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Recurring Heartburn

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For the last few weeks or so, I've had what feels like a recurring heartburn sensation. My doctor checked me out and said it was probably a muscular strain, but it sure doesn't feel like it. He suggested Aleve, but that didn't work. Also, I've been taking Pepcid on a regular basis for several months now for an unrelated issue*. I'm wondering if that could be working against me, as I'd expect it to reduce the likelihood of heartburn symptoms. Any ideas?

*For what it's worth, I'm not convinced that Pepcid is the proper solution to my other problem, but the specialist who prescribed it believes otherwise.
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replied August 30th, 2017
Welcome to e health forum.

Some tips to help your symptoms include:-

1. Reducing intake of hot spicy and Fat rich foods, fried foods, is very important.
2. Try eating a little more slowly. When you eat fast, you swallow extra air with your food. Try to not talk while eating. Extra air while eating can lead to belching and gas production.
3. Eating at the same time each day and eating smaller meals more frequently may be beneficial as well.
4. Try to eat a balanced diet. Foods with high fiber may initially increase gas production. However, the this will decrease over time.
5. It is better not to drink fluids with your food. Drinking fluids with meals can increase your air intake and increase gas.
6. Avoid major gas and acid producing foods like -
- Vegetables: Onions, Celery, Carrots, broccoli, Brussels Sprouts, Cucumber, Cabbage,Cauliflower, Radishes , potatoes and eggplant.
- Beans, peas, Green salads, brown rice and leeks
- Fruits like - Raisins, Bananas, Apricots, Prunes, dried fruit
- Carbohydrates rich foods like - Bagels, Wheat Germ, Pretzels,puddings, breads.
- ‎Cured meats and high fat meat products such as sausages, salami, ham, ‎bacon, and Red meats like beef and lamb‎ should be reduced in consumption or avoided totally. ‎

In addition to the above methods, Activated charcoal, probiotics and digestive enzyme supplements ‎can be used relieve your symptoms

In some patients with chronic gastritis or GERD, inspite of following all the above tips, they might not find relief. This is due to their symptoms being mainly increased due to Stress, which is a major stimulant of Gastric acid secretion. Lack of proper sleep also adds to it. Such patients can be helped by proper behavior modification (to manage stress) and psychological counselling.

Sleeping aids or antianxiety or Hypnotic medications can also be prescribed by your doctor if deemed necessary.

I hope this helps.

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