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DESCRIPTION
Heartburn, also known as pyrosis, non-cardiac chest pain, and GERD (gastroesophageal reflux disease) is a burning sensation to the stomach and/or chest. It often occurs when hydrochloric acid, which is used by the stomach to digest food, backs up into the esophagus, causing sensitive tissues to become irritated. Normally the esophageal sphincter muscle pinches itself shut and prevents stomach acid from surging upward. However, if the sphincter is not functioning properly, the acid can slip past it and into the esophagus. This phenomenon is referred to as gastroesophageal reflux (GERD).
People with hiatal hernia often experience heartburn. It can also be caused by excessive consumption of spicy foods, fatty or fried foods, alcohol, coffee, citrus fruits, chocolate, or tomato-based foods. Ulcers, gallbladder problems, stress, allergies, and enzyme deficiencies are other possible contributing factors.
The early symptoms of angina and heart attack sometimes mimic those of "acid stomach." If symptoms persist, if the pain begins to travel down into the left arm, or if the sensation is accompanied by a feeling of weakness, dizziness, or shortness of breath, emergency medical help should be sought at once. See Heart Attack for more detailed information.
SIGNS & SYMPTOMS
Heartburn is a painful burning sensation in the throat (esophagus) just below the breastbone. The pain often rises in the chest and may radiate to the neck or throat.
Listed below are the symptoms for some of the most common gastrointestinal disorders. If you are experiencing any of these symptoms, seek the advice of a medical professional. This information is intended as a general reference and is not a substitute for professional medical advice or a medical exam. You should always seek the advice of your health care provider or other qualified health professional before starting any new treatment.
- Abdominal pain.
- Indigestion.
- Nausea and vomiting.
- Digestive tract gas.
- Digestive tract bleeding.
- Chest pain and burning.
- Diarrhea.
- Constipation.
Specific gastroesophageal disorder symptoms:
Gastroesophageal Reflux Disease (GERD) / Heartburn may be accompanied by these symptoms:
- A burning pain in the chest (under the breast bone).
- Pain increased by bending, stooping, lying down, or eating.
- Pain relieved by milk or antacids.
- Pain is more frequent or worse at night.
- Bloating.
- Gas.
- Belching.
- Regurgitation of food.
- Nausea and vomiting.
- Vomiting blood.
- Hoarseness or change in voice.
- Shortness of breath.
- Sore throat.
- Acidic or sour taste in the throat.
- Difficulty swallowing.
- Cough or wheezing.
CAUSES
Normally, the esophagus (the tube between the throat and stomach) sphincter muscle pinches itself shut and prevents stomach acid from surging upward. However, if the sphincter is not functioning properly, the acid can slip past it and into the esophagus. This is gastroesophageal reflux. Conditions that affect the esophagus and cause a reflux of stomach acids into the esophagus are now referred to as gastroesophageal reflux disease, also known as GERD rather than dyspepsia, chronic heartburn, or acid indigestion.
Heartburn is the backup of acid from the stomach into the esophagus causes irritation. Some common causes of heartburn are:
- Gastroesophageal reflux disease (GERD): GERD (also called peptic esophagus, reflux esophagus, and chronic heartburn) is when food or liquid travels from the stomach back up into the esophagus (the tube from the mouth to the stomach). This partially digested material is usually acidic and can irritate the esophagus, often causing heartburn and other symptoms. Gastroesophageal reflux is a common condition that often occurs without symptoms after meals. In some people, the reflux is related to a problem with the lower esophageal sphincter, a band of muscle fibers that usually closes off the esophagus from the stomach. If this sphincter doesn't close properly, food and liquid can move backward into the esophagus and may cause the symptoms. Some conditions are associated with incompetent esophageal sphincters, including pregnancy, hiatal hernia, obesity, recurrent or persistent vomiting and nasogastric tubes. Risk factors for reflux include previous esophageal surgery or esophageal stricture.
- Hiatal hernia occurs when the normal opening in the diaphragm (the breathing muscle that separates the thoracic cavity from the abdominal cavity) is too large. If the defect is not repaired, the stomach or other abdominal contents may bulge (herniate) into the chest, causing heartburn (gastroesophageal reflux) and serious damage to the esophagus. Hiatal hernia can be corrected through surgical repair (called fundoplication or anti-reflux surgery).
- Estrogens can weaken the esophageal hiatus muscle, which keeps stomach acids in the stomach. Women who are pregnant and women who take birth control pills that contain estrogen and progesterone are therefore more likely to suffer from heartburn.
- People with certain illnesses, such as cancer, often have excessive amounts of acid in their systems. The consumption of too much processed food and cooked food can also create an acidic environment in the body.
- Aspirin and ibuprofen can cause heartburn.
- The early symptoms of angina and heart attack sometimes mimic those of "acid stomach." If symptoms persist, if the pain begins to travel down into the left arm, or if the sensation is accompanied by a feeling of weakness, dizziness, or shortness of breath, emergency medical help should be sought at once. See Heart Attack for more information.
HEARTBURN PREVENTION
Most cases of heartburn can be prevented by following these home treatment tips.
- Change your diet and your eating habits. Avoid foods that worsen symptoms.
- Decrease pressure on your stomach.
- Avoid aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs).
- Swallow medications the right way.
- Lose weight if overweight and maintain a healthy weight.
- Stop smoking.
- Avoid alcohol.
- Avoid stress as much as possible.
Common trigger foods include alcohol, caffeine, chocolate, citrus fruits and products, fats and fatty or fried foods, peppermint, spicy foods, and tomatoes and tomato-based foods. Gallbladder problems, stress, allergies, and enzyme deficiencies are other possible contributing factors.
TREATMENT
GENERAL MEASURES
DIAGNOSIS
DIAGNOSTIC TESTS FOR GERD:
A positive stool guaiac: The stool guaiac test is a test that detects the presence of hidden (occult) blood in the stool (bowel movement). The stool guaiac is the most common form of fecal occult blood test (FOBT) in use today. Brand names include: Hemoccult, hemoccult SENSA, ColoScreen, ColoScreen-ES, Seracult, and Seracult PlusŪ.
Continuous esophageal pH monitoring showing reflux.
Endoscopy showing ulceration or inflammation of the esophagus. An endoscope is a medical device consisting of a camera mounted on a flexible tube. Small instruments can be used to take samples of suspicious tissues through the endoscope. In gastrointestinal endoscopy, this device is inserted through the mouth or anus. For other areas, small incisions are made.
Esophageal manometry showing abnormal sphincter pressure. Esophageal manometry is a test to measure the motor action of the lower esophageal sphincter (LES) and esophageal body. A catheter is used to measure esophageal pressure and records the duration and sequence of contractions in the esophagus. A barium swallow showing reflux. An Upper GI and small bowel series is a set of X-rays taken to examine the esophagus, stomach, and small intestine. X-rays are taken after the patient has swallowed a barium suspension (contrast medium). X-rays are a form of electromagnetic radiation like light, but of higher energy, so they can penetrate the body to form an image on film. Structures that are dense (such as bone) will appear white, air will be black, and other structures will be shades of gray Barium is very dense and will appear white on the X-ray film.
A positive Bernstein test for gastric acid reflux. The Bernstein test attempts to reproduce symptoms of heartburn. It is usually done along with other tests dealing with esophageal functions.
If you are having unusual problems with heartburn and indigestion sometimes with nausea and vomiting and pain in the upper right quadrant of the abdomen, consider having your gallbladder checked for stones and inflammation.
MoonDragon's Health & Wellness: Gallbladder Disease
CONVENTIONAL MEDICAL TREATMENT
GERD MEDICAL TREATMENT:
Weight reduction.
Avoiding lying down after meals.
Sleeping with the head of the bed elevated.
Taking medication with plenty of water.
Avoiding dietary fat, chocolate, caffeine, peppermint (they may cause lower esophageal pressure).
Avoiding alcohol and tobacco.
Medications that alleviate symptoms include:
- Antacids after meals and at bedtime.
- Histamine H2 receptor blockers.
- Promotility agents.
- Proton pump inhibitors.
Anti-reflux operations (Nissen fundoplication) may help a small number of patients who have persistent symptoms despite medical treatment. There are also new therapies that can be performed through an endoscope (a flexible tube passed through the mouth into the stomach) for reflux.
A permanently implanted device called Enteryx has been approved to help prevent reflux. A solution is injected into the wall of the lower esophagus and forms into a spongy material intended to keep reflux from occurring.
PROGNOSIS: The majority of people respond to nonsurgical measures with behavioral modification and medications.
COMPLICATIONS:
Inflammation of the esophagus.
Stricture.
Esophageal ulcer.
Hoarseness, bronchospasm.
Chronic pulmonary disease.
Barrett's esophagus (a change in the lining of the esophagus that can increase the risk of cancer).
Many people treat their heartburn symptoms without seeing a health professional. There are home treatment measures, lifestyle changes, and non-prescription medications that can be useful. However, if your symptoms are not relieved by home treatment, or if your symptoms occur frequently and go on longer than 3 to 4 weeks, an evaluation by your health professional is needed to determine whether other medical conditions are causing your symptoms.
Try home treatment measures first to control your symptoms before taking non-prescription medications, such as antacids or acid reducers (histamine receptor blockers, or H2 blockers). If you take medications to relieve your heartburn without doing home treatment, your heartburn is likely to return again and again.
If you are pregnant and have heartburn symptoms, be sure to talk with your midwife or health professional about taking any heartburn medications because some medications may not be safe to take during pregnancy.
HONE TREATMENT MEASURES:
- Change your diet and your eating habits.
- Decrease pressure on your stomach.
- Avoid aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs).
- Swallow medications the right way.
- Lose weight.
- Stop smoking.
- Avoid alcohol.
- Decrease stress or avoid stress as much as possible.
- Medications to treat heartburn.
Lying on your left side can help relieve heartburn. This keeps the stomach below the esophagus, helping to keep it acid free.
Antacids: Many people take non-prescription antacids for mild or occasional heartburn.
- Antacids are medications that neutralize some of the stomach acid.
- Some antacids (such as Gaviscon) have a foaming agent (alginate) that floats on top of the stomach contents, which reduces acid contact with your stomach lining, and coats the esophagus.
- Liquid or dissolving antacids usually work faster than tablet forms.
- Antacids work faster than acid reducers (H2 blockers), but their effect does not last more than 1 to 2 hours. Examples of some non-prescription antacids include Mylanta, Maalox, Tums, or Rolaids.
- If you use antacids more than occasionally, talk with your health professional.
- Antacids do have side effects. They may cause diarrhea or constipation. Also, antacids can interfere with the absorption of other medications.
Regular use of antacids that contain magnesium or aluminum can cause a dangerous buildup of magnesium or aluminum in people who have kidney disease.
If you have any high-risk conditions and diseases, talk with your health professional before you start taking an antacid. If you have kidney disease, it is especially important to discuss antacid use with your health professional.
Stomach acid reducers (H2 blockers): Some heartburn medications that previously you could obtain only with a health professional's prescription are now available without a prescription. These are acid reducers (histamine receptor blockers, or H2 blockers).
- Acid reducers decrease the amount of acid that the stomach makes.
- Acid reducers generally provide relief for longer periods of time than antacids. However, antacids generally provide relief faster than acid reducers. Examples of some non-prescription acid reducers include famotidine (Pepcid AC), cimetidine (Tagamet HB), ranitidine (Zantac 75), or Axid AR.
- If you take a non-prescription acid reducer for longer than 2 weeks, talk with your health professional.
- Acid reducers can sometimes change the way other medications work. If you are taking prescription medications, be sure to talk with your health professional before taking a non-prescription acid reducer.
Your health professional may be able to prescribe other medications for your heartburn.
SYMPTOMS TO WATCH FOR DURING HOME TREATMENT
Use the "Check Your Symptoms" section to evaluate the symptoms if any of the following occur during home treatment.
- Your heartburn is not relieved by home treatment and medication.
- You continue to have blood in your vomit.
- You develop blood in your stools or black, tarry stools.
- You have symptoms of heartburn for more than 3 to 4 weeks.
- Your swallowing problems are not improving.
- You continue to have weight loss for no reason.
- Your symptoms become more severe or frequent.
OTHER CONSIDERATIONS
Drugs that suppress the production of stomach acid are sometimes recommended for people who suffer from frequent heartburn. These include cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), omeprazole (Prilosec), and ranitidine (Zantac). It has been suggested that long-term use of these medications may lead to damage to the stomach lining, thus increasing the risk of benign or malignant tumors. According the an item in the John's Hopkin's Medical Letter, excessive (more than 3 grams a day) and prolonged use of the heartburn medication cimetidine may cause impotence or breast enlargement. These conditions usually go away when the medication is discontinued.
One study showed that 57 percent of heartburn sufferers had hiatal hernias, almost half had damage to the esophageal lining, and 6 percent had developed Barrett's Esophagus.
The prescription drug famotidine (Pepcid) is now available in generic form. The over-the-counter Pepcid-AC is also now available as a generic.
HOLISTIC HOME TREATMENT FOR HEARTBURN
Heartburn is caused by stomach acid that escapes into the esophagus. Normally the stomach produces about a quart of hydrochloric acid every day, which helps break down food. Mucus coats the stomach and protects it from the acid, and the esophageal sphincter muscle keeps acid where it belongs. Sometimes this muscle doesn't properly close and the acid is released into the esophagus, where it produces a burning sensation behind the sternum, belching and discomfort. Also known as gastroesophageal reflux, heartburn is often caused by overeating, pregnancy, birth control pills, certain foods, external abdominal pressure and smoking. Ulcers, enzyme deficiencies, stress, allergies and gallbladder ailments can also contribute to heartburn.
Heartburn may be prevented by changing your eating patterns or quitting smoking. In addition, herbal teas, vitamins and antiacids may provide some relief. Frequent heartburn, however, could be related to a serious condition and may need medical care.
RECOMMENDATIONS
A NOTE ABOUT ANTACIDS
Antacids often provide quick relief of symptoms. These products generally neutralize gastric acid and can increase the pressure on the lower esophageal sphincter muscle to keep it closed. However, the beneficial effects are short-lived and they may mask a more serious, underlying problem. In addition, many over the counter antacids contain excessive amounts of sodium, aluminum, calcium, and magnesium. With prolonged use of these products, dangerous mineral imbalances can occur. Excess sodium can aggravate hypertension, and excess aluminum has been implicated in Alzheimer's disease. Reading the label of the antacids you intend to use will provide you with information concerning possible harmful ingredients contained in the product. Some of the most popular types of antacids and the products they are found in are:
- Aluminum salts or gels: AlternaGEL, Amphojel.
- Aluminum-magnesium mixtures: Aludrox, Di-Gel, Gaviscon, Gelusil, Maalox, Riopan.
- Calcium carbonate: Alka-Mints, Chooz, Titralac, Tums.
- Calcium-magnesium mixtures: Rolaids.
- Magnesium salts or gels: Phillips' Milk of Magnesia.
- Sodium Bicarbonate: Alka-Seltzer, Bromo-Seltzer, Citro-carbonate.
Calcium carbonate works as an antacid and contains no aluminum.
A product called Acid-Ease that has shown promising results. It can be purchased at health food stores and online. Acid-Ease provides digestive enzymes that help your system break down and absorb foods. Pure plant enzymes are combined with gamma oryzanol (found naturally in rice bran oil), slippery elm, and marshmallow root in a soothing supplement for even the most sensitive digestive systems. Take 2 capsules 3 times daily at the beginning of meals and may also be taken as needed between meals. See Nutritional Supplements for product links.
OTHER THINGS YOU CAN DO
If you suffer from heartburn, keep a list of the foods you eat and when you experience hearburn symptoms. Often adjustments to your diet will help eliminate the problem. For more information see Diet & Nutrition.
Avoid lying down after you eat and be sure your last meal or snack is at least 2 hours before bedtime.
Elevate the head of your bed. This can be done by raising the head of the bed itself using blocks or bed frame extensions or pillows and pillow wedges to raise your head while you are sleeping. This allows gravity to keep stomach acid out of the esophagus.
Maintain an exercise program that includes walking, biking, or low-impact aerobics. Avoid running and weight lifting as these activities put pressure on the stomach. Do not exercise after eating, however.
As much as possible, avoid stress and anger or at least keep it to a minimum. You may try to use various relaxation techiques to unstress.
If you are taking any medications, ask your health care provider if heartburn may be a side effect.
Do not wear tight clothes that fit tightly around the waist. Do not wear tight clothing when you eat. Do not wear tight clothing to bed.
Do not ignore symptoms of GERD. This condition can cause serious health problems. If heartburn lasts longer than 2 weeks, you should seek medical attention.
The early symptoms of angina and heart attack sometimes mimic those of "stomach acid". If symptoms persist, if the pain begins to travel down into your left arm, or if the sensation is accompanied by a feeling of weakness, dizziness, or shortness of breath, seek emergency medical care immediately.
TAKE CARE! The early symptoms of heart attack and angina can often mimic heartburn. If your hearburn is accompanied by shortness of breath, radiating pain to the left arm or jaw and dizziness, seek medical attention!
NUTRITION & DIETARY RECOMMENDATIONS
Nutrition plays an important role in stopping the symptoms of heartburn. Be sure to include these recommendations in addition to the other lifestyle changes that are recommended above under Conventional Medical Treatment. Drinking certain fluids after meals can prevent heartburn.
At the first sign of heartburn, drink a large glass of water. This often helps. Also, drink water after meals to wash acid away. You can also try sipping 1 tablespoon of apple-cider vinegar mixed in 1 cup of water while eating.
Try raw potato juice. Do not peel the potato, just wash it and put it in your juicer. See Juicing for more information. Mix the juice with an equal amount of water. Drink it immediately after preparation, three times a day.
Try drinking a glass of fresh raw cabbage or celery juice every day. Raw cabbage and raw potato juices contain lots of alkaline minerals that can neutralize stomach acidity. In addition, Aloe Vera Juice helps to sooth an irritated esophagus.
Change your eating habits. Eat more raw vegetables. Chew your food well. Eat slowly and enjoy your food. Follow a proper diet with plenty of lean protein to support your lean muscles and organs. Following a disciplined diet is an important aspect of managing GERD.
Eat small, frequent meals throughout the day. Breaking your 3 large meals a day into 6 smaller meals (about half the size you would normally eat at a regular meal) will not only help with heartburn problems but will help curb hunger pangs and keep your blood sugar on a more even level. Avoid eating big meals. Again, take your time eating and chew your food thoroughly.
Avoid very hot or very cold beverages. Avoid drinking large quantities of fluid with your meals. Instead sip them throughout the day between your meals.
Sip 1 tablespoon of raw apple cider vinegar, mixed with a glass of water, while eating a meal. Do not drink any other liquids with meals.
Eat fresh papaya and/or pineapple to aid digestion. Chew a few of the papaya seeds as well. Papaya Enzyme chewable tablets can be a substitute for fresh papaya.
Herbal Remedies: Papaya Enzyme, W/ Mint & Chlorophyll, Chewable, NOW Foods, 23 mg, 360 Lozenges
Herbal Remedies: BodyZyme, Systemic Enzyme, 90 Caps
Herbal Remedies: Super Digestive Enzymes, NOW Foods, 90 Caps
Herbal Remedies: Digestion Essentials, Ultimate Digestion Formula, Peter Gillham's Natural Vitality, 120 Tabs
Herbal Remedies: Simply Digestion 2000 Plus, W/Digestive Enzymes, Dairy Free, Kosher & Vegetarian, Dynamic Health, 16 fl. oz.
Do not eat for three hours before bedtime. Wait at least three hours after eating before lying down.
Do not consume carbonated beverages, fats, fried foods, processed foods, sugar, or spicy or highly seasoned foods. These seem to be the main cause of heartburn.
Do not take a multi-enzyme complex containing hydrochloric acid (HCl).
Avoid a diet high in refined sugar. A diet high in sugar makes heartburn worse. It irritates the lining of the esophagus and stomach and increases stomach acid, fermentation of the sugar produces more stomach gas, and a high sugar content encourages the growth of certain stomach bacteria that recent medical studies say may cause chronic stomach ulcers. Eliminate or sharply curtail your intake of sugar, corn syrup, high-fructose corn syrup, molasses, and all food products made with them.
Avoid alcohol. Alcohol should be avoided during pregnancy for other reasons besides heartburn. Alcohol, like sugar, has a directly hostile effect on the stomach lining and also stimulates increased stomach acid, but it has the added negative effect of weakening the muscular sphincter at the end of the esophagus, making reflux of stomach acid into the esophagus more likely. Eliminate or sharply curtail your intake of alcoholic beverages.
Avoid and do not consume chocolate, coffee and other caffeine containing products. Similarly, Chocolate produces an almost immediate weakening. The caffeine-like substance in chocolate seems to be the culprit in causing the problems. Substitute carob for chocolate, if possible. Coffee may also increase the output of stomach acid, try to reduce or eliminate drinking too much coffee.
Eating a fatty meal causes a digestive response, allowing easy access for stomach acid into the esophagus. Try to limit the fat content of your foods to 30% of your total calories per day and to spread those fat calories out throughout the day as much as possible.
Milk, although you might think of it as a food to soothe the "angry" stomach, actually has only a temporary neutralizing effect on stomach acid, followed later by a rise in stomach acid to an even higher level than it had been. A bite or two of cottage cheese, taken when you feel heartburn coming on, may help to ease it away. Try mixing a little honey in with your milk, which can also ease the burn and discomfort of heartburn.
Plain, unsweetened Yogurt is helpful. Yogurt is not only nutritious, providing calcium, but it also provides active "friendly bacteria" cultures, which helps to keep your intestinal tract healthy and functioning properly. The yogurt you choose should contain active cultures.
Milk is NOT a heartburn remedy! If you have problems with lactose intolerance (caused by an absence of an enzyme that breaks down lactose found in dairy products), drinking milk can aggravate your gastric system. You can take a "lact-aid" enzyme supplement to help with mild lactose intolerance.
Lactase Enzyme, Lactase Formula, EnzymeActive, Nature's Way, 230 mg, 100 Caps - Lactase Enzymes are a dietary supplement which supports the digestion of lactose rich foods. Lactase Enzymes are especially useful for those with lactose intolerance, but is also helpful for any lover of dairy products. Recommendation: For individuals with lactose intolerance or difficulty in digesting dairy products. Take three capsules as needed just prior to ingesting foods or beverages containing dairy products or lactose. Take one capsule if you are taking medications or vitamins containing lactose.
Avoid creamy cheeses, desserts, eggnog, gravies, rich sauces, marbled meats, onions (especially raw), peppermint, poultry skin, processed foods, spearmint, and tobacco products. these can all contribute to heartburn.
Orange juice also causes problems in some people, because it is naturally acidic. Limit or eliminate citrus fruits and juices if they cause problems with your digestion.
Avoid highly seasoned food. Spicy foods, especially those made with hot peppers or pepper, contain corrosive acids that directly irritate the stomach, contribute to heartburn. Try to avoid eating chili peppers, jalapenos, or other hot spices if they typically cause heartburn for you. Avoid black pepper. This is a natural irritant.
Tomato products, such as juices, pastes, salsa and sauces (including marinara sauce and ketchup), may irritate the stomach and esophagus lining directly and may also cause heartburn for some people. If you like to grow your own tomatoes, there are some varieties that are naturally low in acid.
See Fasting for instructions (fasting is not recommended during pregnancy). Also see the self-tests under Acidosis and Cardiovascular Disease.
HERBAL RECOMMENDATIONS
Always check with your health care provider or midwife before using herbal therapy or nutritional supplements during pregnancy. There are some herbs that should be avoided during pregnancy and lactation and other herbs and supplements should be used under supervision with proper dosages. The suggestions below are for "general population" heartburn and not necessarily "pregnancy specific."
- Aloe Vera Juice aids healing of the intestinal tract.
- Catnip, Fennel, Ginger, Marshmallow root, and papaya tea all aid in the proper digestion and act as a buffer to stop heartburn. Lovage, Slippery Elm, and Meadowsweet all help to counteract acid production, aid proper digestion and alleviate heartburn irritation. Instead of coffee, try drinking 1 cup of an herbal tea after meals. To make a tea, pour 1 cup of boiling water over 1 teaspoon of dried herb. Steep for 10 minutes and strain. Caution: Pregnant women or nursing mothers should first consult with their midwife or health care provider before using herbs for treatment.
- Gastritix Formula W/ Chamomile, Nature's Way, 474 mg, 100 Caps - Promotes a calming effect on the digestive tract. This formula contains chamomile, to promote normal tone in the digestive tract. Ginger Root, an aromatic bitter that stimulates digestion to promote gastrointestinal comfort. Fennel Seed, used traditionally to sweeten the breath and support digestion. Slippery Elm Bark and Marshmallow Root, traditionally used for their soothing and emollient effects on the digestive tract. Recommended dosage: Take 2 capsules with meals as needed.
- Enjoy a cup of Chamomile herbal tea. Chamomile's soothing qualities make it a wonderful treatment for heartburn and stomach upset by relieving esophageal irritation. Caution: Do not use chamomile if you have an allergy to ragweed. Do not use chamomile on an ongoing basis, as ragweed allergy may result. Do not use chamomile oil during pregnancy since the oil is a very potent uterine stimulant. It can be used safely in dried or fresh herb form as a tea.
- Calming Tea with Organic Chamomile for Daily Stress Relief, Yogi Tea, Caffeine Free, Certified Organic, 16 Tea Bags - Calming Tea by Yogi Tea is a safe and time-tested Ayurvedic formula designed to ease stress and tension, encouraging a state of relaxed alertness without drowsiness. This blend contains several herbs that are helpful for the relief of heartburn.
- Chamomile Tea, Caffeine Free, Yogi Tea, Certified Organic, 16 Tea Bags - This is pure, organic chamomile tea with no other added herbs. It is a well-known relaxant to relieve occasional sleeplessness, anxiety, as well as an antispasmodic for minor menstrual cramps and stomach discomfort.
- Deglycyrrhizinated Licorice (DGL) has affectively treated both heartburn and ulcers in the stomach and esophagus. Licorice reduces the production of stomach acid which also decreases heartburn. Caution: Can have some negative side effects, such as constipation, headache, sodium and water retention, loss of potassium, and high blood pressure. Do not take licorice if you have high blood pressure. Moderate use of licorice may be used if you are pregnant and you don't have problems with high blood pressure. Consult with your midwife before using it as a heartburn remedy.
- To reduce gas, take Cardamom or Cinnamon. Use Cinnamon in moderation during pregnancy (such as in baking only). It is a uterine stimulant when used in high doses, but moderate culinary use is acceptable. Do not take it in essential oil form.
- Gamma-Oryzanol (also called rice-bran oil) appears to affect the central nervous system's control of digestion.
- Dill soothes the digestive tract. Crushed seeds are best. Use in a salad dressing or in other recipes for cooking. Caution: Use moderately if you are pregnant.
HERBS THAT MAY CAUSE HEARTBURN IN SOME PREGNANT WOMEN
- The use of chili may lead to heartburn when taken in high doses, but moderate culinary use is acceptable for use during pregnancy if it doesn't bother you. It may flavor breast milk in women who breast feed.
- Garlic may lead to heartburn when taken in high doses. It can flavor breast milk. Moderate culinary use is acceptable in pregnancy as long as it does not bother you.
- If Peppermint you causes heartburn, avoid its use. Many people find it helpful for digestion and gastric problems. Peppermint is a uterine stimulant. Avoid oil completely during pregnancy. The dried herb is safe in cooking and can be used as a tea if you have problems with morning sickness or nausea.
SUPPLEMENTS
Most supplements are taken with meals. Follow dosages and recommendation as directed on each supplement's label.
For chronic heartburn, a daily combination of choline, pantothenic acid and thiamin may elimate the problem. See Nutritional Supplements and Products below for more helpful recommendations.
Herbal Remedies: Choline Supplement, 100% Natural, Nature's Way, 500 mg, 100 Tabs
Herbal Remedies: Choline & Inositol, 100% Natural, Nature's Way, 250 mg / 250 mg, 100 Caps
Herbal Remedies: Pantothenic Acid, 100% Natural Vitamin B-5, Nature's Way, 250 mg, 100 Caps
Thiamine without added HCl:
HOMEOPATHIC RECOMMENDATIONS
You should consult your homeopathic health care provider for dosages.
Geranium for heartburn, vomiting and ulcers, as well as blood in the stool.
Lycopodium for chronic indigestion, gas, bloating and heartburn.
Nux Vomica for heartburn from coffee, alcohol or rich foods, as well as nausea and gas.
Herbal Remedies: Nux Vomica (Nux Vom) Homeopathic Clikpak, 30C, 84 Pellets
Other helpful homeopathic products:
NUTRITIONAL SUPPLEMENT RECOMMENDATIONS
The following nutrients are important for healing once appropriate local treatment has been administered. Unless otherwise specified, the following recommended doses are for those over the age of 18. For a child between 12 and 17 years old, reduce the dose to 3/4 the recommended amount. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended amount.
NUTRIENTS Supplement Suggested Dosage Comments Essential Aloe Vera As directed on label. Aids healing of the intestinal tract.
Aloe Vera Gel & Juice, 99.7% Pure, Certified Organic, Nature's Way, 1 LiterPancreatin
Plus
BromelainAs directed on label. Take with meals. Enzymes necessary for proper digestion.
Super Digestive Enzymes w/ Pancreatin, Bromelain & Other Digestive Enzymes, 90 CapsPapaya Tablets As directed on label. To relieve symptoms. Use chewable tablets form.
Papaya Enzyme W/ Mint & Chlorophyll, Chewable, NOW Foods, 23 mg, 360 LozengesVitamin B complex
Plus Extra
Vitamin B-1250 mg 3 times daily, with meals
200 mcg 3 times daily.Needed for proper digestion.
Use a lozenge or sublingual form.
Ultimate B Complex Formula, Nature's Secret, 60 Tabs,
Ultra B-12, NOW Foods, 4 oz.Helpful Acid-Ease As directed on label. A soothing plant-enzyme and herb formula that aids in the breakdown and assimilation of foods.
Digest Ease, Acid Neutralizer, Promotes Healthy Digestion, Banyan Botanicals, 90 Tabs,
Lactobacillus Acidophilus 1 to 3 capsules with each meal. A digestive aid that helps maintain intestinal flora.
Primadophilus Optima, 35 Billion CFU, Nature's Way, 60 Vcaps,
Acidophilus Supplement Powder, Non-Dairy, 3 oz. Bulk,
Acidophilus, 3 Billion, NOW Foods, 90 Tabs,
Lactobacillus Acidophilus Supplement, Non-Dairy, 100 Caps,
Lactobacillus Acidophilus, Kosher Liquid, All Natural, Vegetarian Medium, Lactose Free, Apple Strawberry Flavor, Dynamic Health, 16 fl. oz.Digestive Enzyme Combination 1 capsule with each meal. A digestive aid that helps promote better digestion. Avoid any complex that contains hydrochloric acid (HCl).
Digestion Supplement w/ Enzymes, Nature's Way, 530 mg, 100 CapsCalcium 300 mg twice daily. Calcium, magnesium and potassium minerals have an alkalizing effect that binds up stomach acid. Take these together between meals. Use calcium carbonate or calcium chelate form.
Calcium Ionic Mineral Supplement, Fully Absorbable, 700 +/- ppm, 16 fl. oz.,
Liquid Calcium W/ConcenTrace, Orange Vanilla, Trace Minerals, 1000 mg, 32 fl. oz.,
Cal-Mag Pre-Chelated Calcium & Magnesium, Vital Earth, 240 Gelcaps,
Just An Ounce Liquid Calcium & Magnesium, Almond Flavor, 16 fl. oz.Magnesium 150-200 mg daily. Needed to balance with calcium. Calcium, magnesium and potassium minerals have an alkalizing effect that binds up stomach acid. Take these together between meals.
Magnesium Ionic Mineral Supplement, Fully Absorbable, 350 +/- ppm, 16 fl. oz.,
Just An Ounce Calcium & Magnesium Liquid, Almond Flavor, 16 fl. oz.,
Calcium & Magnesium Mineral Complex, 100% Natural, Nature's Way, 500 mg / 250 mg, 250 CapsPotassium 99 mg daily. Useful for maintaining good muscle and heart function. Calcium, magnesium and potassium minerals have an alkalizing effect that binds up stomach acid. Take these together between meals.
Potassium Ionic Mineral Supplement, Fully Absorbable, 340 +/- ppm, 16 fl. oz.,
Potassium Chelate, 100% Natural, Nature's Way, 99 mg, 100 Caps,
Potassium Chloride Powder, NOW Foods, Vegetarian, 8 oz.MSM (Methylsulfonylmethane) Mix with your favorite juice or take alone. 1 to 2 teaspoons once or twice daily. MSM relieves hyperacidity without disturbing the normal acid-alkaline balance.
MSM (Methylsulfonylmethane) Liquid, Pure Lignisul, 16 fl. oz.
HEARTBURN / GASTROESOPHAGEAL REFLUX (GERD) SUPPLEMENTAL PRODUCTS
Information, products and supplements for heartburn and gastroesophageal reflux, conditions that occur when hydrochloric acid from the stomach backs up into the esophagus, resulting in burning and pain in the stomach and/or chest.
Acid Redux, NOW Foods, 90 Lozenges
Acid Redux is a unique proprietary formulation of acid buffering agents that can be helpful in the alleviation of occasional acid indigestion. Acid Redux is al all-natural dietary supplement, containing no artificial flavors or colors.AlkaMax Natural Antacid & Alkaline Booster Liquid, 1 fl. oz.
Natural antacid for digestion and entire body.AlkaMax Natural Antacid & Alkaline Booster Powder, 200 grams
Natural antacid for digestion and entire body.AlkaMax, Natural Antacid & Alkaline Booster With 15 pH Test Strips, 1000 mg, 90 Caps
Natural Antacid for digestion and entire body.AlkaMax pH-Balancing Wallet Card, 1 Each
Great Food Acid Balancing Tips anytime. Fits like a credit card in your wallet or purse with easy to read and understand pH information.Amalaki Detoxification & Rejuvenation, Banyan Botanicals, 90 Tabs
Amalaki is said to stimulate the production of red blood cells, enhance cellular regeneration, increase lean body mass and support proper function of the liver, spleen, heart and lungs. It has also been used to purify the blood, improve eyesight, strengthen the bones and teeth, and cause hair and nails to grow.Avipattikar Powder, Certified Organic, Banyan Botanicals, 1/2 lb.
Certified Organic Avipattikar Powder Ingredients include cane sugar, nishoth, cardamom, clove and ginger. It is traditionally used to remove excess pitta from the stomach and small intestine, alleviating hyperacidity, heartburn and indigestion.Barberry Tincture, 100% Organic, 2 fl. oz.
Barberry is used for treating gallbladder disease, heartburn and indigestion and diarrhea. This herb can also be used to treat infections, parasites, psoriasis, and vaginitis.Bed Wedge, 16 Inch Lift, 24 Inch By 24 Inch By 7 Inch
The Bed Wedge can elevate the upper body or legs and helps treat the symptoms of hiatal hernia and acid reflux disorders.Bed Wedge, 22 Inch Lift, 24 Inch By 24 Inch By 10 Inch
The Bed Wedge can elevate the upper body or legs and helps treat the symptoms of hiatal hernia and acid reflux disorders.Bed Wedge, 26 Inch Lift, 24 Inch By 24 Inch By 12 Inch
The Bed Wedge can elevate the upper body or legs and helps treat the symptoms of hiatal hernia and acid reflux disorders.Bentonite Clay, Pascalite, 100 Caps
Pascalite is a form of calcium bentonite containing at least twenty elements including iron, magnesium, and silicon, better than sodium bentonite. Uses as skin cleanser, conditioner, internally for heartburn, ulcers and for a natural mineral dietary supplement.Bio Defender, Antibacterial, Antiviral & Antifungal Formula, Balanceuticals, 56 Caps
This unique antibacterial, antiviral and antifungal formula is a clinical nutritionist response to bio terrorism such as anthrax.BodyZyme, Systemic Enzyme, 90 Caps
BodyZyme is a potent systemic enzyme. Enzymes are protein based substances found in every cell of every plant and animal.Calming Tea With Organic Chamomile For Daily Stress Relief, Yogi Tea, Caffeine Free, Certified Organic, 16 Tea Bags
Calming Tea by Yogi Tea is a safe and time-tested Ayurvedic formula designed to ease stress and tension, encouraging a state of relaxed alertness without drowsiness.Cayenne & Goldenseal Supplement, Nature's Way, 100 Caps
Cayenne & Goldenseal Supplement is a proprietary blend of Certi-Fiery Cayenne and five other synergistic herbals.Cayenne Pepper Supplement, Nature's Way, 450 mg, 180 Caps
Cayenne Pepper Supplement is a blood warming herb that has an invigorating effect on several body systems.Chamomile Tea, Caffeine Free, Yogi Tea, Certified Organic, 16 Tea Bags
Organic Chamomile Tea by Yogi Tea with its subtle fragrance and flavor, is a great way to ease your daily tensions.Digest Ease, Promotes Healthy Digestion, Banyan Botanicals, 90 Tabs
Digest Ease is a dynamic combination of herbs designed to strengthen digestion without aggravating pitta. Excess pitta causes increased heat, sharpness and oiliness in the digestive tract. These qualities aggravate and inflame the digestive fire, creating acidic conditions, which can lead to discomfort. Cooling and soothing to the internal membranes, Digest Ease neutralizes acid and removes excess heat from the system.Digestion Supplement With Enzymes, Nature's Way, 530 mg, 100 Caps
Nature's Way Digestion Supplement has concentrated enzymes that help in the efficient breakdown of carbohydrates, proteins and fats, while the herbal bitters support gastric activity and soothe digestion.Digestive Enzymes, 750 mg, 100 Caps
Since cooking destroys many of the digestive enzymes in food, taking plant fiber-based digestive enzymes aids in digesting even the heaviest meal.Enzymes, All Complete, 250 mg, 90 Caps
All Complete Enzymes, dietary supplement, is an important combination of critical enzymes that help support normal digestive function, cholesterol levels, fat metabolism and more, all in one convenient tablet.Gastritix Formula Chamomile Supplement, Nature's Way, 474 mg, 100 Caps
Gastritix Formula Chamomile Supplement represents the powerful synergy of current scientific research and traditional herbal medicine.Gas Acid Stomach Formula, 100% Organic, 2 fl. oz.
The Gas Stomach Acid Tincture from Alternative Health and Herbs is all natural and was created to help with stomach acidity and gas, acidosis, gastritis, heartburn, and weight loss.Ginger Root Tincture, 100% Organic, 2 fl. oz.
Ginger root has also been recommended as a treatment for atherosclerosis, migraine headaches, rheumatoid arthritis, high cholesterol, burns, ulcers, depression, impotence, and liver toxicity.Ginger Tea, Organic Digestive Aid, Yogi Tea, 16 Tea Bags
This 100% organic Ginger Tea by Yogi Tea has something to offer to anyone who wants to get or stay healthy.Good Digestion: Your Key To Vibrant Health, By Ken Babal
Ken Babal explains that nutrition is not just what we eat, but what the cells of the body actually receive. Digestion is the key to good health and nutrition.Green Tea Kombucha, Yogi Tea, Decaffeinated, Immune Support, 16 Tea Bags
Green Tea Decaf Kombucha from Yogi Tea uses the same delicious recipe as the Green Tea Kombucha but is naturally decaffeinated.Heartburn Formula Tincture, 100% Organic, 2 fl. oz.
This herbal heartburn remedy relieves the burning sensation of heartburn.Heather's Tummy Tamers, Peppermint Oil, Heather's Tummy Care, 90 Caps
Peppermint oil capsules, as part of the diet, have been clinically proven to help IBS symptoms, even in children. A recent survey of clinical trials declared peppermint oil capsules the drug of first choice for IBS patients with constipation or diarrhea, to alleviate general symptoms, and to improve quality of life.Heather's Tummy Tea, Organic Fennel, Heather's Tummy Care, 45 Tea Bags
Fennel assists in the dietary management of IBS symptoms, and is exceptional for IBS bloating, gas and abdominal pain. Fennel is also a traditional digestive aid for colic, heartburn, indigestion, and stomach aches.Heather's Tummy Tea, Organic Peppermint, Heather's Tummy Care, 36 Tea Bags
Peppermint is a cooling, calming herb that, through dietary management, helps relieve the symptoms of IBS. Clinical studies have shown that peppermint is exceptionally beneficial for IBS abdominal pain and spasms, diarrhea, and urgency (it will not cause or worsen constipation).Kombucha Tea, 100% Organic Original Flavor, Ready To Drink, 25.4 fl. oz., Case of 12
People from all over the world claim drinking Kombucha Tea provides relief from many physical ailments. Kombucha Tea offers many people the physical resistance they need to maintain and restore health.Lemon Ginger Tea, Yogi Tea, 16 Tea Bags
Lemon Ginger tea from Yogi Tea is a special healing formula designed to aid digestion, ease upset stomach and provide a caffeine-free pick-me-up.Lick The Sugar Habit, By Nancy Appleton, Ph.D.
Nancy Appleton, Ph.D., shows you how sugar upsets the body chemistry and devastates the endocrine and immune systems, leading to a host of diseases and conditions including hypoglycemia, diabetes, osteoporosis, arthritis, cancer, heart disease, headaches, allergies, asthma, obesity, periodontal disease, tooth decay, and more.Licorice Root Tincture, 100% Organic, 2 fl. oz.
Licorice root is taken orally (DGL form) for ulcers, heartburn (esophageal reflux), and mouth sores.Lime Oil, NOW Foods, 1 fl. oz.
This lime oil is derived primarily from lemon peels and contains no fillers, scents or preservatives.Liquid L-Carnitine Plus Pantothenic Acid, Dynamic Health, 16 fl. oz.
Dynamic Health's liquid l-carnitine can help boost energy, build new muscle and improve mental performance.Manuka Honey Bio Active 10+, 500 grams
Comvita Bio Active 10+ Manuka Honey contains a high level of antibacterial activity not found in other honeys. For digestive health and to assist the digestive process.Multiflora Honey, 100% Pure New Zealand Honey, 1.1 lb.
Pure New Zealand Honey is made with the help of wild flowers to produce a rich natural taste that is all its own.Natural Remedies For Intestinal Health, By Conrad LeBeau
Information on increasing appetite and rebuilding mucosal membranes and conditions such as candidiasis, acid-reflux, colitis, Crohn's disease and leaky gut syndrome.Niacin Supplement (Vitamin B-3), 100% Natural, Nature's Way, 100 mg, 100 Caps
Niacin or Vitamin B-3, is necessary for normal breakdown of fats and fatty acid and the release of energy from carbohydrates. It is also an excellent vasodilator and may be useful in maintaining proper cholesterol levels.Organic Rooibos Tea, Caffeine Free Herb Tea, 25 Tea Bags
Rooibos is a red tea indiginous to South Africa. Wisdom Herbs Organic Rooibos Tea is caffeine free and tastes great.Overcoming The Acid Crisis, By Martha M. Christy, Paperback
Overcoming the Acid Crises by Martha M. Christy underscores the importance of balancing pH reducing the risk for renal tubular acidosis and helps maintain weight fluctuations and good digestive health.Pascalite Bentonite Healing Powder, 16 oz.
Pascalite is used in soap and toothpaste, applied as a poultice to insect bites, sunburns, infections, cold sores, canker sores and acne, and as a suppository for hemorrhoids. Users found it a potent skin cleanser and conditioner, drank it for heartburn and ulcers.Pepogest Peppermint Oil, Enteric Coated, Nature's Way, 0.2 ml, 60 Softgels
Pepogest peppermint oil is a targeted release peppermint oil supplement that provides natural gastrointestinal comfort. Pepogest peppermint oil is a targeted release peppermint oil supplement that provides natural gastrointestinal comfort.Peppermint Leaf (Mentha X Piperita) Powder, 4 oz.
Peppermint leaf calms the muscles of the stomach and improves the flow of bile, which the body uses to digest fats. As a result, food passes through the stomach more quickly.Peppermint Stomach Soother Tea, Yogi Tea, Caffeine Free, Certified Organic, 16 Tea Bags
Organic peppermint tea from Yogi Tea is the perfect way to lift your spirits and quiet your stomach; with a fresh flavor and aroma you will want to enjoy everyday.Peppermint Tea, Caffeine Free, NOW Foods, 30 Tea Bags
Peppermint Tea can be a natural aid to the digestive process by soothing the stomach lining and supporting a healthy liver and gallbladder.Reflux Rx, Natural Heartburn Remedy, Hi-Tech Pharmaceuticals, 90 Tabs
The herbs found in Reflux Rx Natural Heartburn Remedy has been shown to relieve bad wind in the belly, according to Mayan people.Relaxing Blend tea With Valerian & Chamomile, 20 Tea Bags
This soothing tea with a blend of Black Cumin Seed along with Chamomile, Valerian, Passion Flower and other herbs will help you relax and put your worries to rest.Sarsaparilla Root, 425 mg, 100 Caps
Sarsaparilla root has been used for sexual impotence, rheumatism, skin ailment, and a tonic for physical weakness.SeaGest Intestinal Care, 60 Caps
SeaGest is no ordinary digestive aid. SeaGest is an extraordinary nutritional breakthrough for intestinal health made from the pure white fish found in the depths of the North Pacific Ocean.Slippery Elm Tincture, 100% Organic, 2 fl. oz.
Slippery Elm is used as a cough lozenge and is widely available in pharmacies.Stomach Ease Tea, Heartburn Relief, Certified Organic, 16 Tea Bags
Stomach Ease is formulated to relieve occasional heartburn and indigestion as it soothes the digestive tract.Stomach Upset Formula Tincture, 100% Organic, 2 fl. oz.
Stomach Upset Formula is used as all natural herbal remedy for an upset stomach and acidosis, digestive problems, halitosis, morning sickness, and motion sickness.Sutherlandia (Sutherlandia Frutescens), 300 mg, 60 Tabs
Sutherlandia powerfully assists the body to mobilize its own immunological physiological resources to cope with diverse physical, mental and chemical stressors.Thyme Powder, 4 oz. Bulk
Thyme is a common household spice that has many medicinal values. It helps to clear respiratory difficulties, including bronchial problems, whooping cough, laryngitis, catarrh, and sore throat.Thyme Tincture, 100% Organic, Herbal Remedies USA, 2 fl. oz.
Thyme is used to clear respiratory congestion, whooping cough, laryngitis, catarrh, and sore throat. This herb also can be used to treat stomach cramps, diarrhea, heartburn, chronic gastritis, flatulence, colic, and diminished appetite.Ulcetrol With PepZin G1 & Mastic Gum, NOW Foods, 60 Tabs
NOW Ulcetrol is a dietary supplement designed to protect and support a healthy stomach lining.White Willow Bark Tincture, 100% Organic, 2 fl. oz.
Aspirin is a synthetic derivative of white willow bark. White Willow Bark is an analgesic, anodyne, anti-inflammatory, antiseptic, diaphoretic, and fever reducer.Wild Carrot Tincture, Alternative Health & Herbs, 2 oz.
Wild Carrot (Daucus Carota) Also known as Queen Anne's Lace. The seeds are a beneficial antiseptic diuretic useful in the treatment of cystitis and prostatitis. Also, the seeds are used for the prevention and washing out of gravel and urinary stones. As a diuretic, it helps with dropsy and the elimination of uric acid from the body (thus, used for gout).Wormwood (Artemisia Absinthium) Powder, 4 oz. Bulk
Wormwood is above all a stomach medicine, being useful for indigestion, gastric pain and lack of appetite, as well as the related problems of heartburn and flatulence.Wormwood Double Blend, 365 mg, 100 Caps
Wormwood is above all a stomach medicine, being useful for indigestion, gastric pain and lack of appetite, as well as the related problems of heartburn and flatulence.Wormwood Herb Tincture, 100% Organic, 2 fl. oz.
Wormwood Herb is above all a stomach medicine, being useful for indigestion, gastric pain and lack of appetite, as well as the related problems of heartburn, flatulence and an antiparasitic.Yarrow Flowers Herb, 325 mg, 100 Caps
Yarrow Flower Herb may be helpful for nosebleeds, fevers, colds, sore throat, indigestion, heartburn, inflammation, high blood pressure, muscle spasms, urinary tract infections, and minor injuries.
Herbal Remedies: Heartburn / Gastroesophageal Reflux (GERD) Information
Herbal Remedies: Heartburn / Gastroesophageal Reflux (GERD) Supplements & Products
Herbal Remedies: Gastritis / Dyspepsia Supplements & Products
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
You have symptoms of heartburn that worsen or do not improve with treatment and lifestyle changes.
You have severe upper abdominal pain.
You have chest pain that is crushing or squeezing, feels like a heavy weight on the chest, or occurs with any other symptoms of a heart attack. Note: Symptoms of a heart attack and symptoms of heartburn may feel the same. It is important to consider all your other symptoms to determine if you have a more serious problem.
You have signs of shock. Shock is a life-threatening condition. Immediate medical care can make the difference between life and death. Early signs of shock (most of which will be present) include:
- Lightheadedness or a feeling that you are about to pass out.
- Restlessness, confusion, or signs of fear.
- Shallow, rapid breathing.
- Moist, cool skin or possibly profuse sweating.
- Weakness.
- Thirst, nausea, or vomiting.
Also, a person in shock usually has an abnormal increase in heart rate and an abnormal decrease in blood pressure.
Late signs of shock include:
- Changes in the person's level of consciousness, such as sudden unresponsiveness, faintness, loss of consciousness, or behavior changes.
- A pale face or blue lips or earlobes.
Shock may occur in response to a sudden illness or injury. When the body loses too much blood or fluids, the circulatory system cannot get enough blood to the vital organs, and shock results.
If the person has chest pain, after calling 911 or other emergency services:
- If the person becomes unconscious, see Rescue Breathing and Cardiopulmonary Resuscitation (CPR) in the topic Dealing With Emergencies.
- If emergency medical personnel (such as paramedics) are not going to arrive soon and the person is awake, alert, not vomiting, and not allergic to aspirin, have the person chew and swallow 1 adult aspirin (325 mg). Be sure to tell emergency personnel that aspirin has been taken.
- Life-threatening symptoms occur, including rapid, irregular heartbeat; chest pain; or loss of consciousness. Call for assistance immediately (usually 9-1-1)... THIS IS AN EMERGENCY!! Quick treatment to open the blocked artery is essential to lessen the amount of damage. At the first signs of a heart attack, call for emergency treatment. The best time to treat a heart attack is within one to two hours of the first onset of symptoms. Waiting longer than that increases the damage to your heart and reduces your chance of survival. Keep in mind that chest discomfort can be described in many ways. It can occur in the chest or the arms, back, or jaw. If you have symptoms, take notice. These are your heart disease warning signs. Seek medical care immediately.
- If any unexpected or unusual symptoms appear. Therapies, supplements, medications or other treatments may produce side effects in some individuals.
Free information about GERD is available from:
International Foundation For Functional Gastrointestinal Disorders (IFFGD)
PO Box 170864
Milwaukee, WI 53217-8076
Phone: (414) 964-1799
Toll-free: (888) 964-2001
Fax: (414) 964-7176
E-mail: iffgd@iffgd.org Hours: 8:30 am to 4:30 pm Central Time Web Site: http://www.iffgd.org/
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