What are the common causes of indigestion? What treatments can provide immediate relief for indigestion symptoms? How can diet and lifestyle changes help manage indigestion? Get answers to these and other key questions about managing indigestion.

Understanding Indigestion: Causes and Symptoms

Indigestion, also known as dyspepsia, is a common digestive issue that can cause discomfort, disruptive symptoms, and impact your quality of life. It is typically characterized by a feeling of fullness, bloating, discomfort, or pain in the upper abdomen. Indigestion can have a variety of underlying causes, including:

• Gastro-oesophageal reflux disease (GERD): When stomach acid backs up into the esophagus, causing irritation and discomfort.
• Stomach ulcers: Sores that develop on the lining of the stomach or small intestine.
• Gallbladder issues: Problems with the gallbladder, such as gallstones, can lead to indigestion.
• Certain medications: Some medications, such as aspirin and ibuprofen, can contribute to indigestion.
• Lifestyle factors: Factors like being overweight, smoking, and consuming spicy, fatty, or acidic foods can trigger indigestion.

Immediate Indigestion Relief: Antacids and Alginates

If you are experiencing acute or recurring indigestion, there are several over-the-counter options that can provide quick relief:

Antacids

Antacids are a type of medication that can neutralize stomach acid, providing relief from mild to moderate indigestion symptoms. They are available in tablet or liquid form and can be purchased without a prescription. When should you take antacids? The best times are typically after meals or before bedtime, as they work best when there is acid present in the stomach.

Alginates

Some antacids also contain a medication called an alginate, which helps address indigestion caused by acid reflux. Alginates form a protective foam barrier on top of the stomach contents, preventing stomach acid from backing up into the esophagus.

Dietary and Lifestyle Modifications for Indigestion Management

In addition to medication, making certain dietary and lifestyle changes can also help manage indigestion symptoms:

Weight Management

Being overweight or obese can increase the pressure on the stomach, making it easier for acid to reflux into the esophagus. Losing weight through a balanced diet and regular exercise can help alleviate indigestion.

Dietary Adjustments

Certain foods and beverages can trigger or worsen indigestion symptoms. Avoiding or limiting the consumption of spicy, fried, or fatty foods, as well as caffeine and alcohol, can help reduce indigestion.

Timing of Meals

Eating large meals, especially right before bedtime, can increase the risk of acid reflux and worsen indigestion. It’s recommended to avoid eating for 3-4 hours before going to bed and to prop your head and shoulders up while sleeping to prevent stomach acid from flowing back into the esophagus.

Addressing Underlying Health Conditions

If your indigestion is persistent or severe, it may be related to an underlying health condition, such as GERD or a stomach ulcer. In these cases, your healthcare provider may recommend additional diagnostic tests and prescribe specific treatments to address the root cause of your indigestion.

Treating GERD

For individuals with GERD, treatment may include prescription-strength antacids, H2 blockers, or proton pump inhibitors to reduce stomach acid production and prevent reflux.

Treating Stomach Ulcers

Stomach ulcers are typically treated with a combination of antibiotics and acid-reducing medications to help heal the ulcer and prevent further damage to the stomach lining.

Stress Management and Indigestion

Stress and anxiety can also contribute to indigestion symptoms. Practicing relaxation techniques, such as deep breathing, meditation, or yoga, can help alleviate the impact of stress on the digestive system.

Reviewing Medication Interactions

Certain medications, such as aspirin and ibuprofen, can increase the risk of indigestion. If you suspect your current medications are contributing to your indigestion, consult with your pharmacist or healthcare provider to explore alternative options or adjustments to your medication regimen.

Seeking Professional Guidance

If your indigestion persists or worsens despite trying self-management strategies, it’s important to consult with your healthcare provider. They can perform a comprehensive evaluation, identify the underlying cause, and develop a personalized treatment plan to effectively manage your indigestion and improve your overall digestive health.

Indigestion – Illnesses & conditions

Treatment for indigestion (dyspepsia) will vary, depending on what is causing it and how severe your symptoms are.

If you have been diagnosed with an underlying health condition, you may want to read our information on:

• treating gastro-oesophageal reflux disease (GORD)
• treating a stomach ulcer

Diet and lifestyle changes

If you only have indigestion occasionally, you may not need to see your pharmacist or GP for treatment. It may be possible to ease your symptoms by making a few simple changes to your diet and lifestyle, summarised below.

Healthy weight

Being overweight puts more pressure on your stomach, making it easier for stomach acid to be pushed back up into your gullet (oesophagus). This is known as acid reflux, and is one of the most common causes of indigestion.

If you are overweight or obese, it is important to lose weight safely and steadily through regular exercise and by eating a healthy, balanced diet. Read advice on losing weight.

Stop smoking

If you smoke, the chemicals you inhale in cigarette smoke may contribute to your indigestion. These chemicals can cause the ring of muscle that separates your oesophagus from your stomach to relax, causing acid reflux.

Read more about quitting smoking, or speak to your GP or pharmacist. You can also call the Quit Your Way Scotland service on 0800 84 84 84 (8.00am to 10.00pm, every day).

Diet and alcohol

Make a note of any particular food or drink that seems to make your indigestion worse, and avoid these if possible. This may mean:

• eating less rich, spicy and fatty foods
• cutting down on drinks that contain caffeine – such as tea, coffee and cola
• avoiding or cutting down on alcohol

At bedtime

If you tend to experience indigestion symptoms at night, avoid eating for three to four hours before you go to bed. Going to bed with a full stomach means there is an increased risk that acid in your stomach will be forced up into your oesophagus while you are lying down.

When you go to bed, use a couple of pillows to prop your head and shoulders up or, ideally, raise the head of your bed by a few inches by putting something underneath the mattress. The slight slope that is created should help to prevent stomach acid moving up into your oesophagus while you are asleep.

Stress or anxiety

If you regularly experience feelings of stress or anxiety, this can contribute to symptoms of indigestion.

Read some relaxation tips to relieve stress.

Changing current medication

Your pharmacist may recommend making changes to your current medication if they think it could be contributing to your indigestion.

As long as it is safe to do so, you may need to stop taking certain medications, such as aspirin or ibuprofen. Where required, your pharmacist may advise you see your GP to prescribe an alternative medication that will not cause indigestion. However, never stop taking any medication without consulting your pharmacist or GP first.

Immediate indigestion relief

If you have indigestion that requires immediate relief, your pharmacist can advise you about the best way to treat this. As well as lifestyle changes and reviewing your current medication, your GP may prescribe or recommend:

• antacid medicines
• alginates

These are described in more detail below.

Antacids

Antacids are a type of medicine that can provide immediate relief for mild to moderate symptoms of indigestion. They work by neutralising the acid in your stomach (making it less acidic), so that it no longer irritates the lining of your digestive system.

Antacids are available in tablet and liquid form. You can buy them over the counter from most pharmacies without a prescription.

The effect of an antacid only lasts for a few hours at a time, so you may need to take more than one dose. Always follow the instructions on the packet to ensure you do not take too much.

It is best to take antacids when you are expecting symptoms of indigestion, or when they start to occur, such as:

• after meals
• at bedtime

This is because antacids stay in your stomach for longer at these times and have more time to work. For example, if you take an antacid at the same time as eating a meal, it can work for up to three hours. In comparison, if you take an antacid on an empty stomach, it may only work for 20 to 60 minutes.

Read more about antacids, including possible interactions with other medicines and side effects.

Alginates

Some antacids also contain a medicine called an alginate. This helps relieve indigestion caused by acid reflux.

Acid reflux occurs when stomach acid leaks back up into your oesophagus and irritates its lining. Alginates form a foam barrier that floats on the surface of your stomach contents, keeping stomach acid in your stomach and away from your oesophagus.

Your pharmacist may suggest that you take an antacid that contains an alginate if you experience symptoms of acid reflux or if you have GORD.

Take antacids containing alginates after eating, because this helps the medicine stay in your stomach for longer. If you take alginates on an empty stomach, they will leave your stomach too quickly to be effective.

Treating persistent indigestion

If you have indigestion that is persistent or recurring, treatment with antacids and alginates may not be effective enough to control your symptoms. Your pharmacist may recommend a different type of medication, which will be prescribed at the lowest possible dose to control your symptoms. Possible medications include:

• proton pump inhibitors (PPIs)
• h3-receptor antagonists

These are described in more detail below. Your pharmacist may advise you to see your GP who may also test you for the Helicobacter pylori (H pylori) bacteria (see Indigestion – diagnosis) and prescribe treatment for this if necessary.

Proton pump inhibitors (PPIs)

PPIs restrict the acid produced in your stomach.

The medication is taken as tablets and if you are over 18, you can buy some types of PPIs over the counter in pharmacies, but these should only be used for short-term treatment. PPIs may enhance the effect of certain medicines. If you are prescribed a PPI, your progress will be monitored if you are also taking other medicines, such as:

• warfarin – a medicine that stops the blood clotting
• phenytoin – a medicine to treat epilepsy

If your ingestion is persistent, your pharmacist might advise you to see your GP.

If your GP refers you for an endoscopy (a procedure that allows a surgeon to see inside your abdomen), you will need to stop taking a PPI at least 14 days before the procedure. This is because PPIs can hide some of the problems that would otherwise be spotted during the endoscopy.

PPIs can sometimes cause side effects. However, they are usually mild and reversible. These side effects may include:

• headaches
• diarrhoea
• constipation
• feeling sick (nausea)
• vomiting
• flatulence
• stomach pain
• dizziness
• skin rashes

h3-receptor antagonists

h3-receptor antagonists are another type of medication that your pharmacist or GP may suggest if antacids, alginates and PPIs have not been effective in controlling your indigestion. There are four h3-receptor antagonists:

• cimetidine 
• famotidine 
• nizatidine 
• ranitidine 

These medicines work by lowering the acidity level in your stomach.

Your GP may prescribe any one of these four h3-receptor antagonists, although ranitidine is available from pharmacies under the Pharmacy First Scotland service. h3-receptor antagonists are usually taken in tablet form.

As with PPIs, you will need to stop taking h3-receptor antagonists at least 14 days before having an endoscopy if this has been arranged through your GP. This is because they can hide some of the problems that could otherwise be spotted during the endoscopy.

Helicobacter pylori (H pylori) infection

If your indigestion symptoms are caused by an infection with H pylori bacteria, you will need to have treatment to clear the infection from your stomach. This should help relieve your indigestion, because the H pylori bacteria will no longer be increasing the amount of acid in your stomach.

H pylori infection is usually treated using triple therapy (treatment with three different medications). Your GP will prescribe a course of treatment containing:

• two different antibiotics (medicines to treat infections that are caused by bacteria)
• a PPI

You will need to take these medicines twice a day for seven days. You must follow the dosage instructions closely to ensure that the triple therapy is effective.

In up to 85% of cases, one course of triple therapy is effective in clearing an H pylori infection. However, you may need to have more than one course of treatment if it does not clear the infection the first time.

Symptoms, Causes, Diet, and Treatments

Written by WebMD Editorial Contributors

• What Are the Symptoms of Indigestion?
• Who Is at Risk for Indigestion?
• What Causes Indigestion?
• How Is Indigestion Diagnosed?
• What Is the Treatment for Indigestion?
• How Can I Prevent Indigestion?
• When Should I Call the Doctor About Indigestion?
• More

Indigestion is often a sign of an underlying problem, such as gastroesophageal reflux disease (GERD), ulcers, or gallbladder disease, rather than a condition of its own.

Also called dyspepsia, it is defined as a persistent or recurrent pain or discomfort in the upper abdomen.

The symptoms of indigestion include:

• Burning in the stomach or upper abdomen
• Abdominal pain
• Bloating (full feeling)
• Belching and gas
• Nausea and vomiting
• Acidic taste
• Growling stomach

These symptoms may increase in times of stress.

People often have heartburn (a burning sensation deep in the chest) along with indigestion. But heartburn is a different symptom that may be a sign of another problem.

People of all ages and genders are affected by indigestion. It’s extremely common. A person’s risk increases with:

• Drinking too much alcohol
• Use of drugs that irritate the stomach, such as aspirin and other pain relievers
• Conditions where there is an abnormality in the digestive tract, such as an ulcer
• Emotional problems, such as anxiety or depression
• Obesity
• Smoking

Indigestion has many causes, including:

Diseases:

• Ulcers
• GERD
• Stomach cancer (rare)
• Gastroparesis (a condition where the stomach doesn’t empty properly; this often occurs in people with diabetes)
• Stomach infections
• Irritable bowel syndrome
• Chronic pancreatitis
• Thyroid disease
• Pregnancy

Medications:

• Aspirin and other painkillers, such as NSAIDs like ibuprofen and naproxen 
• Estrogen and oral contraceptives
• Steroid medications
• Certain antibiotics
• Thyroid medicines

Lifestyle:

• Eating too much, eating too fast, eating high-fat foods, or eating during stressful situations
• Drinking too much alcohol
• Cigarette smoking
• Stress and fatigue

Indigestion is not caused by excess stomach acid.

Swallowing excessive air when eating may increase the symptoms of belching and bloating, which are often associated with indigestion.

Sometimes people have persistent indigestion that is not related to any of these factors. This type of indigestion is called functional or non-ulcer dyspepsia.

If you have indigestion, make an appointment to see your doctor. Because indigestion is such a broad term, it is helpful to provide your doctor with a precise description of the discomfort you are feeling. In describing the symptoms, try to define where in the abdomen the discomfort usually occurs.

Your doctor will rule out any underlying conditions that may be causing your symptoms. Your doctor may perform several blood tests and you may have X-rays of the stomach or small intestine. Your doctor may also suggest you have an upper endoscopy to look closely at the inside of the stomach. During the procedure, an endoscope — a flexible tube that contains a light and a camera to produce images from inside the body — is used to look inside your stomach.

Because indigestion is a symptom rather than a disease, treatment usually depends upon the underlying condition causing the indigestion.

Indigestion Medicine

Antacids

Antacids help ease indigestion symptoms. They neutralize, or offset, the stomach acid that causes indigestion. Common over-the-counter (OTC) antacids are:

• Mylanta
• Rolaids
• Tums

Histamine (h3) Blockers

h3 blockers lessen the amount of acid your stomach makes, so they can both stop and prevent indigestion symptoms. They take between 1 and 3 hours to take effect but work for several hours. If you take any prescription medications, ask your doctor or pharmacist before you use an h3 blocker because they can interact with certain other drugs. Common h3 blockers include: 

• Cimetidine (Tagamet HB)
• Famotidine (Pepcid Complete or Pepcid AC, Zantac 360)
• Nizatidine (Axid, Axid AR)

Proton Pump Inhibitors (PPIs)

OTC PPIs also work by reducing the amount of acid your stomach makes, but they only treat frequent indigestion that happens two or more times per week. They take from 1 to 4 days to become effective. You can use them for up to 14 days, and up to three times per year. They can also interact with other medications, so check with your doctor or pharmacist before you use them. The most common PPIs that you can buy over the counter are: 

• Esomeprazole (Nexium 24HR)
• Lansoprazole (Prevacid 24HR)
• Omeprazole and sodium bicarbonate (Zegerid OTC)
• Omeprazole magnesium (Prilosec OTC)

Indigestion Relief

You might not need any treatment. Indigestion often goes away on its own after a few hours. But let your doctor know if your symptoms get worse.

There a number of home or natural remedies that some people claim will ease indigestion symptoms, including: 

• Baking soda
• Apple cider vinegar 
• Chewing gum 
• Ginger 
• Bananas 
• Milk
• Aloe vera juice 

But unlike medications that are tested for safety and effectiveness, there are no guidelines to know if these remedies are safe and will work. Many things can affect how a remedy will work for you, including the cause of your indigestion, other medications you may be taking, and whether or not you’re pregnant. Check with your doctor before trying a natural remedy for indigestion. 

The best way to prevent indigestion is to avoid the foods and situations that seem to cause it. Keeping a food diary is helpful in identifying foods that cause indigestion. Here are some other suggestions:

• Eat small meals so the stomach does not have to work as hard or as long.
• Eat slowly.
• Try not to chew with your mouth open, talk while you chew, or eat too fast. This makes you swallow too much air, which can add to indigestion.
• Avoid foods that contain high amounts of acids, such as citrus fruits and tomatoes.
• Avoid spicy foods.
• Reduce or avoid foods and beverages that contain caffeine.
• If stress is a trigger for your indigestion, learn new methods for managing stress, such as relaxation and biofeedback techniques.
• If you smoke, quit. Smoking can irritate the lining of the stomach.
• Cut back on alcohol because it can also irritate the stomach lining.
• Avoid wearing tight-fitting garments because they tend to compress the stomach, which can cause its contents to enter the esophagus.
• Don’t exercise with a full stomach. Rather, exercise before a meal or at least one hour after eating a meal.
• Don’t lie down right after eating.
• Avoid late-night eating. Wait at least 3 hours after your last meal of the day before going to bed.
• Sleep with your head elevated (at least 6 inches) above your feet and use pillows to prop yourself up. This will help allow digestive juices to flow into the intestines rather than to the esophagus.
• Get to and stay at a healthy weight. Extra weight puts pressure on your stomach and lower esophagus. 

If you don’t feel better after these changes, your doctor may prescribe medications for you.

Because indigestion can be a sign of a more serious health problem, call your doctor if you have any of the following symptoms:

• Vomiting, blood in vomit, or vomit that looks like coffee grounds
• Weight loss
• Loss of appetite
• Black, tarry stools or visible blood in stools
• Severe pain in the abdomen
• Discomfort unrelated to eating

Symptoms similar to indigestion may be caused by heart attacks. If indigestion is unusual, accompanied by shortness of breath, sweating, chest pain, or pain radiating to the jaw, neck, or arm, call 911 immediately.

Top Picks

symptoms and diagnosis, prices for the treatment of heartburn in Moscow at the Hadassah clinic

Enroll

Heartburn is an unpleasant sensation, up to a burning pain in the upper abdomen. Many people experience discomfort regularly or occasionally, especially after overeating or drinking alcohol. If it happens from time to time, it does no harm. With frequent episodes, we are talking about the development of reflux disease. Heartburn occurs

when the contents of the stomach back up into the esophagus – this backflow is also known as reflux. Thus, heartburn is not an independent disease, but is a consequence.

Show all

Symptoms of heartburn

Heartburn is not a disease, but a manifestation of reflux. Discomfort in the chest and neck is aggravated by leaning forward, physical activity and eating. Patients complain of the presence of sour belching and an unpleasant aftertaste in the oral cavity. Additional symptoms depend on the severity of the reflux disease. Thus, the patient may experience a violation of food intake and a manifestation of indigestion. Sometimes there is no discomfort at all.

Additional symptoms of heartburn that indicate the presence of reflux disease:

• increased salivation;
• nausea and bitterness in the mouth;
• discomfort when swallowing food;
• occurrence of bad breath;
• lump in throat and characteristic burning;
• chronic cough and hoarseness;
• sleep problems;
• poor appetite.

In the chronic form of the disease, there are violations of the respiratory system. Inflammation of the lungs may develop, which occurs due to the reflux of gastric juice into the respiratory tract. Bronchial asthma can be complicated by frequent attacks.

By clicking on the button, you agree to the terms of use and processing of personal data

Causes of heartburn

Heartburn can have several causes. In most cases, they remain unclear. Most often, heartburn develops against the background of an unhealthy lifestyle and diet, which overload the stomach. For example, stress can literally hit the stomach and cause heartburn because it stimulates stomach acid production, delays emptying, and promotes reflux.

Other factors that can cause heartburn include:

• excessive body weight;
• alcohol abuse;
• smoking;
• inclusion in the diet of fatty and fried foods;
• eating hot spices such as garlic, mustard or horseradish;
• meal before going to bed.

Medicines are also among the causes of heartburn. They can both cause heartburn and increase existing discomfort. For some medications, reflux is a possible side effect. Painkillers from the group of so-called non-steroidal anti-inflammatory drugs cause heartburn especially often. Therefore, those who are prone to heartburn should prophylactically take a gastric protector during drug therapy.

In addition, there are some diseases that sometimes cause heartburn, for example:

• functional dyspepsia;
• diaphragmatic hernia;
• gastritis and gastric ulcer;
• stenosis and achalasia of the esophagus.

Delayed gastric emptying can also lead to heartburn and reflux. Usually, solid food stays in the stomach for 1 to 5 hours. Liquids are absorbed much faster – with an empty stomach, they enter the small intestine in an average of 10-20 minutes.

Methods for diagnosing heartburn

If you experience such a symptom as heartburn, you should make an appointment with a gastroenterologist. The doctor will take a history of the disease and conduct an initial examination. Comprehensive diagnostics for heartburn allows you to obtain accurate information about the state of the gastrointestinal tract (gastrointestinal tract) of the patient. To determine the cause of heartburn, the specialist will prescribe the following tests:

Esophagogastroduodenoscopy

examination of the mucous membrane of the esophagus, duodenum and esophagus

X-ray of the esophagus

Diaphragmatic herniation and complications of reflux disease

Electromyography

Examination of the muscles of the esophagus

Treatments for heartburn

Medication is given to reduce stomach acid, relieve symptoms, and address the cause of heartburn. In addition to drugs, the gastroenterologist prescribes a diet that allows you to normalize the activity of the intestines and stomach.

Medicines used to treat heartburn:

• Antacids. Neutralize acid, relieve discomfort and pain from heartburn.
• Proton pump inhibitors and H2-histamine receptor blockers. They inhibit the production of hydrochloric acid and improve the condition.

Medication for heartburn can last from 2-3 weeks to 6 months. Each stage of therapy is additionally controlled by a doctor to adjust dosages and eliminate the likelihood of complications.

Surgical intervention for heartburn is necessary only when another pathology was identified during the diagnosis, leading to dysfunction of the digestive tract.

Prevention and treatment programs for heartburn at the Hadassah Clinic

As a preventive measure for heartburn, standard medical recommendations are used to prevent the reflux of gastric contents into the esophagus:

• lose extra pounds;
• avoid spicy, salty and fatty foods;
• give up alcohol and cigarettes;
• do not eat 2-3 hours before bedtime.

The Hadassah clinic in Moscow performs two types of operations to eliminate the cause of heartburn:

• Radiofrequency ablation of the esophagus – normalization of the functions of the esophageal sphincter.
• Endoscopic application – prevents the backflow of acid into the esophagus.

#EgorovaON

Egorova
Olga Nikolaevna

Gastroenterologist

Work experience: 17 years

Published: 07/09/2023

The information provided on the site is for reference only and cannot serve as a basis for making a diagnosis or prescribing treatment. Internal consultation of the expert is necessary.

Department doctors

All doctors

Buchina
Anaida Valerievna

General practitioner, gastroenterologist, Ph.D.

Work experience: 24 years

Admission fee: from 9000 ₽

Make an appointment

Dobritsyn
Igor Aleksandrovich

Gastroenterologist

Work experience: 28 years

Appointment fee: from 6500 ₽

Make an appointment

Zavarzina
Natalya Pavlovna

Gastroenterologist-nutritionist

Work experience: 14 years

Appointment fee: from 6500 ₽

Make an appointment

Petrachenkova
Maria Yurievna

Hepatologist, gastroenterologist

Work experience: 12 years

Cost of admission: from 6500 ₽

Make an appointment

Fedulenkova
Lyudmila Viktorovna

Nephrologist, gastroenterologist-hepatologist, Ph. D.

Work experience: 25 years

Cost of admission: from 9000 ₽

Make an appointment

Yakushev
Andrey Aleksandrovich

Gastroenterologist, hepatologist, general practitioner

Work experience: 5 years

Appointment fee: from 6500 ₽

Make an appointment

9 0002 All doctors

Prices for gastroenterology services

Gastroenterology

9Guy Roizner

Other conditions we treat

By clicking on the button, you agree to the terms of use and processing of personal data

Comprehensive programs

symptoms, causes and treatment / News / Diagnostic and treatment center MedExpert Saratov / Engels

More than half of the adult population of our planet are familiar with heartburn. A fire inside can ignite after eating, during a sports workout, or when you lie down on the couch. Few people take heartburn seriously – more often it is treated as a problem that just needs to be endured.

Sometimes heartburn is a relatively harmless consequence of eating unsuitable foods, but it is often a symptom of a serious illness that requires immediate treatment. How to recognize how big the danger is? Answers to important questions about heartburn will be given by an endoscopist of the highest category at the Medexpert LDC, Engels, President of the Association of Endoscopists of the Saratov Region Vasily Vladimirovich Gladkov.

How can I tell if I have heartburn? What sensations does a person experience with this disease?

Gladkov V.V. : Heartburn occurs when aggressive gastric juice containing hydrochloric acid enters the lower esophagus and irritates its mucous membrane. Normally, this does not happen: the esophagus is separated from the stomach by a special valve – the sphincter, which allows food to pass into the stomach, but does not allow it to get back. However, under certain conditions, the valve stops working correctly – then hydrochloric acid is thrown into the esophagus. This causes a real burn, which is felt as a burning sensation. But it is not at all necessary that patients experience a burning sensation, it can be a feeling of fullness, pressure or heat. Heartburn is most likely with increased acidity, but it can also occur with low and normal acidity of gastric juice. According to statistics, from 40 to 60% of the population of developed countries periodically feel heartburn, while 10-20% experience this condition more than once a week. Most often, heartburn occurs about 15-30 minutes after eating.

What are the main causes of heartburn?

Gladkov V.V. : There are several main causes of burning sensation: these are diseases of the gastrointestinal tract. As a rule, heartburn is one of the most common symptoms indicating problems in the digestive system, such as chronic diseases of the gastrointestinal tract (gastric ulcer, chronic gastritis with increased gastric secretion, gastroesophageal reflux). Also, a common cause of heartburn is an unbalanced diet, in particular a passion for sweets and flour products. Especially if sugar-containing foods are combined with protein: the duet causes fermentation. A rare meal, dry food can also stimulate the release of acid. And, of course, overeating. If the holidays follow one after another, or if you eat more than once every three or four hours in small portions, but chew constantly and in large quantities, then the food simply ceases to fit in the stomach and is thrown back because of this.

The cause of persistent heartburn is most likely a serious medical condition. Therefore, the often occurring burning sensation behind the sternum requires urgent intervention: delay in medical care can cost a person health, and sometimes life. In this context, modern and high-quality diagnostics is of great importance. It is important! In some cases, burning behind the sternum is a medical emergency. By the “mask” of heartburn, an attack of angina pectoris and myocardial infarction can be hidden. With timely access to a gastroenterologist and further examination, this terrible disease can be avoided, stopped at any stage.

What methods are available for diagnosing and treating heartburn?

Gladkov V.V. : The diagnosis of heartburn is complex. A thorough examination of the organs of the gastrointestinal tract, namely gastroscopy, can help establish the correct diagnosis. The endoscopic equipment used in the MedExpert LDC is represented by modern video endoscopes operating in the magnification and narrow band imaging (NBI) mode. These modes allow you to detect not only early forms of cancer, but also to see suspicious areas of the mucous membrane (precancerous changes).

Heartburn is not as harmless as many who experience it are used to thinking. If the attacks are repeated systematically, this is a reason to suspect the disease. In such cases, you can not hesitate, because the consequences can be very serious. With frequent or severe heartburn, you should consult a gastroenterologist for a diagnosis and the appointment of suitable drugs.