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A: Almost everyone occasionally experiences acid reflux, the backflow of acid from the stomach into the esophagus. It occurs when the muscular ring between the lower esophagus and upper stomach becomes weakened for reasons yet to be fully explained. When it’s frequent and severe, it’s called gastroesophageal reflux disease GERD, and you should see your doctor if you think you have it. The most common conventional treatment is medication. Antacids neutralize stomach acid, and H2 blockers prevent the production of stomach acid to some degree, providing short-term relief. Proton pump inhibitors PPIs are more effective because they’re potent suppressors of stomach acid production, but I urge you to avoid long-term use—especially if you are over age 50—because of the potential for side effects and heart disease. If you do take a PPI, ask your doctor if and when you can discontinue treatment.
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