Do you suffer from acid reflux or frequent heartburn? The burning sensation at the back of your throat or down by the breat bone can be quite painful. Most physicians will first recommend lifestyle modifications for treatment of acid reflux. Preventative measures are the preferred method of relief.
Lifestyle Modifications
* Avoid soft drinks that contain caffeine. Other foods to avoid are chocolate Authentic Eli Manning Jersey , peppermint, spicy foods, acidic foods like oranges, canned tomatoes Authentic Saquon Barkley Jersey , onions, cabbage, cauliflower, broccoli Authentic Odell Beckham Jr Jersey , Brussels and sprouts.
* Milk and milk-based products contain calcium and fat, so should be avoided before bedtime.
* Avoiding food for 2 hours before bedtime and not lying down after a meal are frequently recommended lifestyle modifications.
* Elevation to the head of the bed is the next-easiest to implement. Products are also available as seen on tv that will elevate the head of your bed through the use of an inflatable mattress lifter. This is an ideal low cost solution for relief from acid reflux.
You can also accomplish the correct elevation by placing cinder blocks as noted above or with other items: plastic or wooden bed risers which support bed posts or legs, a bed wedge pillow.
The height of the elevation is critical and must be within the range of 6 to 8 inches in order to be as effective as possible in hindering the backflow of gastric fluids. Elevating the bed is also known as “positional therapy”.
Drug treatments
A number of drugs are registered for the treatment of acid reflux, and they are among the most-often-prescribed forms of medication in most Western countries. They can be used in combination with other drugs Authentic Kyle Lauletta Jersey , although some antacids can impede the function of other medications.
* Antacids before meals or symptomatically after symptoms begin can increase the pH and reduce gastric acidity. Alginic acid may coat the mucosa as well as increase the pH and decrease reflux.
* Gastric H2 receptor blockers such as ranitidine or famotidine can reduce gastric secretion of acid. These drugs are technically antihistamines. They relieve complaints in about 50% of all acid reflux patients.
* Proton pump inhibitors such as omeprazole are the most effective in reducing gastric acid secretion, as they stop the secretion of acid at the source of acid production, i.e. the proton pump.
To maximize effectiveness of this medication the drug should be taken a half hour before meals. Prokinetics strengthen the lower esophageal sphincter and speed up gastric emptying. Cisapride, a member of this class Authentic Lorenzo Carter Jersey , was withdrawn from the market for causing Long QT syndrome.
If one implements pharmacologic therapy in combination with food avoidance before bedtime and elevation of the head of the bed over 95% of patients will have complete relief.
Surgical treatment
The standard surgical treatment, sometimes preferred over longtime use of medication, is the Nissen fundoplication. The upper part of the stomach is wrapped around the lower esophageal sphincter to strengthen the sphincter and prevent acid reflux and to repair a hiatal hernia. The procedure is often done laparoscopically.
An obsolete treatment is vagotomy, the surgical removal of vagus nerve branches that innervate the stomach lining. This treatment has been largely replaced by medication.
Disclaimer
The information presented here should not be interpreted as medical advice. If you or someone you know suffers from acid reflux Authentic B.J. Hill Jersey , please seek professional medical advice for the latest treatment options.
I am a medical author for a European pharmaceutical company. Read a lot more here Acid Reflux Surgery, Acid Reflux Disease
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CANBERRA, Oct. 29 (Xinhua) -- Australian rugby fans have expressed their disappointment at a decision by Rugby World Cup organizers to schedule the start of the final at unsociable times for southern hemisphere viewers.
The final, featuring both Australia and New Zealand Authentic Will Hernandez Jersey , is scheduled to begin at 4pm GMT on Saturday - or 3am Australian Eastern Daylight Time (AEDT) on Sunday morning - with organizers on Thursday citing ""operational reasons"" for the mid-afternoon start.
But Australian fans have taken their dismay to social media and beyond, with one upset fan creating an online petition to convince organizers to cater to the massive potential audience on the other side of the world.
The petition slams the start time, saying that as the two competing teams, fans in both New Zealand and Australia have been forgotten.
""The Wallabies are playing the All Blacks in the World Cup Final but the kick off will be at 3am AEDT Lawrence Taylor Jersey ,"" the Change.org petition reads.
""After weeks of little sleep with games in the middle of the night, it's only fair the governing body listen to the rugby global powerhouse of the southern hemisphere and push it back to a more suitable viewing time for fans of the competing teams.""
Australia's east coast is home to its three largest cities in Sydney, Melbourne and Brisbane, and all of those have a significant rugby union following.
Meanwhile All Blacks fans in New Zealand will have to wake up at 5am to see their team play Darian Thompson Jersey , while the match will begin at midnight for Australian fans on the west coast.
England Rugby has defended its decision, saying that due to the possibility of extra time, the length of the presentations and factoring in safe homeward journeys for fans attending the final, the game had to be scheduled with the UK in mind instead of catering to Australian and New Zealand supporters.
The Rugby World Cup final is to be played by Australia and New Zealand at Twickenham Stadium Wayne Gallman Jersey , in London.
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