Silent reflux treatment may include certain lifestyle modifications. Your doctor may recommend any or all of the following:
- Restricting caffeine intake
- Eliminating carbonated beverages
- Quitting smoking
- Losing weight
- Avoiding alcohol
- Restricting foods that are fatty, fried, spicy, or include mint or chocolate
- Nothing to eat at least three hours before going to bed
- Elevating the head of the bed about 4 to 6 inches
- Avoiding restrictive clothing (things that are tight-fitting around the waist)
Your doctor may also recommend that you take one or more types of medicine to treat your symptoms, such as:
Proton pump inhibitors such as rabeprazole (AcipHex), dexlansoprazole (Dexilant, Kapidex), esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec) or omeprazole and sodium bicarbonate (Zegerid) to reduce gastric acid.
H2 blockers such as nizatidine (Axid), famotidine (Pepcid), cimetidine (Tagamet) or ranitidine (Zantac) to reduce gastric acid.
Prokinetic agents to increase the forward movement of the GI tract and increase the pressure of the lower esophageal sphincter. These medications are not as commonly used because they have been linked to adverse effects on heart rhythm and diarrhea.
In some cases, LPR symptoms may persist despite lifestyle changes and medications. In these instances, surgery may be recommended to tighten the lower esophageal sphincter.
Although LPR is an uncomfortable and potentially serious condition, with the right diagnosis it and treatment it is possible to keep symptoms under control and avoid complications. Call the DeKalb Medical Heartburn Solutions Center today at 404.501.RFLX to find out if silent reflux is affecting you.