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Hi there, I think I might have a infection. Can you help me?
10:04 AM
Dr. Puopolo
Of course. Let's go over your symptoms and find the right treatment for you.
10:05 AM
Prescription treatments are tailored to your specific condition, ensuring effective relief.
Urgent evaluation is crucial to identify your condition early and prevent complications.
Accurate testing, if needed, can confirm your diagnosis and guide the best course of treatment
Licensed providers can send prescriptions to your local pharmacy within an hour, day or night.
step 1
Book a telehealth appointment from wherever you are. No insurance necessary.
step 2
Meet with a board-certified doctor or nurse practitioner from your mobile device.
step 3
Get a prescription if needed (save up to 90%), and pick it up at your pharmacy.
Heartburn is a burning sensation in the chest that occurs when stomach acid flows back up into the esophagus, the tube connecting your mouth to your stomach. Many people confuse heartburn with a heart attack or other heart conditions. Heartburn is caused by stomach acid refluxing into the esophagus and produces a burning sensation behind the breastbone that often worsens after eating or when lying down, whereas a heart attack causes chest pressure, pain radiating to the arm or jaw, shortness of breath, and requires immediate emergency care.
Heartburn can cause uncomfortable symptoms such as a burning sensation in the chest or throat, sour or bitter taste in the mouth, difficulty swallowing, and symptoms that worsen after eating, bending over, or lying down.
Getting the right treatment plan for heartburn can help relieve symptoms, protect your esophagus from damage, and prevent complications like esophagitis or Barrett's esophagus.
With LifeMD, you can get immediate help and treatment online without an in-office appointment. Prescription medications can effectively control heartburn and help protect your esophagus from acid damag
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Total Cholesterol
37 mg/mL
In range
LDL (Low-Density Lipoprotein)
47 mg/mL
In range
Triglycerides
158 mg/mL
Above range
Esomeprazole is a proton pump inhibitor (PPI) that works by blocking the proton pumps in the stomach lining that produce acid, significantly reducing stomach acid levels. This provides relief from heartburn and allows any damage to the esophagus to heal. It's typically taken once daily, usually 30 minutes before a meal, and provides long-lasting acid control for 24 hours. Esomeprazole is highly effective for frequent heartburn and is often prescribed for four to eight weeks, though some people may need longer-term treatment.
Pantoprazole is a proton pump inhibitor that works by reducing stomach acid production through blocking the enzyme system responsible for secreting acid into the stomach. It provides effective relief from heartburn and helps heal erosive esophagitis caused by chronic acid reflux. It's typically taken once daily, preferably in the morning before eating, and can provide symptom relief within two to three days, though complete healing may take four to eight weeks. It's well-tolerated and can be used for both short-term and long-term management.
Famotidine is an H2 blocker that works by reducing stomach acid production through blocking histamine receptors in the stomach. While less potent than proton pump inhibitors, it provides effective relief for mild to moderate heartburn and works more quickly – often within an hour. It's typically taken once or twice daily, either before meals that trigger heartburn or at bedtime to prevent nighttime symptoms. It's a good option for people who need faster-acting relief or who prefer not to take PPIs long-term.
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While occasional heartburn can often be eliminated with lifestyle changes and proper treatment, whether you can completely get rid of chronic heartburn depends on the underlying cause. For heartburn triggered by diet, weight, or lifestyle factors, making changes like losing excess weight, avoiding trigger foods, eating smaller meals, not lying down after eating, and elevating the head of your bed can significantly reduce or eliminate symptoms.
However, if you have gastroesophageal reflux disease (GERD) or structural issues like a hiatal hernia, you may need ongoing medication or, in severe cases, surgical intervention to manage symptoms long-term. Some people can successfully stop medication after healing occurs and maintaining lifestyle changes, while others require continuous treatment to prevent symptoms and protect the esophagus from damage.
Online heartburn treatments typically involve a virtual consultation with a licensed healthcare provider. During the consultation, you can discuss your symptoms, describe how frequently heartburn occurs and what triggers it, provide your medical history, and explain what remedies you've already tried. Your provider will assess the severity of your heartburn and determine if prescription medications are needed.
You'll then receive a personalized treatment plan with medication recommendations and any necessary prescriptions. Your healthcare provider may also recommend dietary changes, lifestyle modifications, and strategies to reduce acid reflux and prevent future episodes.
It's important to be open and honest during your consultation to help your healthcare provider determine the best treatment approach. Be sure to provide your doctor with detailed information, such as:
• Your symptoms, including frequency, severity, and when they occur
• What foods or activities seem to trigger your heartburn
• Over-the-counter medications you've tried and whether they helped
• Whether you experience difficulty swallowing, chest pain, or vomiting
• Underlying health conditions, current medications, or any allergies
The more information you can provide, the better your doctor can assess whether you have occasional heartburn or a more serious condition like GERD, and develop an effective treatment plan tailored to your needs.
LifeMD offers online heartburn treatments and can provide you with the prescriptions you need. You can have these sent to your local pharmacy, where your medication will be prepared for pick-up.
When it comes to treating heartburn, the timeline depends on the type of medication used. Antacids provide immediate relief within minutes but are short-acting. H2 blockers like famotidine typically work within 30 minutes to an hour and provide relief for several hours. Proton pump inhibitors like omeprazole or esomeprazole may take one to four days to provide noticeable symptom relief, with maximum effectiveness reached after several days of consistent use. For healing damage to the esophagus, it typically takes four to eight weeks of treatment. Lifestyle modifications like dietary changes and elevating the head of your bed can also provide improvement within days to weeks. If symptoms don't improve after a week or two of treatment, or if they worsen, contact your healthcare provider for further evaluation.
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