Managing GERD
Over-the-Counter Medications1
The first stop for many patients with persistent heartburn is the local drugstore. Patients will often self-treat before visiting their physician; however, OTC medications are indicated for relieving occasional heartburn associated with acid indigestion or sour stomach and management of frequent (2 or more days a week) heartburn. These products are not indicated for treatment beyond 14 days or for the treatment of GERD. OTC treatment options include:• Antacids
• H2-receptor blockers
• Proton pump inhibitor
Prescription Medications1
For patients diagnosed with GERD, a prescription medication may help relieve GERD symptoms while also promoting healing of the esophagus (if esophagitis is present). The most common prescription drugs used to treat GERD are:• Prescription H2-receptor blockers
• Prescription proton pump inhibitors
Encourage a Lifestyle Change1
In addition to medication, heartburn and GERD can be managed by making some lifestyle changes. Talk to your patients about improving their digestive health by practicing the following:• Weight control
• Eating smaller meals
• Avoiding heartburn trigger foods (fatty/fried foods, alcohol, caffeine, chocolate, mint, tomatoes, garlic and onion)
• Not lying down after a meal
• Elevating the head of their bed
• Not smoking
Surgery1
For select patients, surgery may be indicated.Most patients want symptom relief, in which case over-the-counter medications can be helpful. However, in the long-term battle against GERD it is important to talk to your patients about the lifestyle changes they can make to improve their GERD symptoms.
To learn more, check out the American College of Gastroenterology updated guidelines for the treatment of GERD.
