ativan), diazepam (Valium), chlordiazepoxide (Librium) and alprazolam (Xanax). Benzodiazepines are for the most part only used for relieving acute anxiety on a short-term basis (for example, when you are having an attack). However, they have a tendency to be addictive and some pretty serious side effects like drowsiness, reduced muscle coordination and impaired balance and memory.

Psychotherapy, often referred to as talk therapy and psychological counseling, deals with trying to work out the underlying life stresses and concerns that may cause your GAD. Once these have been identified, it is possible to and make behavior changes that can reduce your anxiety. One of the most recognized types of psychotherapy is cognitive behavioral therapy (CBT). Basically, short-term cognitive behavioral therapy aims to teach you specific skills that you can then use to identify negative thoughts and behaviors and substitute them with positive ones.

The above information about generalized anxiety disorder does not substitute medical advice given by a health professional.