How is it diagnosed?
Heartburn is the main symptom of acid reflux that causes severe stomach ache. Tests are recommended when the symptoms are severe or if treatment does not cure the acid reflex. Tests may also be advised if you are over age 50, when symptoms first appear.
Endoscopy is the common test.
When the diagnosis is not definite, a test is take usually to examine the acidity inside the oesophagus.
If the symptoms are not usual then go for tests such as chest x-ray and heart tracings to rule out other possibilities.
What are the treatments options?
Antacids (Alkali Liquids or Tablets)
Take one dose of antacids that neutralizes the acid and gives quick relief. Using antacids for mild or regular bouts of heartburn ensures immediate relief.
Acid-suppressing medicines
Two groups of medicines are used histamine receptor blockers [H2 antagonists] and proton pump inhibitors [PPIs]. They reacted in distinct ways, but both lower the quantity of acid that you make in the stomach.
The treatment with acid-suppressing medicines varies depending on the persons age. You may be advised to take a course for a month or so. This often settle the symptoms and allow the oesophagus to heal.
Regular acid-suppressing treatment is always required for some people. Their symptoms return promptly, without medication. Long term treatment is considered to be safe but side effects are uncommon. The objective is to take the lower dose that prevents symptoms.
If reflux symptoms are unable to prevent by an acid-suppressing medicine. They serve as an indicator of a different condition.
Prokinetic medicines
This medicine vitalizes the passage of food through the stomach. It helps tremendously, when you have bloating or belching in addition to pain.
Surgery
This is an option has to be considered, when medicines fail to prevent symptoms. An operation aids tighten the lower oesophagus and defend acid leaking up from the stomach. This is usually done by keyhole surgery and has a good success rate. If the condition persists for a long time, there are chances of developing other problems that include:
Stricture. Stern and long standing inflammation causes narrowing of the lower oesophagus.
Cancer An increased risk of oesophagus cancer is suspected when you have recurrent and chronic reflux.