Advice | Ask a Doctor: Why doesn’t anything work for my heartburn?

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Advice | Ask a Doctor: Why doesn’t anything work for my heartburn?
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Advice: When heartburn is difficult to treat, the issue could be how you’re taking your medication. But for many people, it’s a sign something else is going on.

When nothing seems to be working, it’s often a problem with how you are taking the medication. But it also could be that acid reflux is not the real issue.There is a lot of confusion and misuse regarding the terms associated with heartburn, despite its being a common ailment. These terms include acid and nonacid reflux, regurgitation, gastroesophageal reflux disease and non-erosive reflux disease .Your stomach naturally produces acid to break down food.

If you have typical heartburn symptoms — a burning sensation in the chest, usually after eating, that may be worse when lying down — that’s often enough for a physician to say you probably have a problem with acidic reflux. NERD is diagnosed in some patients with a normal upper endoscopy whose symptoms are still the result of acid reflux. To make that diagnosis, gastroenterologists can do a test called a

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