What are the main differences between Pepto-Bismol and Tums. How do these popular antacids work to relieve heartburn symptoms. Which medication is more effective for treating acid reflux and indigestion. What are the potential side effects and drug interactions to be aware of.

Understanding Pepto-Bismol and Tums: Key Differences and Similarities

Pepto-Bismol and Tums are two of the most widely used over-the-counter (OTC) medications for treating heartburn and indigestion. While both provide relief from stomach discomfort, they have distinct characteristics and mechanisms of action.

Pepto-Bismol: More Than Just an Antacid

Pepto-Bismol, known for its distinctive pink color, contains bismuth subsalicylate as its active ingredient. This compound offers a multifaceted approach to digestive relief:

• Antimicrobial effects against certain diarrhea-causing bacteria
• Antisecretory properties to combat fluid and electrolyte loss
• Anti-inflammatory action on the stomach and intestinal lining
• Antacid properties to neutralize stomach acid

These diverse effects make Pepto-Bismol suitable for treating a range of digestive issues, including heartburn, indigestion, and diarrhea.

Tums: A Targeted Antacid Solution

Tums, on the other hand, contains calcium carbonate as its primary active ingredient. Its main function is to act as a potent antacid by directly neutralizing stomach acid. When calcium carbonate reacts with stomach acid, it produces calcium chloride, carbon dioxide, and water. This reaction effectively reduces the acidity in the stomach, providing relief from heartburn and indigestion symptoms.

Conditions Treated: Comparing the Scope of Pepto-Bismol and Tums

While both medications are primarily known for their antacid properties, they differ in the range of conditions they can effectively treat.

Pepto-Bismol’s Versatility

Pepto-Bismol is FDA-approved for treating a variety of digestive issues:

• Heartburn
• Acid indigestion
• Traveler’s diarrhea
• Occasional diarrhea
• Peptic ulcer disease caused by Helicobacter pylori (when used in combination with antibiotics)

Its ability to address multiple digestive problems makes Pepto-Bismol a versatile option for those experiencing various gastrointestinal discomforts.

Tums’ Focused Approach

Tums is primarily labeled for treating:

• Heartburn
• Indigestion

While more limited in scope, Tums excels at quickly neutralizing stomach acid to relieve symptoms such as bloating and abdominal discomfort. Some versions of Tums also contain simethicone, which can help alleviate gas and flatulence associated with indigestion.

Efficacy: How Do Pepto-Bismol and Tums Compare in Effectiveness?

When it comes to treating heartburn and indigestion, both Pepto-Bismol and Tums have proven to be effective. However, their efficacy can vary depending on the specific condition and individual response.

Pepto-Bismol’s Broad-Spectrum Relief

Pepto-Bismol’s multifaceted approach makes it particularly effective for addressing multiple digestive issues simultaneously. Its antimicrobial and anti-inflammatory properties provide additional benefits beyond simple acid neutralization. This makes it especially useful for conditions like traveler’s diarrhea or H. pylori infections.

Tums’ Rapid Acid Neutralization

Tums is known for its fast-acting relief of heartburn symptoms. Compared to H2 blockers like Pepcid (famotidine) or Zantac (ranitidine), Tums works more quickly but for a shorter duration. When compared to other antacids like Alka-Seltzer (sodium bicarbonate) or Maalox (aluminum hydroxide/magnesium hydroxide), Tums has a slightly slower onset of action but may provide longer-lasting relief.

Cost and Coverage: Comparing Accessibility of Pepto-Bismol and Tums

As over-the-counter medications, both Pepto-Bismol and Tums are generally affordable and widely accessible. However, there are some considerations regarding cost and insurance coverage.

Insurance Coverage

Medicare and most insurance plans typically do not cover OTC medications like Pepto-Bismol and Tums. However, some health savings accounts (HSAs) or flexible spending accounts (FSAs) may allow the purchase of these medications with pre-tax dollars.

Cost Comparison

The cost of these medications can vary depending on the form (liquid, tablet, chewable) and quantity purchased. Generally, Tums tends to be slightly less expensive than Pepto-Bismol, but both are reasonably priced for most consumers. It’s worth noting that generic versions of both medications are available, which can offer additional cost savings.

Side Effects and Safety: What to Watch Out For

While both Pepto-Bismol and Tums are generally safe when used as directed, they can cause side effects in some individuals. Understanding these potential reactions is crucial for safe usage.

Pepto-Bismol Side Effects

Common side effects of Pepto-Bismol may include:

• Temporary darkening of the tongue or stools
• Constipation
• Nausea

In rare cases, more serious side effects like ringing in the ears or allergic reactions may occur. It’s important to note that Pepto-Bismol contains salicylates, which may increase the risk of Reye’s syndrome in children and teenagers.

Tums Side Effects

Tums generally has fewer side effects, but some users may experience:

• Gas or belching (due to the production of carbon dioxide)
• Constipation (especially with excessive use)
• Chalky taste in the mouth

Overuse of calcium carbonate antacids like Tums can potentially lead to hypercalcemia (excessive calcium in the blood) or milk-alkali syndrome, especially in individuals with kidney problems or those consuming large amounts of calcium-rich foods.

Drug Interactions: Important Considerations for Pepto-Bismol and Tums

Both Pepto-Bismol and Tums can interact with other medications, potentially affecting their efficacy or causing adverse effects. It’s crucial to be aware of these interactions and consult with a healthcare provider or pharmacist before combining these antacids with other drugs.

Pepto-Bismol Interactions

Pepto-Bismol may interact with:

• Blood thinners (e.g., warfarin)
• Diabetes medications
• Antibiotics (e.g., tetracyclines)
• Aspirin and other salicylates

The salicylate component in Pepto-Bismol can affect blood clotting and may increase the risk of bleeding when combined with anticoagulants. It may also interfere with the absorption of certain antibiotics.

Tums Interactions

Tums can potentially interact with:

• Thyroid medications
• Certain antibiotics (e.g., tetracyclines, fluoroquinolones)
• Iron supplements
• Heart medications (e.g., digoxin)

The calcium in Tums can affect the absorption of these medications, potentially reducing their effectiveness. It’s generally recommended to take Tums at least two hours apart from other medications to minimize potential interactions.

Special Warnings and Precautions

While Pepto-Bismol and Tums are available over-the-counter, there are important warnings and precautions to consider for safe use.

Pepto-Bismol Warnings

• Not recommended for children under 12 years old due to the risk of Reye’s syndrome
• Should be avoided by individuals with aspirin allergies or bleeding disorders
• May cause a temporary darkening of the tongue and stools
• Should not be used for more than two days without consulting a healthcare provider

Tums Warnings

• Should not be used as a calcium supplement
• Long-term use or excessive doses may lead to kidney problems or milk-alkali syndrome
• May interfere with the absorption of other medications if taken simultaneously
• Should not be used for more than two weeks without consulting a healthcare provider

It’s important to note that persistent or severe heartburn symptoms may indicate a more serious condition, such as gastroesophageal reflux disease (GERD). If symptoms persist or worsen despite using OTC antacids, it’s crucial to seek medical advice.

Choosing Between Pepto-Bismol and Tums: Factors to Consider

When deciding between Pepto-Bismol and Tums, several factors should be taken into account:

Symptoms and Conditions

If you’re primarily dealing with heartburn or indigestion, both medications can be effective. However, if you’re also experiencing diarrhea or suspect a bacterial cause for your digestive issues, Pepto-Bismol may be the better choice due to its antimicrobial properties.

Speed of Relief

Tums generally provides faster relief for heartburn symptoms, making it a good option for those seeking quick acid neutralization. Pepto-Bismol may take slightly longer to act but offers broader spectrum relief.

Duration of Action

While Tums acts quickly, its effects may wear off sooner than Pepto-Bismol. If you need longer-lasting relief, Pepto-Bismol might be preferable.

Form and Convenience

Tums is primarily available as chewable tablets, which some find more convenient. Pepto-Bismol offers more variety in forms, including liquid, regular tablets, and chewable tablets, allowing for greater flexibility in administration.

Individual Health Factors

Consider your overall health, any existing medical conditions, and other medications you’re taking. For example, if you have a history of bleeding disorders or are taking blood thinners, Tums might be a safer option than Pepto-Bismol.

Ultimately, the choice between Pepto-Bismol and Tums depends on individual needs, symptoms, and health considerations. For occasional, mild heartburn or indigestion, either medication can provide effective relief. However, for persistent or severe symptoms, it’s always best to consult with a healthcare provider to determine the most appropriate treatment approach.

Differences, similarities, and which is better for you

Drug overview & main differences | Conditions treated | Efficacy | Insurance coverage and cost comparison | Side effects | Drug interactions | Warnings | FAQ

Whether you’ve experienced mild indigestion or occasional heartburn, you’ve probably come across Pepto-Bismol and Tums at some point. These drugs are two of the most common over-the-counter (OTC) medicines for heartburn.

Both Pepto-Bismol and Tums have antacid effects, which help neutralize stomach acid. Too much stomach acid after eating spicy foods or large meals can sometimes cause a burning sensation or discomfort in the chest and upper abdominal region. Antacids can help relieve these symptoms.

What are the main differences between Pepto-Bismol and Tums?

Pepto-Bismol is the brand name for bismuth subsalicylate. Bismuth has antimicrobial effects against certain diarrhea-causing bacteria while subsalicylate has antisecretory effects against fluid and electrolyte loss. Bismuth subsalicylate also has anti-inflammatory actions on the stomach and intestinal lining. For these reasons, Pepto-Bismol can be used as an antacid or antidiarrheal agent.

Pepto-Bismol is notably found as an oral liquid. However, it also comes in regular tablets and chewable tablets. It’s important to note that, while most forms of Pepto-Bismol contain bismuth subsalicylate, Children’s Pepto-Bismol often contains calcium carbonate.

Tums is a brand name for calcium carbonate. It’s considered a potent antacid that directly neutralizes stomach acid. Calcium carbonate reacts with stomach acid to form calcium chloride, carbon dioxide, and water. Because of excess carbon dioxide production in the stomach, belching and gas (flatulence) are common side effects of Tums.

Unlike Pepto-Bismol, Tums is mainly found as a chewable tablet in regular-strength and extra-strength forms. Tums is typically used by those older than 12 years old, but children’s versions of Tums are also available. Some versions of Children’s Tums contains simethicone to help relieve gas.

RELATED: Pepto-Bismol details | Children’s Pepto-Bismol details | Tums details

Want the best price on Pepto-Bismol?

Sign up for Pepto-Bismol price alerts and find out when the price changes!

Get price alerts

Conditions treated by Pepto-Bismol and Tums

Pepto-Bismol is FDA approved to treat heartburn, a digestive problem that can also be a symptom of acid reflux and GERD (gastroesophageal reflux disease). Pepto-Bismol can treat acid indigestion, which includes symptoms like abdominal discomfort, bloating, and nausea. In addition, Pepto-Bismol can treat traveler’s diarrhea and occasional diarrhea, as well as peptic ulcer disease caused by Helicobacter pylori. When used for H. pylori, bismuth subsalicylate is taken with other antibiotics to treat the infection.

Tums is labeled to treat heartburn and indigestion. It helps neutralize and decrease the amount of acid in the stomach to relieve symptoms such as bloating and abdominal discomfort. Calcium carbonate is sometimes combined with simethicone to relieve symptoms of gas and flatulence associated with indigestion.

Because Pepto-Bismol can sometimes contain calcium carbonate—the same ingredient in Tums—it’s important to check the package labeling and ask your healthcare provider to make sure you’re taking the right product.

Is Pepto-Bismol or Tums more effective?

Currently, there are no comprehensive reviews directly comparing Pepto-Bismol and Tums. Studies have shown that bismuth subsalicylate and calcium carbonate are commonly used to treat indigestion because of their acid-reducing effects.

Compared with h3 blockers like Pepcid (famotidine) and Zantac (ranitidine), Tums works faster and relieves symptoms for a shorter period of time. Compared with other antacids like Alka-Seltzer (sodium bicarbonate) and Maalox (aluminum hydroxide/magnesium hydroxide), Tums has a slightly slower onset of action, but its effects may last longer.

Pepto-Bismol is more effective for other uses such as treating diarrhea and H. pylori infections. Bismuth subsalicylate has been shown to help heal peptic ulcers while fighting bacteria, especially when combined with antibiotics like metronidazole and clarithromycin.

Consult a healthcare provider for the best treatment option for occasional heartburn and indigestion. More serious cases of heartburn, such as acid reflux disease or GERD, may require other medications like proton pump inhibitors (PPIs). Drugs labeled as PPIs include Prevacid (lansoprazole) and Prilosec (omeprazole).

RELATED: Alka-Seltzer details

Want the best price on Tums?

Sign up for Tums price alerts and find out when the price changes!

Get price alerts

Coverage and cost comparison of Pepto-Bismol vs. Tums

Medicare and insurance plans rarely cover over-the-counter (OTC) medications like Pepto-Bismol and Tums. In cases where a prescription version of an OTC drug is available, insurance plans may decide to cover it.

Get the SingleCare coupon card

The average costs of Pepto-Bismol and Tums vary depending on which pharmacy you go to. However, these drugs are relatively inexpensive. Still, you may be able to save more with a SingleCare Pepto-Bismol coupon or SingleCare Tums coupon if prescribed by a doctor.

Common side effects of Pepto-Bismol vs. Tums

Pepto-Bismol can often cause a darkened color of the stool or tongue. This is because bismuth subsalicylate can react with small amounts of sulfur to create bismuth sulfide, a black substance. While darkened stool may be confused with bloody stool (a serious condition), this side effect is temporary and harmless. Some people also report mild constipation after taking Pepto-Bismol.

Side effects of Tums include belching and gas (flatulence). Tums may also cause constipation and dry mouth.

Rare but serious effects of Pepto-Bismol may include tinnitus or a constant ringing in the ear that could indicate hearing problems. Other serious side effects of Tums include symptoms of high calcium levels (hypercalcemia), such as weakness, bone pain, and fatigue.

^*not reported

This may not be a complete list of adverse effects that can occur. Please refer to your doctor or healthcare provider to learn more.

Source: NIH (Pepto-Bismol), NIH (Tums)

Drug interactions of Pepto-Bismol vs. Tums

Pepto-Bismol can interact with many of the same medications that aspirin interacts with. Bismuth subsalicylate can interact with warfarin and increase the risk of bleeding. When taken with anti-gout agents like probenecid, bismuth subsalicylate can decrease anti-gout effects. Pepto-Bismol can also decrease the absorption and effectiveness of tetracycline and quinolone antibiotics.

Tums can decrease the effects of tetracycline and quinolone antibiotics. Calcium cations can also bind with antifungals, like itraconazole, and decrease their absorption and effectiveness. Certain antibiotics, antifungal agents, and iron supplements should be avoided at least two hours before or after taking calcium carbonate.

Consult a healthcare professional for other possible drug interactions.

Warnings of Pepto-Bismol and Tums

Those who are sensitive to aspirin products should avoid taking Pepto-Bismol and other salicylate drugs. Otherwise, hypersensitivity reactions, such as rashes, are a potential adverse effect.

Pepto-Bismol should be avoided in children younger than 12 years old. Children who are recovering from chickenpox or influenza are at an increased risk of Reye’s syndrome after taking bismuth subsalicylate. In very rare cases, Pepto-Bismol can lead to neurotoxicity, especially in those with AIDS. Signs and symptoms of neurotoxicity may include tremors, confusion, or seizures.

Since Tums contains calcium carbonate, it should be avoided or monitored with other calcium-containing products. In severe cases, too much calcium can damage the kidneys, weaken bones, and affect the functions of the brain and heart.

Consult your healthcare provider for other precautions to be aware of while taking Pepto-Bismol or Tums.

Frequently asked questions about Pepto-Bismol vs.

Tums

What is Pepto-Bismol?

Pepto-Bismol is an over-the-counter drug that contains bismuth subsalicylate. It’s used to treat mild, infrequent heartburn, indigestion, and diarrhea. Bismuth subsalicylate is also approved to treat H. pylori infections when used along with other antibiotics. Pepto-Bismol is available in an oral suspension, oral tablet, and oral chewable tablet.

What is Tums?

Tums is the brand for calcium carbonate. It is used to treat occasional heartburn and indigestion. Tums is available in regular-strength and extra-strength chewable tablets.

Are Pepto-Bismol and Tums the same?

Pepto-Bismol and Tums are not the same. They contain different active ingredients and come in different formulations. However, some versions of Pepto-Bismol may contain calcium carbonate, the same active ingredient in Tums. Check the label of the drug before purchasing to make sure it contains the ingredients you’re looking for.

Is Pepto-Bismol or Tums better?

Pepto-Bismol and Tums are both effective drugs for treating occasional symptoms of heartburn or indigestion. They both work relatively quickly and work for a short duration. One may be preferred over the other depending on sugar contents and inactive ingredients, as well as whether it comes in a liquid or chewable tablet. Cost may also play a role in determining the best option.

Can I use Pepto-Bismol or Tums while pregnant?

Pepto-Bismol is not generally recommended for pregnant women due to a possible increased risk of bleeding. Tums may be taken occasionally for indigestion in recommended doses. However, it’s important for pregnant women to be aware of calcium intake since they may be taking other prenatal vitamins or supplements. Get medical advice from your healthcare provider if you’re experiencing heartburn or indigestion while pregnant.

Can I use Pepto-Bismol or Tums with alcohol?

Alcohol should be avoided while taking Pepto-Bismol or Tums. Alcohol may irritate the lining of the stomach or intestines and alter the overall effectiveness of antacids and antidiarrheal agents.

Is Tums good for an upset stomach?

Tums is an affordable, effective option for treating an upset stomach. Chewable Tums tablets start working within five minutes and can be taken as needed. Tums should only be used for mild, occasional heartburn and indigestion. If you’re needing to use Tums consistently for more than 14 days, consult a healthcare provider.

Is Pepto Bismol an antacid?

Pepto-Bismol has mild antacid effects to help relieve symptoms of heartburn and indigestion. It also works as an antidiarrheal agent that is commonly used to treat traveler’s diarrhea. Pepto-Bismol works by coating the lining of the digestive tract while preventing fluid and electrolyte loss.

Uses, types, side effects, and safety

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.

Medical News Today only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

• Evaluate ingredients and composition: Do they have the potential to cause harm?
• Fact-check all health claims: Do they align with the current body of scientific evidence?
• Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Pepto Bismol is an over-the-counter (OTC) antacid that may help control occasional symptoms of simple digestive issues, such as indigestion, heartburn, and diarrhea.

Pepto Bismol is an antacid. It is available in a variety of forms, including capsules and liquids, and comes in a range of strengths. Some people may experience specific side effects, such as very dark or black stool, after taking Pepto Bismol. However, these side effects are generally temporary and harmless.

The drug may also interact with other medications, such as anticoagulants, or blood thinners. A person should only use Pepto Bismol or similar products for a short period to treat occasional symptoms. Anyone dealing with chronic digestive symptoms should speak with their doctor.

This article provides an overview of Pepto Bismol, including its uses, risks, and instructions.

Share on PinterestA person can take Pepto Bismol to treat heartburn, nausea, and indigestion.

Bismuth subsalicylate is the main active ingredient in Pepto Bismol. It is an antacid medication that also works to lower inflammation in the digestive system.

As a study published in the journal Clinical and Experimental Gastroenterology notes, bismuth has antidiarrheal, antibacterial, and anti-inflammatory properties in the body.

These combined efforts may help with digestive symptoms such as:

• heartburn
• nausea
• indigestion
• upset stomach
• diarrhea
• feeling too full

In some cases, and always under a doctor’s guidance, people may use Pepto Bismol and other drugs to help treat infections caused by the bacteria H. pylori and symptoms that arise from them. Sometimes, a doctor may recommend it to treat symptoms of chronic digestive disorders.

Some people also find the antibacterial effects of Pepto Bismol useful when traveling to unfamiliar areas where the local bacteria may infect their digestive system and cause traveler’s diarrhea.

No one should self-diagnose an underlying issue and use Pepto Bismol to treat it. Anyone whose symptoms get worse or last more than 2 days should contact a doctor for a full diagnosis.

Pepto Bismol comes in various forms, including:

• oral liquid
• oral liquid capsules
• oral tablets
• chewable tablets

Each option contains various strengths and dosages of bismuth subsalicylate designed for specific symptoms and how fast a person needs relief.

A chewable tablet for symptoms in children is also available. However, the active ingredient in this product is calcium carbonate, not bismuth subsalicylate.

Share on PinterestPepto Bismol is available as chewable tablets.

Anyone taking Pepto Bismol to treat occasional digestive symptoms should follow the instructions on the label.

The original liquid Pepto Bismol includes a 30 milliliter (ml) cup, which is one dose, delivering 525 milligrams (mg) of bismuth subsalicylate. The Pepto Bismol website recommends taking:

• One 30 ml dose every 30 minutes as needed for stomach upset, nausea, heartburn, and indigestion
• One 30 ml dose every 30 minutes or two doses every hour for diarrhea or traveler’s diarrhea

It also warns not to take more than eight doses in 24 hours.

When using the original chewable tablets, one dose is two tablets. The recommended dose is:

• Two tablets every 30 minutes or four tablets every hour for diarrhea
• Two tablets every 30 minutes for stomach upset, nausea, heartburn, and indigestion

Similarly, do not take more than eight doses (16 tablets) in 24 hours.

Pepto Bismol Extra Strength is a more concentrated liquid but delivers the same amount of active ingredient per recommended dose — 525 mg of bismuth subsalicylate in 15 ml of liquid.

For children under the age of 12, use children’s versions of similar medications or talk to a doctor before using Pepto Bismol.

Do not take more Pepto Bismol than directed, even if symptoms do not clear up.

Anyone using Pepto Bismol or similar drugs to treat more serious issues, such as infection, must follow the specific instructions from their doctor.

Side effects from using bismuth subsalicylate are not common. The most common side effects are a very dark or black stool, and darkening on the tongue. This is a reaction to the bismuth and is temporary. The discoloration should go away when the person stops taking the product.

Most people do not experience any serious side effects. However, people who are allergic to salicylate, which is a chemical found in aspirin, may experience more severe side effects. Anyone who is allergic to these ingredients can talk to their doctor about alternatives to using Pepto Bismol.

In rare cases, a person may experience ringing in their ears or hearing loss. If this occurs, the person should stop taking the product immediately and contact a doctor.

An extreme reaction might result in internal bleeding in the stomach or intestines. Anyone experiencing symptoms such as severe cramps, bloody or dark, sticky stool, or vomit that looks similar to coffee grounds, should stop taking the drug and contact a doctor immediately.

Children or teens who are recovering from chickenpox or the flu should not take Pepto Bismol. Taking Pepto Bismol in these situations could cause Reye’s syndrome. Symptoms of Reye’s syndrome include changes in behavior, nausea, vomiting, and seizures. This is a rare reaction, but it can be a medical emergency.

There is little evidence that Pepto Bismol causes harmful side effects during pregnancy, though there is little research to say that it is safe either.

Similarly, it is unclear if bismuth subsalicylate passes through the breastmilk.

Pregnant or breastfeeding women should always consult a doctor before using Pepto Bismol or any medicine that contains bismuth subsalicylate.

Read more about Pepto Bismol during pregnancy and Pepto Bismol while breastfeeding.

There are several possible interactions when taking Pepto Bismol.

Most notably, Pepto Bismol may interact with blood-thinning medications. Anyone taking anticoagulant medication should contact their doctor or pharmacist before using Pepto Bismol.

The medication may act similarly to aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs) and so may compound their effect. Anyone taking aspirin and NSAIDs should talk to their doctor. It is also possible for the drug to interact with other medicines that people take to treat chronic conditions, such as gout or diabetes.

Anyone considering using Pepto Bismol for symptoms should tell their doctor or pharmacist about any medications they are taking before choosing Pepto Bismol.

Share on PinterestA person should talk to their doctor before taking Pepto Bismol if they have a history of bleeding disorders.

Anyone who has an active ulcer or bleeding problem should not use bismuth subsalicylate.

Anyone who is allergic to aspirin or other salicylates should talk to their doctor before using Pepto Bismol. Likewise, anyone who reacts to NSAIDs should also contact their doctor first.

People with a history of bleeding disorders should only use Pepto Bismol under the guidance of a doctor.

Anyone who has gout or diabetes should also contact their doctor before using the drug.

People may also have reactions to other inactive ingredients in the medication and should check all ingredients before using the product.

Pepto Bismol is generally safe when a person uses it correctly, but it is still possible to overdose. Signs of an overdose include:

• extreme dizziness
• ringing in ears
• partial deafness
• changes in breathing
• mental fog or confusion
• seizures

Anyone experiencing these symptoms should contact medical services or Poison Control on 1-800-222-1222. Anyone experiencing severe symptoms should contact emergency services.

Pepto Bismol is a name brand for a popular OTC drug, bismuth subsalicylate.

Pepto Bismol is just one type of antacid. There are many other types for people to choose between, which are available at drug stores and online.

Antacids are generally effective for treating mild forms of digestive upset and symptoms related to indigestion. Some people may experience a harmless reaction to the drug that causes their stool or tongue to become darker or turn black. This should go away as the person stops using the drug.

Pepto Bismol is only for temporary relief from symptoms. Anyone experiencing symptoms that get worse or last more than a couple of days should stop taking Pepto Bismol and see a doctor.

Exercise for hernia of the spine of the cervical, thoracic, lumbar. Exercise therapy for intervertebral hernia – Department of Vertebrology NCC No. 2 (Central Clinical Hospital RAS)

Important! Patients diagnosed with a spinal hernia should consult a specialist before starting sports in order to establish the cause of the pain and receive appropriate recommendations. Do not self-medicate!

Hernias differ according to the parts of the spine where they are located. There are hernias of the lumbar, thoracic and cervical spine.

In the conservative treatment of an intervertebral hernia, it is important to know the localization of the pathology in order to determine exactly which methods and to what extent should be used.

Therapeutic exercise for spinal hernia

The main task of therapeutic exercises is to make the muscular corset of the back strong. When choosing a complex of exercise therapy, you need to avoid excessive stress and discomfort, avoid jumping and pushing. You don’t have to put in a lot of effort. The load and amplitude need to be increased over time.

Intervertebral hernia most often appears between hyperactive vertebrae. In this regard, physical therapy has the following goals:

• strengthen the back muscles to overcome vertebral hypermobility;
• eliminate muscle spasm as a means of protecting the body from negative effects.

It is important to understand that the spasm will not go away on its own. Even if the pain goes away, tissue nutrition and posture will be changed.

For patients diagnosed with a herniated disc, light exercises are recommended to straighten and stretch it. They should be performed slowly to improve the nutrition of the joints and allow the muscles to warm up.

Spinal stretch

The exercise is performed by lying on an inclined plane, placing the upper part of the board on a table or window sill. Adjust the traction force by changing the angle of the board. A chair can be used as a support. When performing an exercise to stretch the spine, you should relax as much as possible, making sure that pain does not occur.

Plank exercise

With a herniated disc, this exercise is useful in providing a stable and stable position for the spine. After a week of classes, you can see the result. The technique for completing the task is simple, anyone can master it, starting with a few seconds and gradually increasing the execution time.

Ball exercises

Fitball exercises help strengthen the muscles of the back and legs, make the body flexible. Such exercises strengthen all muscle groups.

Gym training

In the gym, you can train with a herniated disc. The best exercise is hyperextension. If, with careful execution, pain does not occur, then you can include it in the usual complex for the development of the muscular system of the back.

Exercise should be under the supervision of an experienced trainer to avoid injury.

Strength training

With an intervertebral hernia, strength exercises can be performed, but some restrictions will have to be observed:

• minimize the load on the spinal column – after consultation with a doctor, training with dumbbells or with a barbell can be done while lying on a bench;
• pull-up on the horizontal bar;
• upper block press with a high back seat to eliminate axial twisting;
• exercise bike when the back is reclining;
• rowing machines contribute to the creation of a muscular corset with a minimum risk of squeezing the disc, classes on them are considered the most useful.
• it is necessary to ensure that the back is relaxed.

Pool exercises

Useful in water:

• walk with knees high and take long strides;
• do deep squats, holding on to the rails, with emphasis on each leg in turn;
• somersault in both directions;
• perform vertical turns to the sides;
• slide horizontally in a relaxed state with outstretched arms, pushing off the side.

After a month of training with an increase in load, you can move on to swimming.

A set of exercises for the back should be compiled by an experienced specialist, taking into account the necessary loads. Op man requires strict adherence to his recommendations.

An addition to physical therapy after hernia surgery is the use of prescribed medications, good sleep, healthy food and fresh air.

Only specialists can recommend exercises, and they should be performed under supervision. Any information on this topic in the press or in search engines is for informational purposes only, cannot replace specialist advice and can be used for hernia.

Do not self-medicate, consult a specialist!

How to get rid of the pain of herniated spine

Gimranov Rinat Fazylzhanovich
Neurologist, neurophysiologist, experience – 33 years;
Professor of Neurology, MD;
Clinic for Rehabilitation Neurology. About the author

Publication date: December 7, 2022

Sharp pain that occurs with every hand movement or step, an exhausting feeling of stiffness – these are signs of an inflamed vertebral hernia. If you do not take action in time, then unpleasant sensations will worsen life.

Contents of the article:

• 1 Symptoms
• 2 Causes of exacerbation
• 3 First aid
• 4 Medicines
• 5 Physiotherapy
• 6 Treatment physical gymnastics
• 7 Massage
• 8 Surgery
• 9 How to prevent pain
• 10 What not to do with a hernia
• 11 References:

Symptoms

90 002 Before thinking about what to do, what treatment and medicine apply with exacerbation of a hernia of the lumbar, you need to make sure that this is it. Look out for additional symptoms.

Symptoms in the lumbar region:

• Sharp pain when trying to move in the lumbar region. Especially painful are changes in the position of the body and attempts to lean in any direction.
• Soreness radiates to the lower limbs. Depending on the size of the tumor and its location, discomfort can be felt up to the lower leg.

• Feeling of goosebumps on the skin of the legs, slight numbness. Gradually it develops into limited mobility.
• Problems with the functioning of the urinary system.
• Changing the timing of the menstrual cycle and increased pain during menstruation.

Sometimes it is difficult for a person to stand and sit, rarely paralysis of the lower extremities can occur.

Hernia in the thoracic region:

1. Sharp, drawing pain in the area of ​​the ribs.
2. Peeling of the skin in this area.
3. Numbness and tingling in shoulders and arms.

In the cervical region:

1. No movement of the neck.
2. Muscle tension.
3. Headaches.

In a severe case, the arms stop raising, they become weaker, unable to perform work that depends on fine motor skills.

If symptoms and acute pain appear with a hernia of the lumbar or sacral spine, what to do, how and how to anesthetize the exacerbation, relieve pain in the lower back and back, which lumbar ointment to use, what treatment will be most effective for you, it is better to ask your doctor.

Causes of flare-ups

To find out which pain medications and pills can help with back pain in a herniated lumbar spine, it is important to understand what triggered the flare-up.

Etiology:

• Trauma.
• No movement.
• Vascular pathologies.
• Overweight.
• Carrying a child.
• Metabolic disorders.

• Regular physical labor, heavy lifting.
• The need to move quickly after a period of low mobility.

First aid

How to relieve pain in case of a hernia of the lumbar or any other part of the spine in the back, how to remove pain in the lower back – this is the only thought that worries a person. It is important to know the procedure so as not to harm a person, not to increase inflammation. [1]

Everyone who has such a diagnosis should know what to do and how to treat the lower back, how long it will take if the back hurts badly due to spinal hernia.

It is important to give first aid correctly:

• Lie down on a hard or medium soft surface.
• Drink an available analgesic.
• Take a muscle relaxant. Muscle spasm will be relieved.
• Use cold dressings. If drugs are not currently available, cool the site of pain. However, remove the ice after 10 minutes. People with liver disease, this technique is contraindicated.

If acute inflammation has already developed, there has been a pinching due to edema, the back hurts unbearably, then only a doctor should decide how to quickly relieve pain in the lower back, what to remove with a hernia of the lumbosacral spine.

Medications

In case of exacerbation of an intervertebral hernia in the lumbar region, the course of treatment, how to relieve pain, what to do to anesthetize, what painkillers to use, what drugs to remove an attack and inflammation in the back, depends on how much it already hurts intervertebral hernia. When measures are taken immediately when symptoms appear, then light remedies will help, and the attack will end in 2-3 days. If you decide to resort to the help of medicines after a few days, then the course of treatment is up to 2-3 weeks.

Specialists can choose a complex of medicines. Commonly used:

1. NSAIDs in tablet form and also as injections and ointments . Often you can use two types of the drug at once. They relieve pain and relieve inflammation. The most famous and affordable are Ketoprofen, Nimesil, Diclofenac. Aertal is another of the drugs that cope well with lower back pain on the right side due to spinal hernia. When applying, it is worth remembering the undesirable action. Do not take medications on your own, consider contraindications.

1. Muscle relaxants – relaxing preparations . Their job is to relax the muscles. The most popular are Mydocalm, Tizalud. It is extremely important to choose the right dosage, as using too many tablets will negatively affect the functioning of the heart.
2. Blockade is prescribed only after examination by a doctor . This is the introduction directly into the area of ​​\u200b\u200bthe oppressed nerve root of a strong anesthetic. The injection should only be performed by a professional. This method is used for very severe pain and works for quite a long time.
3. Chondroprotectors are used to prevent the appearance of new hernias. These drugs prevent the intervertebral disc from collapsing.
4. Corticosteroids are strong pain relievers and anti-inflammatory drugs. They are taken in short courses strictly according to the doctor’s prescription.

If the pain in the lower back with a hernia of the lumbar spine in the back has become severe and acute, then it is up to the doctor to decide how to relieve it, what to treat and what to do, such pain may require treatment with strong prescription drugs.

Physiotherapy

Treatment with physiotherapy begins after the pain syndrome of spinal hernia is relieved. Some of the effective procedures that allow you to quickly remove inflammation and not experience pain in the future are dangerous to use during pain attacks, so you should not use them without the consent of your doctor.

The most effective in the treatment of hernia inflammation are:

• Electrophoresis . With the help of electrical impulses, the medicine is delivered directly to the place of pain localization, acting much more effectively and with less likelihood of side effects.
• Magnetotherapy perfectly fights swelling and inflammation. Magnetic fields, constant or variable, affect the sore spot, significantly speeding up metabolism, improving blood flow, which will saturate the back with oxygen, substances and vitamins.
• Laser therapy . Exposure to a beam of laser beams allows you to warm it up well, which accelerates tissue regeneration. Because of this, the movement of blood is accelerated, which allows you to reduce inflammation.
• UHF . The whole body is affected by high-frequency magnetic waves. This allows you to significantly accelerate tissue regeneration, improve blood circulation and nerve conduction.

A full course of physiotherapy usually includes 10-15 sessions, during which the patient’s condition improves, and the chance of an early recurrence of an attack is reduced to almost zero, provided that the patient follows the advice.

Therapeutic gymnastics

A universal remedy that is prescribed to almost everyone who has faced the problem of hernia in the back – a course of exercise therapy.

Exercises are started only after the acute phase of the attack has completely passed. Performing most exercise therapy movements during a period of acute pain will only intensify them.

Exercise therapy is an excellent preventive tool available to everyone. However, to achieve the desired effect, regular exercises are needed.

At the first training sessions, the trainer must show how to correctly perform individual complexes. For the first time, each exercise of the complex is performed 3-4 times. In the future, the number may increase to 10, but it is impossible to go beyond this line of activity, since too much load can provoke the onset of a new attack.

Massage

There are special techniques that allow you to increase the distance between the vertebrae and start the regeneration process, significantly speeding up the recovery and speed of recovery of damaged nerve endings. Thanks to the hands of a specialist, the muscles relax, spasms disappear, and muscle tone improves.

Massage should only be performed by a specialist, because with an inept impact on the muscles and spine, you can not only not help, but also seriously harm. With special attention, it is necessary to approach the choice of a massage therapist if your hernia is sequestered, that is, it has moved from its original place. Also, before prescribing the procedure, the attending physician checks if the patient has any diseases that are contraindications for massages.

Surgical treatment

Anesthesia, even with strong drugs, for intervertebral hernia of the lumbar spine and pain in the leg does not always have the desired effect. In some cases, conservative medicine is powerless in trying to save the patient from suffering. In such cases, it is necessary to resort to surgical removal of the problematic neoplasm. [2]

The operation is prescribed in hopeless situations, such as:

1. No result.
2. Pain cannot be completely removed within 2-3 months. Such a long course of drug treatment is dangerous.
3. The person gradually loses the mobility of the limbs, there is a danger of paralysis.
4. Hernia too large.
5. Violation of the internal organs.

There are several types of surgery depending on the complexity of the case. The duration of the rehabilitation period depends on what kind of operation you will undergo. With minimal intervention, it will end in a few days, and with complete removal, recovery can take up to 2 months. [3]

How to prevent pain

Thinking about how to permanently get rid of pain in the case of a hernia of the lumbar spine in the back, improve the lower back, it is worth remembering that prevention is easier than cure. Once recovered from an attack, it is enough just to follow preventive methods so as not to repeat an unpleasant and painful experience.

The most effective ways to prevent pain:

• Avoid physical inactivity . Be sure to walk daily, exercise several times a week, giving preference to swimming. Strengthen your back muscles.
• Keep a close eye on your back . Beware of slouching not only when walking somewhere, but also when sitting at a table.
• Do not gain weight .
• Adjust your diet to eliminate junk food , but get all the necessary vitamins and minerals, pay special attention to B vitamins. If necessary, take special vitamin and mineral complexes.
• Drink the right amount of water, avoid dehydration . In this case, preference should be given to clean water.
• Get the right place to sleep . Buy an orthopedic mattress, a pillow that suits your height. This will allow you to have the most comfortable rest at night. Avoid too soft surfaces.
• Get the orthopedic corset and wear it when playing sports and in cases where you have to carry something heavy, strain your back.
• Pay special attention to back safety , choose shoes with non-slip soles.

In order not to look for the most effective, best, most powerful painkiller for spinal hernia and an attack of vertebral back pain, it is enough to follow the restrictions imposed by the doctor and follow the advice of professionals, changing your life. By maintaining health with preventive measures, you not only avoid attacks of pain, but also prevent the further development of degenerative diseases.

What not to do if you have a hernia

If you have already been diagnosed with a hernia, then you need to reconsider your habitual behavior for life, eliminating dangerous activities that can provoke a new attack of the disease. A list of what can not be done so that the hernia of the spine does not worsen is given by the doctor after the course of treatment. [4]

However, there are universal restrictions that apply to everyone with a similar diagnosis:

1. Move sharply . It is necessary to exclude any activity that implies the possibility of sudden or regular rapid movements. Including abandon sports, the main of which is a quick response to the opponent’s actions.
2. Perform dumbbell, barbell, spinal twist exercises . An additional load on an already deformed spinal column will instantly lead to an attack of pain. In addition, this can provoke the appearance of another hernia.
3. Lift any weight . The restriction applies not only to the gym, but also to ordinary life. It is worth giving up the habit of carrying heavy bags or moving massive objects forever.
4. Pull-ups and push-ups . Forcing the body to be in an unusual position, increasing the load on the back muscles, you put too much pressure on the spine, which can lead to an exacerbation of the disease.
5. Lean forward with legs straight . This position is not physiological and creates additional tension in the muscles of the back and spine.