If your symptoms are moderate to severe, you likely need a proton pump inhibitor like omeprazole or esomeprazole, but if these symptoms persist, then it is recommended to consult with a doctor about your options. If your symptoms are mild but persistent, choose an H2-receptor antagonist like famotidine. “Those are great choices for people who have the occasional heartburn or upset stomach after spicy food or something, and they just need a quick reliever,” Dr. If your symptoms are mild and intermittent, opt for an over-the-counter that neutralizes the acid with with bismuth subsalicylate, calcium carbonate, or magnesium hydroxide. There are three main categories of OTC antacids, and which one you use may depend on the severity of your symptoms. What to Look for in OTC Antacids Active Ingredients An emergency physician from our Medical Expert Board also reviewed the contents of this article for medical accuracy surrounding antacids, their active ingredients, dosage, and side effects, and the best way to evaluate them. We researched dozens of antacids and evaluated them for active ingredients, price, dosing schedule, flavor, and symptoms treated. According to Matt Tompson, MD, a gastroenterologist with Houston Methodist, these are better for people with chronic acid reflux or chronic dyspepsia. Other common acid suppressors are H2 blockers and proton pump inhibitors-both of which work to reduce or prevent the stomach from producing as much acid, often with the active ingredient omperazole. When buying an antacid, look for active ingredients that reduce stomach acid, such as calcium carbonate. “When there is an overproduction of the acid, it can lead to stomach discomfort.” “The stomach normally produces hydrochloric acid to help digest food and kill bacteria or other organisms that may have been ingested along with the food,” Dr. These medications can decrease the amount of stomach acid you produce, says University of Missouri Health Care gastroenterologist Yezaz Ghouri, MD. It’s smart to have a reliable over-the-counter antacid on hand that can provide quick relief. When heartburn or acid indigestion strikes, you need something that settles your stomach ASAP, especially if you're experiencing pain or discomfort.
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