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HEARTBURN • In postmenopausal woman proton pump inhibitors may increase the risk of bone fractures. • Patients that have been treated for a Clostridium difficile infection in the past. Proton pump inhibitors may increase the risk that the infection may return. • In the elderly or patients that have immune system problems. Proton pump inhibitors may increase the risk of pneumonia Not a trivial condition When symptoms of heartburn are not controlled with modifications in lifestyle, and over-the-counter medicines are needed two or more times a week, or symptoms remain unresolved on the medication, a doctor should be consulted. When GORD is not treated, serious complications can occur, such as severe chest pain that can mimic a heart attack, oesophageal stricture (a narrowing or obstruction of the oesophagus), bleeding, or a premalignant change in the lining of the oesophagus called Barrett's oesophagus. Patients with chronic, untreated heartburn of many years duration are at substantially greater risk of developing oesophageal cancer. Symptoms suggesting that serious damage may have already occurred include: • Dysphagia: difficulty swallowing or a feeling that food is trapped behind the breast bone. • Bleeding: vomiting blood, or having tarry, black bowel movements. • Choking: sensation of acid refluxed into the windpipe causing shortness of breath, coughing, or hoarseness of the voice. • Weight Loss Acid reflux has a significant role in asthma, chronic cough and ear, nose and throat problems — all referred to as extra-oesophageal manifestations (EOM) although this connection may often go unrecognised. GORD should be considered in these conditions, or it could go undetected. With effective treatment, using the range of medications and preventative treatments available today, patients become symptom free, avoid potential complications and restore their quality of life. Marjolein Bench BPharm IMM Marjolein Bench nee Bettman is a qualified pharmacist with a degree from Rhodes University. She also has an IMM diploma. She has worked in the retail and hospital pharmacy environment for six years. She then moved into the pharmaceutical industry and has 20 years of experience in training medical reps, pharmaceutical sales to GPs, specialists and pharmacies and brand and marketing management. She is now director of Workbench Consulting offering marketing solutions to the pharmaceutical industry. Relieves... Relieves... Hyperacidity Indigestion Flatulence Heartburn Upset Stomach Acidity Indigestion Gas & Flatulence Belching Bloating Ease the stress on stomach Dosage: 1 to 2 teaspoonful after meals Dosage: 1 Tablet twice a day ` For orders contact, Durban Branch: Nolan Pillay ( 071 860 9660 or : nolan@pharmed.co.za or Bradley Chetty ( 073 250 0147 or : brad.chetty@gmail.com Ashiyanah Singh ( 081 467 1179 or : ashiyanah.singh@gmail.com Nellie Vasiliadis ( 072 260 7793 or : nellie.himalaya@gmail.com Telesales ( 031 571 2844 or : dbntelesales@pharmed.co.za Johannesburg Branch: Vin Pillay ( 082 517 3231 or : vin.pillay1@gmail.com Asmitha Singh ( 083 500 6646 or : homeopathy.rsingh2@gmail.com Telesales ( 011 309 2700 or : jhbtelesales@pharmed.co.za Western Cape: Chris Haller ( 084 685 5592 or : chrishaller@telkomsa.net Eastern Cape: Cathy Martin ( 083 656 5534 or : cathymartin75@gmail.com