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My son, Michael, a lover of spicy cuisines, once accepted a taco-eating challenge in Orlando. After consuming 20-something street tacos complete with spicy salsa, he felt the aftermath, leading him to seek antacids.

But acid reflux doesn’t only affect food contestants.

In fact, approximately 20% of Americans suffer from gastroesophageal reflux disease (GERD), a more severe form of acid reflux. Symptoms vary from heartburn and regurgitation to dental erosion. A study also indicates that people with celiac disease may experience more GERD.

When choosing an acid reducer, consider both traditional and natural options. It’s important to understand each option’s mechanism and suitability to your condition and to speak to a practitioner in the know.

Here’s a brief overview of both types of treatments.

Traditional antacids

TUMS (Calcium Carbonate): Offers quick relief by neutralizing stomach acid, ideal for mild heartburn. People with kidney issues should use caution.

Zantac: Now contains famotidine, previously recalled as ranitidine.

Pepcid AC (Famotidine): Reduces acid production and is suitable for persistent symptoms. Requires caution for kidney problems.

Pepcid Complete: Combines Famotidine with calcium carbonate and magnesium hydroxide for immediate and long-lasting relief. Not for chronic GERD without medical advice.

Nexium (Esomeprazole): A proton-pump inhibitor (PPI) reducing acid production, designed for long-term treatment. However, long-term use risks magnesium deficiency and bone fractures.

Mylanta: Mixes antacids and alginic acid for quick relief and stomach protection. Caution for interactions with other medications.

Prilosec (Omeprazole): Another PPI for treating GERD and ulcers, suitable for chronic conditions. Long-term use can lead to vitamin B12 deficiency and kidney disease.

Protonix (Pantoprazole): A prescription drug effective for severe acid reflux and esophageal damage. Similar precautions as other PPIs.

Zegerid OTC (Omeprazole with Sodium Bicarbonate): Combines PPI with an antacid for immediate and sustained relief. Caution for those on a low-sodium diet.

Natural alternatives

Mastic gum: Anti-inflammatory and antibacterial, suitable for mild symptoms. You should avoid if allergic to tree sap.

Zinc carnosine: This is not the same supplement as chelated zinc, which is used to increase levels of zinc in the body. Zinc carnosine supports the gut lining and is ideal for GI problems and acid reflux.

Marshmallow root: Offers protective mucilage, ideal for gentle relief. Not recommended for diabetics or those on diuretics. I have a YouTube video of me making this infusion if you want to find it.

Aloe vera gel supplements: These can soothe the stomach lining and are ideal for gastrointestinal discomfort. Use juice prepared for internal use only and start with smaller amounts to gauge tolerability.

Apple cider vinegar: Balances
stomach acidity, suitable for mild symptoms. Must be diluted, not for ulcers or esophagitis.

The best thing to do, of course, is to avoid trigger foods like spicy tacos and citrus items. Eating smaller portions and avoiding heavy meals before exercise can also help.

For a longer version of this article, see my website, suzycohen.com.

This information is opinion only. It is not intended to treat, cure or diagnose your condition. Consult with your doctor before using any new drug or supplement.

Suzy Cohen is a registered pharmacist and author of The 24-Hour Pharmacist and Real Solutions from Head to Toe.