Heartburn Prevention Canon City CO

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.

David John Miller, MD
(303) 860-9933
1601 E 19th Ave Ste 5200
Denver, CO
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1988

Data Provided by:
Gira Morchi, MD
1056 E 19th Ave # B100
Denver, CO
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Michael Eugene Staab, MD
(303) 744-1065
2535 S Downing St Ste 130
Denver, CO
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1991
Hospital
Hospital: Swedish Med Ctr, Englewood, Co; Porter Adventist Hosp, Denver, Co
Group Practice: South Denver Cardiology Assoc

Data Provided by:
John Bradley Oldemeyer
(970) 221-1000
2121 E Harmony Rd
Fort Collins, CO
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Anna Bernus, MD
(303) 837-2595
1112 Saint Paul St
Denver, CO
Specialties
Cardiology
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Robert Rhoads Wolfe, MD
(303) 770-2069
6823 S Detroit Cir
Littleton, CO
Specialties
Cardiology
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1963

Data Provided by:
Bertron Martin Groves, MD
(303) 372-6044
4200 E Ninth Ave,
Denver, CO
Specialties
Cardiology
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1965

Data Provided by:
Richard J Sanders
(303) 388-6461
4545 E 9th Ave Ste 240
Denver, CO
Specialty
Thoracic Surgery, Vascular Surgery, Cardiac Surgery

Data Provided by:
James Bruce Chapman, MD
(303) 544-1200
5912 Brandywine Ct
Boulder, CO
Specialties
Cardiology
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1980

Data Provided by:
George Pappas, MD
(303) 761-6088
3595 E Long Rd
Littleton, CO
Specialties
Cardiology
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1959

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Spotlight on Heartburn

Provided by: 

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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