Heartburn Prevention Logansport IN

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.

Mark D Crowley
(574) 753-1302
1101 Michigan Ave
Logansport, IN
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Mohammad Nabi Sharif, MD
(765) 664-1201
1614 N Baldwin Ave
Marion, IN
Specialties
Cardiology
Gender
Male
Education
Medical School: Khyber Med Coll, Univ Of Peshawar, Peshawar, Pakistan
Graduation Year: 1983

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Bahram Sepehri, MD
(812) 945-2229
1425 State St Ste 100
New Albany, IN
Specialties
Pediatrics, Pediatric Cardiology
Gender
Male
Languages
Persian (Farsi)
Education
Medical School: Shiraz Univ Of Med Sci, Shiraz, Iran
Graduation Year: 1973
Hospital
Hospital: Clark Mem Hosp, Jeffersonvlle, In; Floyd Mem Hosp And Health Serv, New Albany, In; Kosair Childrens Hosp, Louisville, Ky
Group Practice: Pediatric Associates

Data Provided by:
Xinqiang Han
(765) 983-3000
1401 Chester Blvd
Richmond, IN
Specialty
Cardiology

Data Provided by:
Pradip D Patel, MD
(812) 238-8880
3666 S 4th St
Terre Haute, IN
Specialties
Cardiology, Internal Medicine
Gender
Male
Languages
Hindi, Gujarati
Education
Medical School: Bj Med Coll, Gujarat Univ, Ahmedabad, Gujarat, India
Graduation Year: 1980
Hospital
Hospital: Terre Haute Reg Hosp, Terre Haute, In; Clay County Hosp, Brazil, In; Sullivan County Comm Hosp, Sullivan, In
Group Practice: Medical Rehabilitation-Union

Data Provided by:
Karen L Mahakian
(317) 924-5444
1801 N Senate Blvd
Indianapolis, IN
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
King G Yee
(317) 338-6666
10590 N Meridian St
Indianapolis, IN
Specialty
Cardiology, Internal Medicine, Cardiovascular Disease

Data Provided by:
Jay D Schlaifer
(765) 428-2500
1116 N 16th St
Lafayette, IN
Specialty
Cardiology

Data Provided by:
Joseph M Pyles
(317) 773-7711
17525 River Rd
Noblesville, IN
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Sriram Seshadri Nathan, MD
(317) 281-2000
1399 N Baldwin Ave
Marion, IN
Specialties
Cardiology
Gender
Male
Education
Medical School: Gov'T Med Coll, Marathwada Univ, Aurangabad, Maharashtra, India
Graduation Year: 1993

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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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