Acid reflux and heartburn are common and usually manageable with simple steps. Understanding triggers, choosing the right over the counter treatment and knowing when to speak to a doctor can shorten flare ups and prevent repeated discomfort. Below you will find practical options that work, how to use them safely and the warning signs that need medical review.
Acid reflux symptoms and common triggers
Typical symptoms include burning pain behind the breastbone, acid taste, and discomfort after meals or when lying down. Spicy meals, large portions, alcohol, caffeine and late eating are frequent triggers. Extra pressure on the stomach, for example tight belts or bending, can also worsen symptoms.
Keep a simple diary for a week. Note what you ate, timing, and symptom severity. Small changes like earlier dinners, smaller portions and raising the head of the bed can help many people.
Quick relief: antacids for heartburn
Antacids neutralise acid and give rapid relief. Options include brands such as Rennie. You can browse our antacids for choices that suit your symptoms.
Use the lowest effective dose. Antacids can affect absorption of some medicines. Leave a two hour gap from other tablets unless your doctor says otherwise.
Acid blockers: PPIs and when to consider a short course
For frequent heartburn, a short course of a proton pump inhibitor can settle inflammation. Options include Nexium Control or Emazole Control. Browse more choices in acid blockers.
Take one tablet daily in the morning before food for a limited course as per the label. If symptoms persist beyond the recommended period, or return quickly, arrange a doctor review to rule out other causes and to discuss long term options.
Lifestyle changes that reduce reflux
Eat smaller meals, allow two to three hours before lying down and reduce alcohol in the evening. Try limiting high fat or very spicy meals for a few weeks. If you smoke, seek support to stop. Extra pillows are less useful than raising the head end of the bed by a few centimetres.
When to see a doctor about heartburn
Arrange prompt review for swallowing difficulty, food getting stuck, weight loss without trying, vomiting blood, black stools or chest pain. People over 55 with new or worsening symptoms should seek advice. During pregnancy, ask about safe options at each stage.
Supports available in Ireland
FAQs
How long should I try a PPI for heartburn?
Most short courses run for two to four weeks. If symptoms persist or return quickly, arrange a doctor review.
Can I use antacids and a PPI together?
Yes for short term relief, but separate dosing. Leave a gap from other medicines to avoid interactions.
What foods commonly trigger reflux?
Large late meals, fatty or spicy dishes, alcohol, caffeine and chocolate are common triggers. Keeping a food diary helps identify your own pattern.
Need tailored advice on medicines, dosing or red flags? Ask a pharmacist and we will help you choose safely.