To get ourselves started, let’s start with a simple reassurance: there are some excellent drugs on the market that will treat even the most serious outbreak of heartburn. They are called proton pump inhibitors and they work by reducing the amount of stomach acid your body produces. The good news is there’s less acid to leak out of your stomach and cause the pain. The bad news is that, with less acid in your stomach, it takes longer to process the food. So put the drugs to one side for a moment and think about the problem. When food passes into the mouth and, after chewing, falls down towards the stomach, your body gets ready to break the food down into its chemical ingredients. The good stuff gets syphoned into the blood stream and sent off to where its going to do the most good. All the rest gets expelled from the body. The $64,000 question is how the stomach does the processing. It all starts with the acid, but mixed into it are a series of different enzymes to help break down the different types of food. Your body is a very clever machine and, left to its own devices, it produces just enough acid and enzymes to clear the stomach quickly.

If your body “likes” the food, it sends a pleasure message to the brain. This encourages you to remember what the body likes and to eat or drink more of it. Unfortunately, the body likes the food that puts on the unwanted pounds. That’s why you get a buzz when you eat or drink something sweet or savory. When food with a high-fat content arrives in the stomach, you feel good and the body orders more stomach acid to break it down. If there was only a small amount of food, it would quickly fall down the esophagus and the extra acid would stay in the stomach. But if you are eating a lot, the sphincter separating the esophagus from the stomach is kept open to keep the food on the move. The food pushes the acid out of the stomach. Worse, if you don’t sit up straight, the acid can also run into the esophagus. Either way, that burning pain starts. Lying down immediately after a big meal is asking for pain.

So eat less and avoid food with a high-fat content. Indeed, all processed food is potentially bad news. Read through all the diet advice from reliable sources like the Mayo Clinic. It’s actually very simple. Keep with lean meat like chicken and turkey. Fish is equally good. Add plenty of vegetables and fresh fruit. Whole grains and low-fat diary products complete the package. It’s even better if you do a little exercise. You will feel better in yourself and your stomach’s performance will improve. Heartburn will be a forgotten problem without you having to buy and rely on Nexium. This is not to deny the excellence of the drug. It’s consistently been shown the best of the proton pump inhibitors. But, no matter how good Nexium, it’s always better to solve a medical problem the natural way – particularly if it also saves the cost of having to buy the drugs.