Heartburn Prevention Beaverton OR

Yet heartburn, while not as catastrophic as the dissolution of a family, can be pretty miserable. It hurts like crazy, robs you of sleep, and can be terrifying when mistaken for a heart attack (see “Heartburn or Heart Attack?” page 33). And it’s exacerbated by stress (as in, divorce). One version, gastroesophageal reflux disease, or GERD—the result of chronic, untreated heartburn—has even been linked to cancer.

Sandeep Garg, MD
(503) 692-0405
19260 SW 65th Ave
Tualatin, OR
Business
Pacific Heart Associates PC
Specialties
Cardiology

Data Provided by:
Franz C Aepfelbacher, MD
(503) 297-6234
680 SW Regency Ter
Portland, OR
Specialties
Cardiology
Gender
Male
Education
Medical School: Ludwig-Maximilians-Univ, Fak Med, Munchen, Germany (407-16 Pr 1/71)
Graduation Year: 1991

Data Provided by:
Kathy Ann Thigpen
(503) 216-1895
9205 Sw Barnes Rd
Portland, OR
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Carmelindo Siqueira
(503) 293-8491
9155 Sw Barnes Rd
Portland, OR
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Frederick C Lorish, MD, FACC
8300 SW Barnes Rd Apt 206
Portland, OR
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Foundation Natural Medicine Center
(503) 608-9160
3800 Southwest Cedar Hills Boulevard, Suite 200-D
Beaverton, OR
Services
Wellness Training, Weight Management, Supplements, Stress Management, Preventive Medicine, Nutrition, Herbal Medicine, Functional Medicine, Family Practice, Diabetes, Chiropractic, Cardiovascular Disease, Arthritis, Allergy
Membership Organizations
American Holistic Medical Association

Data Provided by:
Darren Randolph Jones
(503) 291-2123
9427 Sw Barnes Rd
Portland, OR
Specialty
Cardiology

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Aftab Ahmad, MD
(503) 297-1419
9155 SW Barnes Rd Ste 240
Portland, OR
Specialties
Cardiology
Gender
Male
Education
Medical School: Sn Med Coll, Agra Univ, Agra, Up, India
Graduation Year: 1963

Data Provided by:
Anthony Paul Furnary, MD
(503) 297-1419
9155 SW Barnes Rd Ste 240
Portland, OR
Specialties
Cardiology, Thoracic Surgery
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1984
Hospital
Hospital: White Mem Med Ctr, Los Angeles, Ca; Providence St Vincent Med Ctr, Portland, Or
Group Practice: Oregon Health & Science University Medical Group; Starr -Wood Cardiac Group

Data Provided by:
Bernard R Kliks, MD, FACC
(503) 643-3463
2225 SW Winchester Ave
Portland, OR
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

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Spotlight on Heartburn

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By Michael Castleman

When Sandy Bush, 35, of Canyon Country, California, went to see his doctor complaining of extreme heartburn, it seemed like the least of his problems. His wife had just left him for another man, and he was trying to help their two young children through a messy divorce.

Yet heartburn, while not as catastrophic as the dissolution of a family, can be pretty miserable. It hurts like crazy, robs you of sleep, and can be terrifying when mistaken for a heart attack (see “Heartburn or Heart Attack?” page 33). And it’s exacerbated by stress (as in, divorce). One version, gastroesophageal reflux disease, or GERD—the result of chronic, untreated heartburn—has even been linked to cancer.

This irksome condition has become epidemic: Half of all Americans experience the occasional bout, and 15 percent—that’s 43 million people—get it frequently enough to consult a doctor. In fact, heartburn is so common that the leading medications, Prilosec and other proton pump inhibitors (PPIs), are among the world’s most frequently prescribed drugs. The New York Times reported that last year, Prilosec (a.k.a. “the purple pill”) racked up U.S. sales of $4.6 billion—more than the profits for McDonald’s, Wendy’s, KFC, Taco Bell, and Pizza Hut combined.

PPIs do work better than other heartburn drugs, relieving symptoms in 90 percent of cases. But they have a troubling—and underpublicized—downside: They actually make heartburn worse after you stop taking them.

Here’s why: Heartburn happens when a ring of muscle that surrounds the base of the esophagus weakens or is overpowered by upward pressure from the abdomen, allowing acid to back up or “reflux” into the esophagus, explains Jana Nalbandian, an assistant professor of naturopathic medicine at Bastyr Center for Natural Health in Seattle. PPIs work by minimizing stomach acid, but they also increase gastrin, the enzyme that triggers acid production. Stop taking a PPI and you get “rebound hypersecretion,” which means that your stomach actually produces more acid than before. “PPIs are like a dam on a river,” says gastroenterologist Neil Stollman, an associate clinical professor of medicine at the University of California, San Francisco Medical Center. “The dam cuts the flow to a trickle. But remove the dam, and the river floods.” As a result, those who discontinue PPIs typically rush back to their doctors and beg for more; Stollman says his patients call Prilosec “purple crack.” To get off PPIs, users must wean themselves slowly over several weeks.

Fortunately, there’s another solution, one that targets prevention rather than controlling symptoms. Of course, it’s a bit more work because it requires a number of lifestyle changes rather than just popping a pill. “Heartburn prevention is a balancing act,” Nalbandian says.

Still, Sandy Bush decided to go this route after his doctor explained its many advantages. “He told me if I made some behaviorial changes, I could probably get better without m...

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