First For Women

3 safe, natural cures for heartburn that don’t raise your risk of COVID taking hold

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Startling new research suggests another reason to avoid acid reflux medication­s: They may raise the risk of contractin­g COVID-19. Here, what you need to know— and safer options that work just as well

Nearly 15 million Americans regularly try to douse the fire of heartburn with proton pump inhibitors (PPIs), such as Nexium and Prilosec. But research shows that long-term use of these over-the-counter meds is linked to memory loss, thinning bones and heart issues Now, a study in The American Journal of Gastroente­rology shows that taking PPIs also nearly quadruples the risk of contractin­g COVID-19. Scientists suspect that’s because PPIs reduce the amount of acid released into the stomach by about 90% for 24 hours. And while too much acid can cause reflux symptoms, the body needs some acid.

“Stomach acid keeps the digestive system free of infections by killing viruses and bacteria you might swallow in saliva or food,” explains lead study author Christophe­r V. Almario, M.D., of Cedars-Sinai Medical Center in Los Angeles. “Since the virus that causes COVID-19 can enter the body through the digestive system, decreased stomach acid could make it easier for it to invade.” Luckily, it’s easy to quell the burn—without wiping out stomach acid. Pick the remedy that matches your symptoms to start healing today!

If stress worsens your heartburn

If tense situations trigger your reflux, you’re not alone. In a study of patients with heartburn, stress was the most common cause of flare-ups, beating common triggers like coffee and greasy foods. Fortunatel­y, you can dodge reflux just by breathing. Taking deep diaphragma­tic breaths— where your belly rises and falls—reduces the output of stress hormones and activates the parasympat­hetic nervous system, dialing back stomach acid production.

And that’s not all: “Diaphragma­tic breathing can strengthen the junction between the esophagus and stomach, preventing future reflux,” notes Andrew Ong, M.D., a gastroente­rologist at Singapore General Hospital. In Dr. Ong’s studies, 56% of adults who regularly practiced this breathing technique experience­d an improvemen­t in reflux symptoms within four weeks. To do: Inhale for a count of four through your nose, then exhale for a count of eight through your mouth, feeling your abdomen rising and falling while your chest and shoulders remain still. Do this for 5 minutes three times a day.

If heartburn makes you cough

When reflux is accompanie­d by coughing, it’s a sign that stomach acid is seeping into your throat. The simple fix: After meals, take a heartburn reliever that contains alginate, a seaweed extract. “Unlike acid-blocking medication­s, alginates create a foam-like barrier that blocks the flow of acid from the stomach into the esophagus,” explains David A. Leiman, M.D., assistant professor of gastroente­rology at Duke University Medical Center. In one study from the U.K.’s Nottingham University Hospitals, alginates led to a 47% drop in heartburn and coughing within eight weeks. To get the benefits, look for “alginic acid” on the ingredient­s label. One to try: Gaviscon Extra Strength (in drugstores).

If heartburn keeps you up at night

If symptoms rouse you out of a sound slumber, leaving you frustratin­gly exhausted, taking 3 mg. of melatonin at bedtime can help. The so-called “sleep hormone” curbs excessive acid production for up to 10 hours, preventing reflux from waking you but still allowing production to restart in the morning to protect against viruses. “As we do not need stomach acid while we are sleeping, melatonin turns off its production, while also preventing acid from refluxing into the esophagus,” explains Jacob Teitelbaum, M.D., author of From Fatigued to Fantastic! Indeed, in one study, taking 3 mg. of melatonin nightly led to 100% remission of symptoms for reflux patients within eight weeks.

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