Why Do I Still Have Heartburn?

" Many people prone to frequent heartburn routinely take medications to suppress acid production in the stomach. The drugs can be very effective but sometimes they don't provide full protection the result is called acid breakthrough."

" breakthrough occurs usually in a person who's taking some sort of -- suppression therapy. And in spite of that drug therapy they continue to have symptoms so it has to break -- is really simple. The breakthrough but since we believe the symptoms are caused by actively consider that to be -- breakthrough."

" There are different patterns of breakthrough depending on the type of acid suppression being used. Sometimes one type of drug called an H two blocker can be used to supplement another type known as proton pump inhibitors or PPI. This approach can be especially useful when the effects of a PPI begin to wear off."

" Episodes of -- that occur while patients on therapy. Sometimes. Differ depending on the drug give an example. Many times patients and on proton pump and others. We'll get good daytime symptom relief but they might be awakened at night heartburn and it has been learned through studies that. Taking another dose of the PPI that I'm really doesn't help that aren't much. And so that breakthrough that nighttime break through that occurs hunky guys is really best treated by giving the patient dose of an H two blocker."

" Sometimes heartburn sufferers have another solution."

" If it's something that's occurring in frequently. And it's something that wakes them up they can take an act after that that point in time treat the immediate and then the immediate episode and then -- lot. Other times and -- plus an H two blocker available in one pill does the job. The combination product would be also effective for treating an -- to break through because again and the -- portion is taking care of the immediate problem and the H two component of it is really looking at a little bit more of a long term not purple 24 hours. But getting you over that nighttime period that also would be an option."

" Doctors say self treatment for a breakthrough is common even after people have seen a doctor some data seems to suggest that -- the two thirds of patients who are taking a prescription. Acid blockers actually do take over the counter medications with them. I think that does surprise docket I think doctors tend to think that these drugs are really wonderful and really all the patients' symptoms. And while they are really good drugs and they do relieve a lot of the symptoms patients still have -- symptoms on drugs. Not all solutions to -- breakthrough involved using other drugs."

" Not a medical solutions to after the break through include. Not eating large fatty -- decreasing wait decreasing alcohol consumption and raising the head of the bed is probably one of the biggest things that's. Especially for that nocturnal I think breakthrough."

" In fact doctors and pharmacists say people experiencing breakthrough symptoms might do well to listen to their bodies rather than run first to the medicine cabinet. "

" Sometimes those symptoms are kind of like a little warning saints and maybe you really -- think more about your lifestyle. And maybe you ought not to be eating all this Hostin drinking all this red -- it may just simply be reminding them that there are the things other than drugs that can influence the frequency. And severity of that harper."