Heartburn No More PDF / Book Is Jeff Martin's eBook Free Download? | Page 51

52 acid. If you suffer from inflammation in the esophagus, H 2 blockers are useless, but they can be effective at temporarily alleviating the symptoms of GERD. The difference between over-the-counter H 2 blockers and those prescribed is the strength of the drug. Proton Pump Inhibitors (PPIs) Proton pump inhibitors are more potent than H 2 blockers, and their success rate at alleviating the symptoms of GERD is far greater. PPIs work by blocking the production of acid in your stomach while helping your esophagus to heal in case of inflammation as they protect it for any contact with acidic reflux. PPIs are usually used when H 2 blockers prove to be ineffective. They are best taken before meals. Prokinetics Prokinetics, also called pro-motility drugs, are aimed at helping your stomach expel content more rapidly, enhance the stomach muscle tone and strengthen the LES. Pro-motility drugs are most effective when taken before meals and at bedtime. However, prokinetics can cause some side effects and are not helpful at treating complications of GERD or at relieving the symptoms of acid reflux. If your heartburn does not improve with lifestyle changes, OTCs or drugs, you may need additional tests such as barium swallow radiograph, pH monitoring, endoscopy and biopsy, and you may be advised by your doctor to undergo the following procedures: Surgery Surgery should only be considered when no improvement has been made using OTCs or through the treatment of drugs. This is crucial in cases where the regurgitation is chronic, cannot be treated by drugs and results in lung infection. Some reflux sufferers may go for surgery when a large volume of Jeff Martin – Heartburn No More Page 52