Antacids: Relief from Acid Reflux and Heartburn
Reviewed by Dr Bipin B. 
- Drug class: Antacid
- Generic name: calcium carbonate,
- magnesium hydroxide
- aluminum hydroxide
- Brand name: Digene
Introduction
Acid reflux and heartburn can be uncomfortable and disruptive to daily life. Fortunately, antacids provide relief by neutralizing stomach acid. In this article, we’ll explore how antacids work, the different types available, natural alternatives, and the best antacids for specific needs.
How antacids provide relief: Alleviating discomfort and lowering acid levels.
Antacids neutralize stomach acid by balancing the pH level in the digestive tract. When you experience acid reflux or heartburn, it is usually caused by an excess of stomach acid irritating the esophagus. Antacids contain compounds such as calcium carbonate, magnesium hydroxide or aluminum hydroxide, which work by chemically reacting with excess acid in the stomach.
These compounds are alkaline in nature and have the ability to raise the pH level in the stomach. When an antacid is consumed, it reacts with stomach acid to form a neutral salt and water. This response reduces acidity in the stomach, thereby relieving symptoms such as heartburn and discomfort.
The balanced pH levels achieved by antacids help create a more favorable environment for proper digestion of food. By neutralizing excess acid, antacids help prevent further irritation in the esophagus and promote a healthy digestive process.
It is important to note that antacids provide temporary relief and are not a long-term solution to underlying digestive problems. If you experience chronic acid reflux or heartburn, it is recommended to consult a healthcare professional for proper diagnosis and appropriate treatment options.
Type of Anatacid:
Chewable tablets: A convenient and portable option.
Liquid Antacids: Easy-to-swallow relief.
Effervescent Antacids: The Quick and Refreshing Solution.
Antacid suspension: consistent and customizable dosing.
Fast-Acting vs. Long-Lasting Antacids
Fast acting Antacid:
Quick Relief Antacids contain ingredients that work efficiently to neutralize excess stomach acid and provide fast-acting relief.
These antacids usually come in forms such as chewable tablets or liquid suspensions. They are designed to be easy to consume and dissolve quickly in the stomach, allowing the active ingredients to work immediately. Once ingested, they react with excess acid, balancing pH levels and reducing the discomfort caused by acid reflux.
The fast soothing effect of quick-relief antacids can provide quick relief from symptoms such as heartburn, chest pain, vomiting and a sour taste. They can help individuals get temporary relief and resume their daily activities without being hampered by the discomfort of acid reflux.
Extended Relief Antacid :
Extended Relief antacids contain ingredients that act slowly to neutralize stomach acid and maintain a balanced pH level for an extended period of time.
These antacids often come in extended-release tablet or capsule form. They are designed to slowly release their active ingredients over time, providing a sustained and prolonged effect. By controlling the acid levels in the stomach, these antacids provide relief from symptoms over an extended period of time, allowing individuals to feel comfortable for longer.
Extended relief antacids are especially beneficial for people who experience frequent or persistent acid reflux symptoms. By providing sustained relief, they help people manage their symptoms throughout the day or night, enabling a better quality of life and uninterrupted sleep.
Natural Alternatives to Antacids
Lifestyle modification:
Lifestyle changes play an important role in reducing acid reflux symptoms by managing triggers and adopting healthy habits. Making a few adjustments to daily routine and dietary choices can help reduce the occurrence and severity of acid reflux episodes.
Diet modification:
Avoiding trigger foods and beverages that may aggravate acid reflux, such as spicy or fatty foods, citrus fruits, caffeine, carbonated beverages, and alcohol.
Portion control:
Eating smaller, more frequent meals instead of large meals can prevent excessive stomach bloating, thereby reducing the chance of acid reflux.
Meal Timing:
Allowing a few hours between meals and bedtime can help prevent stomach acid from flowing back into the esophagus while lying down.
Elevating the head of the bed:
Elevating the head of the bed by using wedge pillows or placing blocks under the feet of the bed can promote better digestion and prevent acid reflux during sleep.
Weight management:
Maintaining a healthy weight can reduce pressure on the stomach and reduce the risk of acid reflux.
Avoiding tight clothing:
Wearing loose-fitting clothing can reduce the pressure on the stomach, reducing the occurrence of acid reflux.
Quit smoking:
Smoking can weaken the lower esophageal sphincter, allowing stomach acid to reflux into the esophagus. Quitting smoking can improve acid reflux symptoms and overall health.
Stress reduction:
Managing stress through relaxation techniques such as meditation, deep breathing exercises, or engaging in a hobby can help reduce the frequency and severity of acid reflux episodes.
Posture during meals:
Sitting up straight during and after meals can aid digestion and prevent acid reflux.
Hydration:
Drinking enough water throughout the day can help maintain proper digestion and prevent dehydration, which can worsen acid reflux symptoms.
Natural remedies for heartburn: Herbal teas, ginger, and more.
Natural remedies can provide relief from heartburn symptoms without relying on medication. Several herbal remedies and lifestyle changes can help ease the discomfort associated with heartburn. Here are some natural remedies to consider:
Herbal teas:
Chamomile, licorice and peppermint teas can help soothe the digestive system and reduce heartburn symptoms. Drinking these teas after meals can provide relief.
Ginger:
Consuming ginger in various forms, such as fresh ginger slices, ginger tea, or ginger candy, may help reduce heartburn symptoms by reducing inflammation in the stomach and promoting digestion.
Aloe vera:
Drinking aloe vera juice can have a soothing effect on the lining of the esophagus and stomach, thereby providing relief from heartburn. However, it is essential to choose aloe vera juice specifically for internal use.
Apple Cider Vinegar:
Despite its acidic nature, apple cider vinegar can help balance stomach acid levels when taken in moderation. Dilute it in water and consume it before meals to potentially reduce heartburn symptoms.
Baking Soda:
Drinking a teaspoon of baking soda mixed in a glass of water can help to temporarily neutralize stomach acid. However, it is important to use this remedy sparingly and under the guidance of a healthcare professional due to its high sodium content.
Chewing Gum:
Chewing sugar-free gum after a meal stimulates the production of saliva, which can help neutralize stomach acid and reduce heartburn symptoms.
Slippery elm:
Slippery elm, available in powder or capsule form, may help soothe the lining of the esophagus and stomach, providing relief from heartburn symptoms.
Licorice:
Diglycerized licorice (DGL) supplements or chewing licorice tablets may help coat and protect the esophagus, potentially reducing heartburn symptoms.
Antacids vs. Proton Pump Inhibitors
Antacids are over-the-counter medications designed to provide rapid relief from the symptoms of acid reflux and heartburn. They work by neutralizing excess stomach acid, which helps reduce discomfort. Antacids usually contain compounds such as calcium carbonate, magnesium hydroxide, or aluminum hydroxide. When ingested, these compounds react with stomach acid, forming neutral salts and water. While antacids provide quick relief, their effects are short-lived and temporary.
PPIs work by blocking an enzyme responsible for acid secretion in the stomach lining. This inhibition leads to a significant reduction in acid production, providing long-term relief from conditions such as gastroesophageal reflux disease (GERD) and gastric ulcers. PPIs are more potent than antacids and offer sustained acid suppression, making them suitable for individuals with chronic or severe acid-related issues.
KEY DIFFERENCE
MOA:
Antacids work by neutralizing stomach acid, whereas PPIs block the production of acid by inhibiting the enzymes responsible.
Onset and duration:
Antacids provide quick but short-term relief, while PPIs can take longer to show full effect but offer longer-lasting acid reduction.
Symptomatic relief versus acid suppression:
Antacids primarily address symptoms and provide immediate relief, whereas PPIs target the underlying cause by reducing acid production for an extended period of time.
Appropriateness for conditions:
Antacids are appropriate for occasional or mild acid reflux, while PPIs are more appropriate for chronic conditions such as GERD and severe acid-related issues.
Frequency of use:
Antacids can be taken as needed, while PPIs are often taken once daily for a specified period of time, as directed by a healthcare professional.
Interactions with medications:
PPIs can interact with some medications due to their effect on stomach acid levels, whereas antacids are less likely to have significant interactions.t, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo
Dosages:
one tablet thrice a day
5 -10 ml thrice a day
Side Effects:
Antacids, while generally safe, can occasionally cause side effects in some individuals. Common side effects of antacids can include:
Constipation: Increasing fiber intake and staying hydrated may help reduce this side effect.
Diarrhea: Choosing an antacid with a lower magnesium content or adjusting the dosage may help reduce this side effect.
Nausea: Taking an antacid with food or trying different brands or formulations may help reduce this side effect.
Stomach discomfort: Adjusting the dosage or trying a different type of antacid may reduce this symptom.
Calcium buildup: Long-term use of antacids containing calcium carbonate can lead to a buildup of calcium in the body, which can increase the risk of kidney stones or other complications. It is advised to use these antacids under the guidance of a healthcare professional.
Acid rebound: In some cases, suddenly discontinuing the use of antacids can cause a temporary increase in stomach acid production, which is called acid rebound. Reducing the dosage gradually or taking medical advice can help in managing this effect.
Drug interactions: Antacids can interact with certain medications, such as antibiotics, iron supplements, or anticoagulants. It is important to consult a healthcare professional or pharmacist to understand potential interactions and adjust medication regimen accordingly.
Consider the specific symptoms you are experiencing and their severity. Antacids are primarily designed to provide relief from heartburn, acid indigestion and indigestion. If you have mild, occasional symptoms, a basic antacid formulation may be sufficient. For more severe or chronic symptoms, you may need a stronger or longer-lasting antacid.
