Antacids are over-the-counter drugs that help manage symptoms of pain and discomfort caused by heartburn or acid reflux. Some of these brands — like Gelusil, Mylanta Extra Strength, and Maalox Advanced — may also contain simethicone to control gas. Stop taking antacids and contact your doctor if you've been using antacids for 2 weeks with no improvement in your symptoms.
If you're pregnant, take care to avoid antacids that contain sodium bicarbonate — like Alka-Seltzer — or are otherwise high in sodium. If you want a calcium-based antacid but are worried about gas, you may prefer Citrical calcium citrate because Tums calcium carbonate tends to cause gas. This weakens the LES so that it is easier for acid to back up from the stomach into the esophagus. Talk to your doctor if you think one of your medicines may be causing heartburn.
Never change or stop taking medicine without talking to your doctor first. You should treat heartburn because reflux can damage the lining of your esophagus. This can cause serious problems over time. Changing your habits can be helpful in preventing heartburn and other symptoms of GERD.
The following tips will help you avoid heartburn and other GERD symptoms. Talk to your doctor if you're still bothered by heartburn after trying these steps.
Heartburn is usually easy to diagnose from the symptoms you describe to your doctor. Sometimes, heartburn can be confused with another stomach problem called dyspepsia. If the diagnosis is unclear, you may be sent to a doctor called a gastroenterologist for more testing.
First, your doctor will do a physical examination and ask questions about your heartburn, such as:. While the risk of major bleeding is low, you need to be aware of potential problems. For example, you might have trouble stopping the bleeding from a cut on your hand or a nosebleed. More-serious bleeding may occur inside the body internal. Rarely, warfarin can cause the death of skin tissue necrosis. This complication occurs within a few days of starting warfarin treatment. Seek immediate medical care if you notice any sores, changes in skin color or temperature, or severe pain on your skin.
Some studies suggest that the risk of bleeding is generally higher in the first three months of warfarin treatment. Older adults are generally at greater risk of bleeding. Taking other blood-thinning medication also increases your risk.
Some people who take warfarin are at a higher risk of bleeding because their genetics make them more sensitive to the medication.
Your doctor may recommend a genetic test to determine the best dose for you. Like any other medication, warfarin can interact with certain foods, drugs, vitamins or herbal supplements. An interaction might lower the effectiveness of warfarin or increase your risk of bleeding. It's important to understand the role of vitamin K in warfarin treatment and a healthy diet. Warfarin works by disrupting the role of vitamin K in a complex series of molecular events that cause blood clotting.
But vitamin K is a nutrient essential for heart and bone health. Foods rich in vitamin K are green vegetables, including lettuce, spinach and broccoli. If you are taking warfarin, the amount of vitamin K in your diet may affect how well the medicine works. If you take warfarin, it's important to have a consistent amount of vitamin K in your diet.
Too little vitamin K can increase your risk of bleeding. Too much vitamin K can decrease warfarin's anti-clotting ability. Talk to your doctor about healthy choices you can make to get an adequate and consistent supply of vitamin K. If you miss a dose, take it as soon as you remember. If you don't remember until the next day, call your doctor for instructions. If your doctor isn't available, skip the missed dose and resume your normal dosing schedule.
Never take a double dose. If you follow your doctor's dosing instructions and tell all your health care providers that you take warfarin, you'll be at a much lower risk of dangerous interactions and side effects. Talk to your doctor, nurse or pharmacist if you have any concerns about warfarin. There is a problem with information submitted for this request.
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