List of preparations for heartburn

The causes of heartburn

To answer the above questions, you must first understand whatIs heartburn and why it appears.

Burning sensation in the lower part of the sternum appears when the contents of the stomach are thrown into the esophagus.

Hydrochloric acid and other enzymes that help digest food in the stomach cause a burn of the esophageal mucosa, irritation.

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Burning sensation, which occurs in the area of ​​damage to the esophagus, and is called heartburn.

A fairly wide range of diseases of the gastrointestinal tract is accompanied by regular heartburn: gastritis of various origin, stomach ulcer, hiatal hernia, liver and duodenal ulcers, esophagitis, gastroesophageal reflux disease, stomach and esophagus cancer, etc.

If heartburn occurs regularly, then it is necessaryConsult a doctor for diagnosis and reasons.

Despite the fact that modern preparations against heartburn effectively remove this symptom, it is often not recommended to take them.

Heartburn in an absolutely healthy person can be triggered by a number of factors:

• unbalanced diet, abuse of fat or acute;
• overeating;
• is overweight;
• smoking, drinking alcohol;
• abuse of coffee or chocolate;
• nervous overexcitation, stress;
• physical activity after eating;
• sleep after eating;
• is an allergy.

The list of possible causes of heartburn includes many products: tomatoes, sour fruits, citrus fruits, legumes, carbonated drinks, white bread, etc.

If you get heartburn periodically, you should determine what exactly provokes it and change your diet or habitsPower supply accordingly.

Occasionally or according to the indications of the attending physician, it is possible to use medicines, which in various ways facilitate heartburn.

Drugs that reduce acidity

Medicines that neutralize hydrochloric acid by chemical interaction are called antacids.

Active compounds in modern antacids are compounds of magnesium, aluminum and calcium;Many drugs contain additional components that envelop the stomach and soothe the mucous membrane, reduce gas formation, absorb toxins, relieve spasms, etc.

Preparations based on magnesium and aluminum compounds have a longer action, do not dissolve in water and are almost completely eliminated from the body.

Aluminum compounds slow intestinal motility and exert a fixing action, neutralize bile, promote healing of damaged mucosa.

Magnesium compounds activate the work of the intestines, stimulate the production of mucus( promote the restoration of the gastric mucosa), have a mild laxative effect.

Antacid preparations are divided into two large groups: absorbed and nonabsorbable. The main advantage of the first group is almost instantaneous action.

The main shortcomings are short-acting, increased gas formation on contact with hydrochloric acid and, as a consequence, increased secretion of digestive juices immediately after the end of the drug.

This group includes baking soda, Rennie, Tams, Andrews antacid, etc.

Absorbable antacids are almost not used in modern medicine due to the large number of side effects.

Antacid preparations that do not dissolve in the blood and are almost completely eliminated from the body, have several advantages: a long period of action( up to three hours), gentle action and mild neutralization of hydrochloric acid.

You can buy these drugs in any pharmacy without a doctor's prescription.

The most popular antacids

"Gaviscon" - a drug based on sodium and calcium compounds, is available in the form of suspension and tablets, the average price is 300 r.

Contact with hydrochloric acid forms a neutral gel with a chemical composition that envelops the walls of the esophagus, thereby protecting the mucosa.

Virtually has no contraindications, so you can take it even to children and pregnant women. Has a long period of validity, up to four hours.

"Almagel" - a remedy on the basis of aluminum and magnesium compounds, is produced in the form of a suspension, the average price is 200 r.

Involves the walls of the stomach and has a general calming effect, adsorbs toxins, dulls pain.

The main side effect is phosphorus leaching from the body, therefore it is not recommended for long-term use.

Relief of heartburn occurs already in 10 minutes after reception, protective action of a preparation proceeds about 1 hour.

"Gastratsid" - a preparation based on magnesium and aluminum compounds, is available in the form of tablets, the average price is 150 r. It envelops the walls of the stomach and esophagus, reduces the overall acidity of the gastric juice.

"Gastricid" is often prescribed for gastritis, ulcer of the stomach and duodenum, as the drug is able to quickly and effectively remove pain.

"Maalox" - a preparation based on magnesium and aluminum compounds, is available in the form of tablets, suspensions and powder, the average price is 350 r.

Normalizes the acid-base balance, envelops the walls of the stomach, protects the mucous membrane. The drug is often prescribed for exacerbation of stomach and duodenum ulcers, it can be taken including children older than 6 years and pregnant women.

Non-absorbable antacids include "Fosfalugel", "Relzer", "Gastal", "Maalukol", "Altatsid", etc.

Many of these medicines have cheaper Russian counterparts, but when choosing cheapness in favor of quality, it is important to takePossible side effects and complications.

Antisecretory drugs

Antisecretory drugs are called that affect the receptors of the stomach and reduce the production of digestive juices, especially hydrochloric acid.

Unlike antacids, these medicines are not recommended for use without a doctor's prescription, although they can be purchased without a prescription.

There are antisecretory drugs for 7 to 10 hours, so they are recommended to be taken, as a rule, once a day.

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Helps from heartburn and stomach pain, especially with gastritis and ulcers, but are not considered to be quick-acting drugs.

Used in medicine for a long time, different generations of drugs differ in composition, side effects, efficacy and contraindications.

Admission of antisecretory drugs to children and pregnant women is contraindicated with some exceptions.

Selective m-holinolitiki

Drugs of this group are considered the least effective, but the safest.

Do not cause side effects from the central nervous system, block only the receptors of the stomach and do not interfere with the secretion of digestive juices in other organs.

Possess additional therapeutic effects: dilate the walls of the stomach vessels( promote the accelerated healing of ulcers) and improve the quality of the mucus( contribute to enhance the natural protection of the walls of the stomach).

Drugs of this group last up to 10 hours, providing a uniform and long-term therapeutic effect.

To selective m-holinolitikam refers to the drug "Gastrotsepin."The main advantages of this drug is the absence of side effects and the ability to accelerate the healing of ulcerative erosive defects, is on the list of effective remedies for heartburn and gastritis.

"Gastrotsepin" is considered safe for the treatment of children suffering from gastritis or stomach ulcers.

Similar properties have the drug "Riabal", which in addition has a soft laxative effect on the intestines.

"Riabal" is often prescribed to young children, because the medicine is safe enough and has a stable therapeutic effect, it stops pains in the stomach, does not disrupt the work of other organs of the gastrointestinal tract.

Blockers H2-histaminoreceptors

This is a group of highly effective drugs that reduce the secretion of gastric juice, including hydrochloric acid.

To date, this group of drugs are the most popular treatment for diseases such as gastric ulcer and gastritis, so most of the names are familiar to the consumer and are actively advertised on the market.

When choosing a medication for this group, it is especially important to follow the doctor's instructions, to keep the dosage and not to go to the trouble of the marketing specialists of pharmaceutical companies.

There are five generations of H2-receptor blockers:

• the first generation: "Cimetidine", "Tagamet", "Primamet", "Histodyl";
• second generation: Ranitidine, Zantak, Ranisan, Rantak, Acidex;
• the third generation: "Famotidine", "Ulfamid", "Kwamatel", "Gastrosidin";
• the fourth generation: "Nizatidine", "Aksid";
• fifth generation: Roxatidine.

Despite the fact that the first generation of H2-receptor blockers has been marketed as a panacea for stomach ulcers, these drugs are currently not being used because of the strongest side effects.

Once popular, "Cimetidine" quickly heals erosive and ulcerative lesions of the stomach, but after lifting it gives frequent relapses, and with prolonged admission provokes liver, kidney, disrupts the process of hematopoiesis, etc.

The second generation of these drugs is somewhat better, but also possessesQuite a wide range of side effects.

Zantac, for example, can cause dry mouth, vomiting, headache, tachycardia, stomach pain. His Russian counterpart, "Ranitidine", has no less list of possible complications.

With each successive generation, the number of side effects of H2-receptor blockers is reduced, including by increasing the efficacy of active components and reducing dosage.

However, it should not be forgotten that with prolonged use, all these drugs change the acid-base balance of the stomach, which leads to a significant change in microflora.

After the abolition of such drugs, acidity comes back to normal, and the stomach, unaccustomed to the normal pH balance, faces new difficulties.

Often there are relapses of peptic ulcer. Treatment of heartburn with such medications is possible only with serious gastrointestinal diseases. Use drugs of this group should be strictly on the advice and under the supervision of a doctor.

There is a third type of antisecretory medication that blocks the enzyme necessary for the secretion of hydrochloric acid.

The most common drugs of this group are "Omeprazole" and "Lopril".Even adults should take these medicines under the strict supervision of a doctor, they are categorically contraindicated for children.

Prokinetics from heartburn

Treatment of heartburn is possible and with the help of prokinetics - drugs that stimulate the motility of the gastrointestinal tract.

The therapeutic effect is achieved by reducing the number of refluxes, casting the contents of the stomach into the esophagus.

In Russian medicine, there is no clear list of prokinetics, so many drugs may also be included in the antiemetic or anti-eradication group.

The preparations of this group include Domperidon, Motilium, Peristil, Motionium, Perinorm, Passagex, Bimaral, Prosulpin, Fractal, etc.

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DespiteThe fact that most of these drugs can be purchased in a pharmacy without a prescription, use them yourself, especially in the presence of diseases of the gastrointestinal tract, is not recommended.

In this case, it's not just about possible side effects, but also in the active components of prokinetics, which must be selected in accordance with the disease.