Antacids are often the first line in acid reflux treatment when lifestyle changes have not produced satisfactory relief of symptoms.

Antacids, when used as an acid reflux treatment, simply neutralise gastric acid in the stomach and by doing this, raise the pH level towards neutral. Pepsin activity stops when pH is 5 or higher. If given in sufficient quantities and maintained, antacids will reduce acid reflux symptoms. There is evidence, however, that antacids will not heal esophagitis. Usually when esophigitis is diagnosed, acid suppressant drugs will be prescribed..

Antacids are useful acid reflux treatment in mild reflux and can be continued if there is no evidence of esophagitis. If symptoms persists then you may need further investigations. Do not ignore your symptoms. If they are not going away check them out.

The antacids more commonly used are salts of magnesium and aluminium. Both groups are effective. Magnesium salts, however, can cause diarrhoea and aluminium can produce constipation. A mixture of the two can counteract each other.

These substances can have high concentration of sodium. If you are on a sodium restricted diet i.e. in heart disease, do not take these antacids. If in doubt ask your doctor.

Dr. Phil Hariram