Many people use indigestion medicines, usually just occasionally but sometimes more regularly. The same medicines can be used to treat more serious medical conditions such as stomach ulcers or acid reflux. If you need to use indigestion medicines regularly it's very important to see a doctor to get it checked out in case it is caused by an underlying condition that needs further investigations and treatment.
Dyspepsia (indigestion) is used to describe pain and sometimes other symptoms which come from your upper gut (the stomach, oesophagus or duodenum). The symptoms of indigestion often occur soon after eating.
Most people have indigestion from time to time but it doesn't last long and doesn't cause any problems. Some people can have frequent or severe bouts of indigestion and it's very important to see a doctor to get it checked out and receive the right treatment. See also the separate leaflet called Indigestion (Dyspepsia).
When acid from the stomach leaks up into the gullet (oesophagus), the condition is known as acid reflux. This may cause heartburn and other symptoms. See also the separate leaflet called Acid Reflux and Oesophagitis.
What are indigestion medicines?
Indigestion medicines can be used to relieve the symptoms of indigestion such as discomfort in your upper tummy (abdomen) or chest. There are three main types of medicine for indigestion: (see the links for more information about each type of indigestion medicine). These are:
Antacids usually contain either aluminium or magnesium compounds. They work by reducing the acidity in your stomach. They are often combined with other substances such as alginates, which form a protective layer that floats on the surface of your stomach contents. This helps prevent acid going back up into your gullet (oesophagus) - the tube that connects your mouth to your stomach - and so protects against acid reflux and oesophagitis.
These medicines work by reducing the amount of acid made in your stomach. By reducing the acidity in your stomach they can be used to treat indigestion, acid reflux, stomach (gastric) ulcers and duodenal ulcers.
Proton pump inhibitors
These medicines also reduce the amount of acid made in your stomach. They are also used to treat indigestion and acid reflux, and stomach and duodenal ulcers. Proton pump inhibitors are very effective at reducing stomach acid and are particularly effective at treating acid reflux and gastro-oesophageal reflux disease (GORD).
What side-effects can indigestion medicines cause?
Indigestion medicines are usually effective and don't cause any side-effects. The following describes some of the more common side-effects but always read the information provided with the medicine. If you have any doubts or concerns then get advice from your pharmacist, nurse or doctor.
Antacids that contain magnesium tend to act as a laxative and may cause diarrhoea. Antacids that contain aluminium have the opposite effect and may cause constipation.
Many antacids contain both aluminium and magnesium compounds so that there is a neutral effect on your bowels. Antacids that contain magnesium carbonate may release carbon dioxide gas in your gut (bowel) and this can cause belching.
The most common side-effects of H2 blockers can include:
- Tummy (abdominal) pain
- Feeling sick (nausea)
Proton pump inhibitors
The most common side-effects of proton pump inhibitors include:
- Stomach upset - for example, feeling sick (nausea), stomach ache, or wind (flatulence); tummy pain, and being sick (vomiting).
What else can you do for indigestion?
Apart from taking an indigestion medicine, there are many things you can do to help, such as:
- Lose weight if you are overweight.
- Don't smoke.
- Reduce or stop drinking alcohol.
- Avoid foods that can make indigestion worse, such as fatty foods or spicy foods.
If you have heartburn reflux, it may help if you:
- Try to eat smaller meals more frequently rather than larger meals.
- Avoid eating for the few hours before you go to bed.
- Raise the head of your bed.
When should you see a doctor?
You should see a doctor if you continue to have indigestion symptoms despite a few weeks of using an indigestion medicine. You should always see a doctor if you have any of the following:
- Difficulty swallowing (feeling food getting stuck or feeling a lump in your throat).
- Losing weight without dieting.
- Having a lot of pain in your stomach (abdomen).
- Being sick (vomiting), especially if there is any blood in the vomit.
- If you’re over 55 and get frequent bouts of indigestion.
Indigestion and acid reflux are common in pregnancy. It usually helps to reduce the symptoms if you:
- Eat smaller meals more often.
- Avoid foods and drinks that might make your indigestion worse.
- Try not to eat within a few hours of going to bed.
Further reading and references
Corsetti M, Fox M; The management of functional dyspepsia in clinical practice: what lessons can be learnt from recent literature? F1000Res. 2017 Sep 286:1778. doi: 10.12688/f1000research.12089.1. eCollection 2017.
Dore MP, Pes GM, Bassotti G, et al; Dyspepsia: When and How to Test for Helicobacter pylori Infection. Gastroenterol Res Pract. 20162016:8463614. doi: 10.1155/2016/8463614. Epub 2016 Apr 28.
Dyspepsia - proven GORD; NICE CKS, April 2017 (UK access only)
Dyspepsia - pregnancy-associated; NICE CKS, April 2017 (UK access only)
Dyspepsia - proven functional; NICE CKS, September 2017 (UK access only)