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

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Farid Jalinous, MD
(219) 232-5928
837 Cedar St Ste 420
South Bend, IN
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1989
Hospital
Hospital: St Josephs Med Ctr, South Bend, In
Group Practice: Midwest Medical Group Llc

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Josephine Randazzo, DO
(574) 936-3600
PO Box 400
Plymouth, IN
Specialties
Cardiology
Gender
Female
Education
Medical School: Chicago Coll Of Osteo Med, Midwestern Univ, Chicago Il 60615
Graduation Year: 1990

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Tiffanie Rahman Johnson, MD
(317) 274-8906
Riley Research Rm 104 702 Barhnill Dr
Indianapolis, IN
Specialties
Cardiology
Gender
Female
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1997

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Thomas J Gibson
(765) 289-5006
4000 W Woodway Dr
Muncie, IN
Specialty
Cardiology, Internal Medicine

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Dr.ERIC SCHULTE
(219) 769-3678
7863 Broadway # 140
Merrillville, IN
Gender
M
Speciality
Cardiologist
RateMD Rating
1.0, out of 5 based on 1, reviews.

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Dr.Robert Fleming
(765) 983-3427
1100 Reid Pkwy # 210
Richmond, IN
Gender
M
Education
Medical School: In Univ Sch Of Med
Year of Graduation: 1985
Speciality
Cardiologist
General Information
Hospital: Reid Hosp &
Accepting New Patients: Yes
RateMD Rating
4.8, out of 5 based on 2, reviews.

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Adam Lawrence Greene, MD
(765) 646-8538
141 W 22nd St Ste 109
Anderson, IN
Specialties
Cardiology
Gender
Male
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1989

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Faizan Iftikhar, MD
(219) 769-3678
7863 Broadway
Merrillville, IN
Specialties
Cardiology
Gender
Male
Education
Medical School: Aga Khan Med Coll, Aga Khan Univ, Karachi, Pakistan
Graduation Year: 1990

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Daniel J Beckman
(317) 923-1787
1801 Senate Blvd
Indianapolis, IN
Specialty
Thoracic Surgery, Vascular Surgery, Cardiac Surgery

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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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