Is Heartburn Keeping You Up?

" Hi and welcome to our webcam I'm doctor David mark heartburn Indian news at any time of the day. But for many people the greatest frustration happens at night. Not only can -- get in the way -- a good night sleep but going to that -- make your heart burned worse you know you're on medication. Joining me to talk about nighttime heartburn and what you can do about it -- Her as doctor Jim press and from the universe Connecticut welcome. And next to him is doctor Michael wall and he is from our university school not a welcome. How big a problem."

" That's more problem previously recognized. We used to think of heartburn is pretty only after meals and actually in these situations was more -- in the night and during the daytime. What does that it happened that caused that and well. -- and coming up into the esophagus breast and doesn't belong is what caused you pain. When one line down at night. One doesn't have gravity pulling out of back down in the stomach. Like if you're out front yeah this thing is when one is -- There's last swallow swallowing clears the esophagus Avastin and also a lot of that helps neutralize it. Clinton hasn't -- alignment by carbon side. And it's great expert and now we all think that Medicaid medication doesn't work very well part. And we probably think it helps us all the time. But it's okay that in 98 and you get it right. How how is that a common situation. The classic example of -- proton pump inhibitors that are wonderful medication most people actually do good by 91 pill today in the morning but the significant number of people who actually. We'll break through at night so called natural breakthrough in that'll occur right in the middle and I went and -- a sound sleep. Not only are there. But he's not a case is turning off the production. How is there at -- actually there to get --"

" Well in the case of easy proton pump inhibitors that Michael just mention to taken in the morning and their effect gradually does wear off. But Dan has -- sectors where not remember now that they in his retirement or the person -- And those factors I mentioned earlier to drive heartburn that you can't they're not operating necessarily during the day that. So what it."

" and it well there's several different. Different maneuvers one can take -- I staying up all night when they Obama won went -- We can actually sleep with the -- had a bit elevated on bricks are great for the patient but the person in the face and not too cool sometimes -- an -- are elevated like that there are certain wedge as one used to raising -- thorax is beheaded that would with the pillows rather from the waist up. Investing news take a medication if you weakened overnight the box since include taking -- that's. And -- were very quickly the problem in the early part of the personal wake up again because they are the recurrence. These two blocker can be taken. And they were eventually -- an -- rule passed before the first actual fall back asleep. Whether a third option is in combination of the two which would provide the quickly leave the antacids and sustained relief of the H two blocker. That in many ways an ideal medication to take. If one is going to experience unfortunate experience to break through thought heartburn in the -- it took her frequent symptoms would you suggest that attentively every night before going to the problem with that is that if we take it every night. And Haitian lockers at a high enough -- Who actually lose their effect we develop public tolerance to the medication they're best suited for taking on and on an intermittent basis."

" Should people try to -- certain period of time between. They're dinner and their -- time that help you indeed it does."

" Give yourself two hours at least if you've taken a very heavy or large needle even more. What about people like a meeting of drinking alcohol -- does that make the problem better or worse makes it worse than those of you thanks for the people. I -- who ought to be taken. The -- and essence this is a combination planned on taking it on that evening before the prior --"

" And smoking that no one another potential problem."

" an exact weight smoking causes problems. Not really clear -- itself or not not because there's many other problems in your harper one of them. Under certain. Food that people should important maybe you can immediately just to give that to our other people talk about my seat that's hot -- You -- or should people what it is largely -- that spicy foods. And cartoons. Cause heartburn they may cause discomfort -- and abdomen we call had a different conditions to discuss heartburn itself is. Commonly -- but I fatty foods. Citrus. Chocolat. -- cost a few others. The major auto lenders sleep late -- now there is some research comparing. Different medications. For nighttime. -- There's not only a difference for the medications -- pump inhibitors. There's certain individual preference -- from per person that they all cringed at the same way as far as lasting through the night. But the one break through it really. It's gonna vary on what one take out the medications now available combination of these two block grant that perhaps completely as we can study. And not seem -- prefer over. -- proton pump inhibitor that really needs a lot of sense and something like that on an as needed -- If one breaks through or mentioned if you don't even a breakthrough. In eastern blocker before you go to bed. Don't take the chance to thank you both for joining us and thank you for joining a webcast on doctor David Marks. --"