. Posted in GERD AND LPRD

H2-blockers are drugs that block the histamine receptors in the stomach to reduce acid secretion. The chemical histamine, the same substance released during an allergic reaction, stimulates certain cells in the stomach to produce acid. It does this by attaching, or binding, to a particular site on those cells - known as H,-receptors. An H^-antagonist, or blocker, works by binding to H,-receptors, and thus “blocks” the cells from producing acid.

Because H,,-blockers are used to reduce acid secretion in the stomach, they are not effective once you begin experiencing the symptoms of LPRD. To be effective, they must be taken regularly before meals. H,,- blockers cause relatively few side effects. The most common are diarrhea and other digestive disturbances, headache, dizziness, and tiredness, or hair loss with Tagamet (cimetidine) and sweating with Axid (nizatidine). One H2-blocker, Zantac (ranitidine, bismuth citrate), can cause the tongue to darken and stools to turn black. H9-blockers are often pre-

scribed in addition to PPIs. These medications come in OTC and prescription formulas. Some common H2-blockers are nizatidine (Axid), famotidine (Pepcid), cimetidine (Tagament), and ranitidine (Zantac).

Sinus Tips:
I frequently find that my patients with GERD/LPRD often feel relief from their symptoms after sinus surgery. However, if your reflux problem is severe, or the excess acid cannot be
PPIs are the newest and most effective medications used to treat GERD/LPRD. This class of medicines works by completely blocking the production of stomach acid. They do this by shu
Antacids are medications that work by neutralizing acid that is already in the stomach. Antacids usually contain calcium, aluminum, or magnesium. Antacids containing magnesium tend
If you have followed the GE Reflux Recommendations and still feel uncomfortable, you might want to consider medications, either OTC or prescription remedies. Because of the distinc
There are many lifestyle changes that you can make to control or prevent GERD/LPRD. I call this my gastroesophageal (GE) Reflux Recommendations. GE REFLUX RECOMMENDATIONS Do not sm
After your ENT doctor takes a detailed medical history, he or she will perform a head and neck examination with a focus on the nose and the throat. If your doctor thinks that you m
This initial hit of inflammation would probably lead you to believe that you had come down with a simple cold.