Full compliance with the doctor’s recommendations for the treatment of various diseases does not always lead to the desired result. So, for example, there are situations when drugs prescribed for heartburn do not cope with their task, and the problem continues to bother. Why is this happening?

In the program “Live healthy!” Elena Malysheva with a gastroenterologist Igor Gorodokin talked about the nuances that are worth paying attention to. So, heartburn itself is a manifestation of gastroesophageal reflux disease. This pathology is the release of hydrochloric acid from the stomach into the esophagus. Normally, acid is produced in the stomach for digestion – the organ is reliably protected from its effect on the walls by the mucous membrane. To prevent acid from leaving the stomach, in the digestive system, when moving from the esophagus to the stomach, there is a special ring muscle – the sphincter, which works in both directions. Normally, it is closed and opens only when a lump of food passes through the esophagus into the stomach. This muscle should not give a reverse motion, the doctors emphasized. If, for some reason, the sphincter is weakened, acid can be thrown into the esophagus, causing it to burn, which is a symptom of reflux, known as heartburn. To correct the situation, special drugs are prescribed – hydrogen pump inhibitors, they are more often known under the names with the ending – prazol. The main task of such drugs is to reduce acidity. But there are situations when a person takes them, but does not feel the result – it both burned and burns in the chest.

Why don’t the pills work?

Doctors noted that if there is no result, you must first look at your diet, and then examine the first aid kit.

What foods interfere with drugs?

Elena Malysheva explained that there are foods that a person literally pours like salt on a wound on his burned esophagus. These do not cause reflux itself, but at the same time contribute to a burning sensation. These, Igor Gorodokin emphasized, include acidic foods – citrus fruits, tomato sauces (not fresh tomatoes, but sauces), red wine, products containing vinegar and marinade.

Another group of foods that counteract the effect of heartburn pills are those that cause reflux. This is caffeine and everything that contains it: coffee, tea, chocolate, energy drinks. Here it is necessary to select a replacement, the gastroenterologist noted. Herbal teas are suitable, for example, sea buckthorn, thyme, chamomile, tea and coffee without caffeine, chicory. The only exception is mint. So mint teas, mint candies, chewing gum, chocolate fall under the ban.

Among the prohibited foods are onions and garlic, which contain substances that relax the sphincter. Fried and fatty foods and foods will also have to be excluded, the doctors summed up.


Pills for other diseases can also interfere with the work of drugs for heartburn. For example, statins are drugs for the cardiovascular system. This is not to say that some should be abandoned in favor of others. You just need to spread them out over time. So, for example, take drugs for heartburn in the morning, half an hour before meals, and statins in the evening, before going to bed.

You should also be careful when combining antiarrhythmic drugs (those that improve the heartbeat) and heartburn remedies ending in -prazole. After all, antiarrhythmics lead to relaxation of the sphincter, and heartburn will torment constantly, even despite the treatment. And here, Elena Malysheva advised, you should consult with your doctor about replacing drugs.

In preparing the material, the following sources were used: Live healthy!