Why Do I Have Heartburn Everyday: Facts, Treatment, Causes, Symptoms & Prevention

20.08.198010.12.2021 by alexxlab

Why do I have heartburn every day? What are the causes, symptoms, and treatment options for chronic heartburn? Get the facts about managing gastroesophageal reflux disease (GERD).

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Heartburn Could Signal a More Serious Condition

If you’ve ever eaten too much rich, greasy or spicy food – especially before going to bed – you likely know what heartburn feels like. Acute, meal-related heartburn can be normal if it only occurs once a month or less, but what if you have heartburn-like symptoms more frequently? Gastroenterologist Preston Stewart, M.D., says that as much as 10 to 20 percent of the Western Hemisphere’s population suffers from some form of heartburn that is reflective of gastroesophageal reflux disease (GERD) once a month or more.

“GERD occurs when stomach acid from the stomach refluxes into the esophagus and mouth, resulting in symptoms like heartburn, regurgitation, chest pain, coughing, throat clearing, voice hoarseness and nausea,” he explains. It’s unclear if genetics play a role in the development of the disease, but certain people are more susceptible. “We see GERD in people who are obese, have high-fat diets, consume excessive caffeine and alcohol, and smoke,” says Dr. Stewart. “It affects both men and women equally, and can be seen in children as well as adults.”

Treating GERD

Dr. Stewart typically treats GERD by first asking patients to make lifestyle modifications and lose weight if they need to. “From a diet standpoint, we ask them to minimize or modify their consumption of caffeinated and alcoholic beverages, chocolate, peppermint, fatty foods and spicy foods,” he says. “We also encourage smaller portion sizes so you don’t overfill the stomach and waiting two to three hours after a meal before you lie down.”

GERD symptoms can also be managed by not smoking, elevating your head six inches while sleeping and adopting a moderate aerobic exercise program, with your physician’s sign-off. “If this fails, we move on to medical therapy,” says Dr. Stewart. “There are two main types of acid suppressants – the first class is histamine-2 (H2) blockers, which includes Pepcid and Zantac. These can be found over the counter. They are often effective in treating mild GERD and may be appropriate for select patients. The second class is Proton Pump Inhibitors (PPIs). These are very powerful acid-suppressants. They work over 12 to 24 hours and are taken once or twice a day. They are quite effective for most folks.”

Long-term Effects of Reflux Disease

“If left untreated, not only is quality of life reduced, but there are other serious implications, one being the development of Barrett’s esophagus,” explains Dr. Stewart. “This is essentially a precancerous change that occurs in the esophagus due to stomach acid exposure over a period of years. A fraction of people with longstanding, untreated reflux disease can develop esophageal cancer.”

In addition to cancer, untreated reflux disease can lead to non-life-threatening complications, such as scar tissue that makes swallowing solids and pills difficult, and ulcerations in the esophagus. If you experience heartburn symptoms on an ongoing basis for more than a few weeks, it is wise to see your primary care physician. He or she may refer you to a gastrointestinal specialist for further evaluation.

What Causes Heartburn Every Day?

Heartburn that occurs daily or almost daily is often a symptom of a chronic condition called gastroesophageal reflux disease (GERD). GERD happens when stomach acid frequently flows back into the tube connecting your stomach and mouth (esophagus), causing irritation and discomfort.

What are the Symptoms of Chronic Heartburn?

The main symptom of GERD is frequent heartburn, but other common symptoms include regurgitation, difficulty swallowing, chest pain, chronic cough, hoarseness, and feeling like there is a lump in the throat. Some people with GERD may also experience nausea, vomiting, or difficulty sleeping due to nighttime reflux.

How is Chronic Heartburn Treated?

Treatment for chronic heartburn or GERD typically begins with lifestyle changes, such as avoiding trigger foods, losing weight if overweight, not lying down after eating, and elevating the head of the bed. Over-the-counter antacids or H2 blockers may provide relief for mild cases. For more severe or persistent GERD, prescription medications like proton pump inhibitors (PPIs) are often needed to reduce stomach acid production. In some cases, surgery may be recommended to strengthen the valve between the stomach and esophagus.

How Can Chronic Heartburn Be Prevented?

To help prevent chronic heartburn or GERD, try the following tips:

Eat smaller, more frequent meals rather than large, heavy ones
Avoid lying down for 2-3 hours after eating
Lose weight if overweight
Quit smoking and avoid secondhand smoke
Limit intake of alcohol, caffeine, and acidic/spicy foods
Elevate the head of your bed 6 inches if you experience nighttime reflux

Making these lifestyle changes can go a long way in preventing and managing chronic heartburn or GERD. See your doctor if symptoms persist despite these efforts.

Heartburn Could Signal a More Serious Condition

=”” suppressed=”” symptomology.=”” symptoms=”” t=”” that=”” the=”” therapy=”” they=”” to=”” typically=”” very=”” we=”” with=”” />Treating GERD Dr. Stewart typically treats GERD by first asking patients to make lifestyle modifications and lose weight if they need to. “From a diet standpoint, we ask them to minimize or modify their consumption of caffeinated and alcoholic beverages, chocolate, peppermint, fatty foods and spicy foods,” he says. “We also encourage smaller portion sizes so you don’t overfill the stomach and waiting two to three hours after a meal before you lie down.”

=”” symptoms=”” t=”” that=”” the=”” therapy=”” they=”” to=”” typically=”” very=”” we=”” with=”” />GERD symptoms can also be managed by not smoking, elevating your head six inches while sleeping and adopting a moderate aerobic exercise program, with your physician’s sign-off. “If this fails, we move on to medical therapy,” says Dr. Stewart. “There are two main types of acid suppressants – the first class is histamine-2 (h3) blockers, which includes Pepcid and Zantac. These can be found over the counter. They are often effective in treating mild GERD and may be appropriate for select patients. The second class is Proton Pump Inhibitors (PPIs). These are very powerful acid-suppressants. They work over 12 to 24 hours and are taken once or twice a day. They are quite effective for most folks.”

Long-term effects of reflux disease

For more information about GERD, visit Piedmont’s gastroenterology specialty directory.

Need to make an appointment with a Piedmont physician? Save time, book online.

Heartburn – familydoctor.org

Heartburn treatment

If taking over-the-counter antacid medicines and lifestyle changes don’t help your symptoms, talk with your doctor. They may want you to take prescription medicine. Or they may schedule you for some tests. Tests might include:

pH test. This test checks for acid in the esophagus.
Endoscopy. This procedure checks for other conditions. During it, your doctor looks into your stomach through a long, thin tube that is inserted down your esophagus. You are sedated for this procedure, so you don’t feel it. Your doctor may also check for Helicobacter pylori, bacteria that can cause ulcers.

What about medicines for heartburn?

Several kinds of medicine can be used to treat heartburn. Antacids neutralize the acid that your stomach makes. For most people, antacids that you can get over the counter (without a prescription) give fast, short-term relief. You may need to try different medicines to find one that works best for you. However, if you use antacids too much, they can cause diarrhea or constipation. Look for antacids that contain both magnesium hydroxide and aluminum hydroxide. One causes constipation while the other causes diarrhea. So they counteract each other.

Some brands of antacids include Maalox and Mylanta. Follow the directions on the package. h3 blockers (some brand names: Pepcid, Tagamet) reduce the amount of acid your stomach makes. Several are available without a prescription. Other medicines, such as omeprazole (brand name: Prilosec) and lansoprazole (brand name: Prevacid), also reduce how much acid the stomach makes. Metoclopramide (brand name: Reglan) reduces acid reflux. To find out what medicine is right for you, talk with your doctor.

Can heartburn be serious?

If you have heartburn only now and then, it’s probably not serious. However, if you have heartburn frequently, it can lead to esophagitis (an inflamed lining of the esophagus). If esophagitis becomes severe, your esophagus might narrow. This can cause bleeding or trouble swallowing. If you get more than occasional heartburn, it may be a symptom of something more serious. It could mean that you have:

Gastroesophageal reflux disease (GERD)
An inflamed stomach lining (gastritis)
Hiatal hernia
Peptic ulcer

Saying goodbye to GERD. For good.

Tasting your food once is great. Tasting it twice… not so much.

If you have gastroesophageal reflux disease (GERD), this may be your reality at every meal. But eating doesn’t have to become a constant game of trying to balance eating what you want with avoiding reflux symptoms. With a few changes to your lifestyle and access to the latest medical treatment methods, you can finally put your GERD symptoms to rest.

“It’s easy to brush off reflux symptoms, especially if they’re mild — but excessive GERD symptoms are something that should be taken seriously,” explains Dr. Robert Purcell, a gastroenterologist at Geisinger Gastroenterology/Endoscopy Montoursville.

If your GERD symptoms are interfering with your daily life or drastically restricting what you can eat, talk with your doctor about treatment options.

What causes GERD, and why is it a problem?

Heartburn and indigestion are both common symptoms, and most people experience occasional heartburn, often relating to their diet. However, if you have heartburn symptoms twice a week or more, you may have a more serious degree of GERD.

GERD is acid reflux caused by a weak lower esophageal sphincter (LES), which functions like a trapdoor — when the stomach is empty, it opens and lets food in. Once the stomach is full, the LES closes to stop acid and bile from leaving the stomach.

“In people with GERD, their LES is weak and either does not close completely or may open at inappropriate times,” says Dr. Purcell. “As a result, acid and bile can flow back up into the esophagus, especially while lying down.”

In the short term, GERD causes the obvious discomfort of frequent heartburn, as well as less typical symptoms of difficulty swallowing, wheezing and chest pain. Over the long term, it can do more damage.

“GERD can cause esophagitis, Barrett’s esophagus, strictures and even esophageal cancer — all stemming from acid damage to the esophagus,” says Dr. Purcell. “The best way to avoid these conditions is to take steps to reduce and eliminate GERD.”

How to avoid GERD symptoms

You can reduce or eliminate the discomfort of GERD symptoms by taking a few simple steps. These include:

Avoiding fast food
Not eating 3 to 4 hours before bed
Staying at a healthy weight
Eating smaller meals
Avoiding alcohol and caffeine
Steering clear of tobacco
Staying away from spicy foods
Wearing loose-fitting clothing
Exercising regularly with an empty stomach
Avoiding stress

“If you notice that your GERD symptoms are interfering with your daily life or drastically restricting what you can eat, consider talking with your doctor about treatment options,” says Dr. Purcell.

If you need further treatment, your doctor can help you find a treatment that works best for you and will help you find relief from GERD.

Next steps:

Meet Robert Purcell, MD
Learn more about gastroenterology care at Geisinger

Unexplained bad breath? It could be one of these culprits.

Are You Popping Tums Like Candy? Why This May Be Detrimental to Your Health. : Healing Duo Integrative Family Medical Practice: Integrative Medicine Specialists

“What do you do if you have heartburn or indigestion?”

“Take Tums, of course.”

Well, it’s time to think twice about this answer.

Taking Tums or other antacids for heartburn has become second nature. It has become the adult version of smarties, yes those small little candy tablets you used to eat as a child and pretend they were medicine. Oh, how the times have changed: now we use medicine like it’s candy.

Heartburn usually occurs when a muscle, called the lower esophageal spincture, does not close completely, allowing stomach contents to regurgitated from the stomach into the esophagus.This muscle acts like a valve, opening to allow food from the esophagus into the stomach, and closing to prevent the backflow of contents from the stomach into the esophagus, but with every valve comes the potential for leaks, and in this case heartburn. Part of the contents regurgitated include gastric acid (hydrochloric acid), which is usually the main culprit behind that burning sensation. It is this acid that can lead to corrossion and excessive inflammtion, after all as it’s name implies it is an acid.

While tums aren’t harmful, when taken in excess they can be detrimental to our health. Tums are calcuim carbonate, a basic compound that is used to neutralize gastric acid (the acid I mentioned aboved that is produced in your stomach). Gastric acid is present in our stomach’s for a few reasons. One being, it is a main component in digestion and breaking down our foods. Without it, we would not be able to absorb the vitamins and minerals essential for the body to function. The constant neutralization of this acid puts you at a higher risk of vitamin deficiencies and it’s sequela such as fatigue, constipation, muscle weakness and pain. Another reason why gastric acid is present is for protection. This acid is the body’s first line of defensive against harmful bacteria, viruses, parasites, and pathogens. By reducing it, you are making yourselves more susceptible to infections. Tums, as mentioned, also contains calcium which is absorbed into the body. Although calcium is vital for the bones and overall good health, too much calcium is dangerous and can lead to heart and kidney problems. Some symptoms of increased calcium in the body include palpitations, high blood pressure, abnormal heart rhythms, headaches, constipation, abdominal pain, fatigue, increased thirst and frequent urination.

Now that we went over some of the basic physiology and mechanisms of action involved in heartburn, lets talk about some risk factors that can be causing or worsening symptoms.

1. Obesity. Extra weight can put unwanted pressure on the esophageal spincture causing it to open when it shouldn’t. While loosing weight is, by far, not the easiest of things to do, it is the best thing you can do if you are overweight and suffering from heartburn.

2. Smoking. Once again is it not the easiest to stop smoking, but it is one of the best things that you can do for acid reflux, amongst many other health concerns.

3. Low levels of physical activity. We all know that exercise has a drastic affect on multiple avenues of our health, but many do not know that lack of exercise can cause heartburn. Increasing daily movement, can help decrease heartburn.

4. Medications. Some of the most common medications that causes heartburn are muscle relaxers. Muscle relaxers can cause the esophageal sphincture to relax worsen that backflow leak.

5. Hernias and pregnancy are also common causes of heartburn.

Seven strategies that can help reduce heartburn and decrease the amount of antacids you are consuming.

1. Allow 2-3 hours after eating before laying down.

2. Eat 4-6 smaller meals throughout the day, rather than 2-3 larger meals. This will help ensure that gastric acid does not go unopposed in the stomach, but rather has food to digest.

3. Eliminate caffeine and alcohol as these are big acid reflux culprits. Other common triggers include chocolate, citrus, mint, tomatoes, black pepper, garlic, onions, spicy foods, and fatty foods.

4. Know your food sensititivies. While the aboved mentioned foods are common causes of heartburn, problem foods can differ from person to person. Food sensitivities can lead to inflammation and a cascade of stomach and intestinal symptoms.

5. Eliminate carbinated drinks. Excess bubbles can lead to an increase in gas and acid reflux.

6. Try DGL (Deglycyrrhizinated Licorice) instead of antacids. Licorice has been show to alleviate acid reflux symptoms. It may also protect the stomach and esophagus from acid by increasing mucus production. DGL is a form of licorice that has substantial amounts of glycyrrhizan removed. Glycyrrhizan is the component in licorice that can increase blood pressure. Always make sure that the DGL bottle has less than 3% glycyrrhizan. Always consult your doctor before taking any supplements.

7. Marshmallow Tea. In the herbal world, marshmallow is classified as a delmulcent, meaning it decreases inflammation by forming a barrier in the gastrointestinal tract against irritants such as stomach acid, ie your very own marshmellow fort against stomach acid. For our organic, physician formulated loose leaf tea visit www.healingessencestore.com.

Lastly, while I do believe that Tums (or equivalent antacids) should be a staple in everyone’s medicine chest, they should be used sparingly. Think of them like bandaids; great for short term use. It is important to seek medical help if you are suffering from pronlonged heartburn to figure out the cause, and treat accordingly. Click here to book your appointment today.

P.S. If you are frequently taking Tums or another calcium carbonate antacid, do not forget to tell your doctor, especially before running any bloodwork. Frequent consumption may show an increase in calcium levels on blood work.

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Important Disclaimer: The information provided on this site is intended for your general knowledge only; it is NOT meant to substitute professional medical advice or treatment for specific medical conditions. You should NOT use this information to diagnose or treat a health problem/disease without consulting with a qualified healthcare provider.

Author

Dr. Pamela Santapaola
Dr. Pamela Santapaola (AKA Dr. Pam) is a licensed naturopathic physician in the state of Connecticut and co-owner of Healing Duo Integrative Family Medical Practice. Dr. Pam has a passion for educating, whether it be through her writings or in her office in a one-to-one setting. She is an advocate of making small lifestyle changes that can make a big impact in the future. Her goal is to enlighten individuals about holistic medicine and empower them to make the changes necessary to live a healthier life. As her saying goes, “It’s time for you to start feeling like your best self.”

Here’s Why Heartburn Symptoms are So Much Worse When You Get Older

If happy hour wings and beer are suddenly leaving you feeling like a fire-breathing dragon, you’re not imagining things. Unfortunately, it isn’t rare to develop heartburn symptoms in response to foods that never used to hurt you—foods you loved! It’s just a part of getting older.

If you’ve experienced heartburn, you probably know it, but the Mayo Clinic says classic heartburn symptoms include a burning pain in your chest that usually happens after eating, is typically worse at night, and gets worse when you lie down or bend over. More than 60 million Americans experience heartburn at least once a month and about 15 million Americans experience heartburn symptoms each day, according to the American College of Gastroenterology.

“Heartburn is extraordinarily common, mostly because heartburn is thought to increase in prevalence with age,” Kyle Staller, M.D., a gastroenterologist at Massachusetts General Hospital, tells SELF. That explains why you could have a double espresso on an empty stomach with no issues in your 20s, but in your 30s you wouldn’t dream of having coffee without some food first…or else. Everyone has some form of acid reflux, which is when stomach acid seeps into the esophagus (aka food pipe) and irritates it, Dr. Staller says. But there’s a reason you may be experiencing heartburn more frequently than you did a decade ago.

As you get older, a few factors can come into play that make acid reflux worse and can contribute to heartburn.

First, the sphincter on top of your stomach, which opens to allow things you swallow to go into your stomach, tends to relax a bit more with time. It still does its job, but it may not shut as quickly or efficiently as it did in the past, allowing stomach acid to creep up into your esophagus. “Your esophagus isn’t happy with being in an acidic environment, and heartburn can occur,” Dr. Staller says.

Next, your digestive system tends to slow down over time, meaning it takes your stomach more time to empty out food as you get older. And, when food hangs around in your stomach for longer periods of time, it’s more likely to have the potential to cause heartburn. That’s especially true with fatty, fried foods, like french fries, which sit in your stomach longer, Dr. Staller says.

Finally, people tend to gain weight as they get older. If you’re carrying extra weight around your midsection, that can put pressure on your abdomen and stomach, pushing more acid into your esophagus, Atif Iqbal, M.D., medical director of the Digestive Care Center at Orange Coast Memorial Medical Center in Fountain Valley, California, tells SELF.

Certain foods are more likely to cause issues than others, and it’s usually the good stuff like chocolate, coffee, fatty foods, spicy stuff, alcohol, and peppermint.

If you have heartburn a few times a week and it’s clearly related to something you ate or drank, Dr. Iqbal says you should be fine taking an over-the-counter antacid or acid reducer and trying to limit those foods in the future.

But if you find that you’re having heartburn more regularly, it’s a good idea to flag it for your doctor so they can help you get your symptoms under control. In addition to that, chronic heartburn raises your risk for esophageal cancer, so it’s really not something that you just want to let go. If you suffer from chronic heartburn and basic OTC medications don’t seem to be helping, Dr. Iqbal recommends asking your doctor for a simple gastrointestinal workup to see what’s going on. Heartburn medications can mask symptoms of an underlying condition like Barrett’s esophagus, a serious esophageal disorder, or even cancer, so it’s important to figure out what’s going on sooner rather than later.

Your heartburn is likely just that, but it’s important to check in with your doctor, just in case. If nothing else, they’ll help you get your digestive discomfort under control.

Related:

You May Also Like: 6 Signs You May Be Addicted to Coffee

Your Heartburn Might Be More Than a Stomach Ache| “Healthy@UH” Health Articles | MyUHCare | University Hospitals | Cleveland, OH

If you are constantly plagued by heartburn, it might be more than a simple stomach ache. You might be suffering from gastroesophageal reflux disease (GERD), one of the most common digestive disorders in the United States.

GERD is a chronic condition caused by the backflow of stomach contents, such as gastric acid, into the esophagus.

“GERD affects more than 40 percent of all Americans,” says UH bariatric surgeon Leena Khaitan, MD, MPH. “The number of people diagnosed with GERD is rising because of increased obesity rates, poor eating habits and the public’s awareness of this condition.”

Seeking medical care for persistent GERD symptoms is important, Dr. Khaitan says.

“When left untreated, GERD could lead to serious complications like narrowing of the opening of the esophagus, Barrett’s esophagus and esophageal cancer,” she says.

GERD Symptoms

People who have GERD, Dr. Khaitan says, have these symptoms:

Usual symptoms:

Heartburn or tightening in the chest
Regurgitation, or the sensation of food or liquid rising up the esophagus
Bitter or sour taste in the mouth

Less common symptoms:

Burning pain in throat, or a persistent sore throat
Hoarseness
Chronic dry cough, especially at night
Difficult or painful swallowing
Asthma
Unexpected chest pain
Bad breath
Feeling that there is a lump in the throat
Uncomfortable sense of fullness after meals

GERD Causes

Obesity has a strong link to GERD. Other factors that Dr. Khaitan says can cause GERD include a hiatal hernia, smoking and consuming trigger foods, such as:

Alcohol
Carbonated beverages
Chocolate
Citrus fruits
Coffee or tea – regular or decaf
Fatty or fried foods
Foods containing tomato, such as tomato sauce, pizza or salsa
Garlic and onions
Peppermint
Spicy foods

“The good news is that GERD symptoms may be reduced by making simple lifestyle changes,” she says. Other strategies:

Stay away from trigger foods
Maintain a normal weight
Avoid tight clothing that puts pressure on the abdomen
Sleeping with your head and shoulders propped up with a wedge pillow
Have dinner at least three hours before bedtime
Eat small meals throughout the day instead of large ones

If you have reduced your trips to Starbucks, skipped food truck chili and forgone your daily chocolate fix but GERD is still a problem, then it’s time to see a medical professional.

GERD Treatment

After a thorough evaluation, a gastroenterologist or your primary care physician may decide to prescribe a medication that neutralizes stomach acid or stronger medications called proton pump inhibitors, which block acid production.

“Taking GERD medications a half-hour before eating is very important to get maximum benefit,” Dr. Khaitan. “These medications work best on an empty stomach, so timing of medications is very important.”

For persistent GERD that cannot be helped by lifestyle changes or monitored medications, Dr. Khaitan says new medical procedures can bring GERD sufferers relief, like the LINX Reflux Management System.

The LINX Reflux Management System

University Hospitals Digestive Health Institute’s Esophageal & Swallowing Center offers the LINX Reflux Management System for patients whose weakened lower esophageal sphincter allows acid and bile to flow back from the stomach into the esophagus.

This device, a small flexible band of interlinked titanium beads with magnetic cores, is implanted during minimally invasive surgery and offers patients immediate relief from reflux by strengthening the lower esophageal sphincter, Dr. Khaitan says.

“The procedure has fewer side effects compared to other GERD surgeries, and the outcomes have been outstanding,” she says. “We even offer some less invasive procedures for reflux as well that can be done without any incisions. The team can talk to you about your options.”

Is it heartburn or GERD? |Healthy You

If you’ve never had heartburn, you’re one of the lucky few. In fact, the American College of Gastroenterology estimates that nearly 60 million Americans experience heartburn each month. But how can you know the difference between eating a meal that was a little too spicy and having a chronic condition like gastroesophageal reflux disease, or GERD?

“Many patients think of heartburn, acid reflux and GERD as all the same thing, but that isn’t the case,” explains William Hackworth, M.D., a gastroenterologist with Riverside Health System. “Understanding and tracking your symptoms – for example, if a certain food triggers heartburn – is a great first step. These details will guide your conversation and help your doctor better treat your condition.”

The difference between heartburn and GERD

GERD is a chronic condition, which means symptoms happen several days a week for several weeks in a row. Heartburn, on the other hand, only occurs occasionally or when you eat certain spicy, dairy or tomato-based foods.

You likely have GERD if your heartburn:

Becomes worse or changes patterns (different triggers, more frequency, etc.)
Continues after taking over-the-counter medication
Interferes with daily activities
Lasts more than two weeks
Requires higher doses of medicine to manage
Wakes you up at night

Other, more subtle signs of GERD include:

Difficulty swallowing
Hoarse voice or worsening asthma at night after meals, lying down or exercise
Regurgitation (frequent belching or bringing up small amounts of food from the stomach)
Unexplained weight loss or loss of appetite

What causes heartburn?

Heartburn happens when stomach acid leaves your stomach and travels up to your esophagus (the tube that connects your throat and stomach). Though heartburn can be a little different for everyone, it’s typically described as a sharp, burning or tightening sensation in your chest, breastbone, neck or throat.

Most people feel heartburn after a meal, and it can worsen when you lie down or bend over.

What causes GERD?

GERD symptoms happen when stomach acid that’s typically kept in your stomach — thanks to gravity and a flap of muscle called the lower esophageal sphincter — makes its way back up to your throat.

Get relief from heartburn and GERD

If you’re battling heartburn or think it could be something more, it’s best to discuss your symptoms with your doctor. Together, you can create a plan to get relief from your symptoms with medication, a healthy diet, regular physical activity and, if needed, weight loss.

“Heartburn and GERD are very treatable,” explains Dr. Hackworth. “Your doctor can help identify what’s causing your heartburn and come up with an approach that’s right for you. ”

Need a doctor? Find a gastroenterology provider near you.

90,000 How to get rid of heartburn? Gastroenterologist answers

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How to get rid of heartburn? Gastroenterologist answers

How to get rid of heartburn? Gastroenterologist answers – RIA Novosti Sport, 07.01.2021

How to get rid of heartburn? Gastroenterologist answers

What can and cannot be eaten with heartburn, and how to cope with this unpleasant condition, Gastroenterologist Maria Fomina tells RIA Novosti.RIA Novosti Sport, 07.01.2021

2021-01-07T07: 00

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What can and can not be eaten with heartburn, and how to cope with this unpleasant condition, Maria Fenter tells RIA NovostiWhen is heartburn a symptom? Heartburn is not a disease in itself, but a signal that there are problems with the gastrointestinal tract: it can be GERD (gastroesophageal reflux disease), gastritis, stomach ulcer, gallbladder pathology. It happens that heartburn indicates an unhealthy cardiovascular system, for example, ischemic disease, or is a companion of metabolic disorders – in particular, obesity. then sour, fatty, spicy, drink alcohol or overeat.Heartburn occurs in pregnant women, those who work in an incline, play sports and at the same time strongly stress the abdominal cavity. How heartburn occurs. Hydrochloric acid rises up from the stomach into the lower third of the esophagus. This is possible due to a weakening of the sphincter, the muscle that separates the esophagus from the stomach. The sphincter opens when we ingest liquid or food, and closes to prevent it from flowing back. “The acid is hostile to the lining of the esophagus. When it gets up, there is a burning sensation or soreness in the sternum.Often, the unpleasant symptoms last for two hours after eating. If heartburn is not a one-time event, but a constant one, tissues are damaged: this is fraught with erosion and more serious diseases, “says Maria Fomina. coffee, mint, garlic, mustard, ketchup, chocolate, soda and alcohol. What to eat or drink for heartburn A glass of mineral water without gas will help get rid of heartburn.Another way to get rid of heartburn is with water mixed with a small amount of baking soda. The method should not be overused or it may backfire. Prevention After eating, sit or move for an hour. You do not need to go to bed right away: in this case, it will be easier for the acid to rise up from the stomach. Keep track of the time from dinner to bedtime – it should be at least two hours. Do not lift weights and exclude physical activity immediately after eating. When going to a holiday feast, wear loose clothing. A tight dress or a tight belt will increase pressure on your abdomen. When to see a doctor If heartburn has been bothering you for more than six months, occurs more often than once a week, and appears at night, you should see your doctor.

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What you can and cannot eat with heartburn, and how to cope with this unpleasant condition, Gastroenterologist Maria Fomina tells RIA Novosti.

When is heartburn a symptom?

Heartburn is not a disease in itself, but a signal that there are problems with the gastrointestinal tract: it can be GERD (gastroesophageal reflux disease), gastritis, stomach ulcer, gallbladder pathology.It happens that heartburn indicates an unhealthy cardiovascular system, for example, ischemic disease, or is a companion of metabolic disorders – in particular, obesity.

In healthy people

Most often, heartburn occurs due to smoking or dietary errors: for example, you eat something sour, fatty, spicy, drink alcohol or overeat.

Heartburn occurs in pregnant women, those who work in an incline, play sports and at the same time strongly stress the abdominal cavity.

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How heartburn occurs

Hydrochloric acid rises up from the stomach into the lower third of the esophagus. This is possible due to a weakening of the sphincter, the muscle that separates the esophagus from the stomach. The sphincter opens when we ingest liquid or food, and closes to prevent it from flowing back.

“The acid is hostile to the lining of the esophagus. When it gets up, there is a burning sensation or soreness in the sternum.Often, the unpleasant symptoms last for two hours after eating. If heartburn is not a one-time event, but a constant one, the tissues are damaged: this is fraught with erosion and more serious diseases, “says Maria Fomina.

Food provocateurs

juices from them. Coffee, mint, garlic, mustard, ketchup, chocolate, soda and alcohol can enhance the condition. from heartburn

A glass of mineral water without gas will help to get rid of heartburn.

“Unsweetened drinking yogurt is useful, which removes acid from the walls of the esophagus. It stabilizes the intestines, that is, food-irritant leaves the body faster. If there is no lactose intolerance, you can drink a glass of low-fat milk,” the expert said.

Another way to get rid of heartburn is with water mixed with a small amount of baking soda. The method should not be overused, otherwise it can backfire.

Prophylaxis

Sit or move for an hour after eating.You do not need to go to bed right away: in this case, it will be easier for the acid to rise up from the stomach. Keep track of the time from dinner to bedtime – it should be at least two hours.

Do not lift heavy objects and exclude physical activity immediately after eating.

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When going to a festive feast, wear loose clothing. A tight dress or a tight belt will increase the pressure on your abdomen.

“Do not overeat: the stomach volume is on average 0.5-1 liters. However, the stomach can stretch up to 3-4 liters. If you eat too much, the sphincter opens to increase the space for food. Thus, it is better to eat in small portions five times a day, “says Maria Fomina.

When to see a doctor

If heartburn bothers you for more than six months, occurs more often than once a week, and appears at night, you should consult a doctor.

How to get rid of, causes and treatment of heartburn in the throat

In recent years, the theory has spread that heartburn develops as a result of an increase in the permeability of the mucous membrane and expansion of contacts between the cells of the epithelium of the esophagus. As a result, the components of the acidic contents of the stomach easily enter the submucosal layer and irritate pain receptors. ¹

CAUSES OF HEARTBURN IN THE THROAT AND DIAGNOSTIC TECHNIQUES

Most often, heartburn occurs with gastroesophageal reflux disease (GERD) ².This disease is characterized by dysfunction of the lower esophageal sphincter, changes in peristalsis, increased pressure inside the stomach, as well as increased secretion of gastric juice. In addition, recurrent or persistent heartburn in the throat may be associated with the following conditions:

functional dyspepsia;
gastric ulcer;
gastroduodenitis;
duodenal ulcer and others ².

In order to understand why this symptom appeared, it is necessary to undergo a comprehensive examination.The most important techniques are endoscopic examination of the esophagus and daily monitoring of intraesophageal acidity ³. In addition, the doctor must collect anamnesis, determine the characteristics of a person’s diet, identify bad habits and predisposing factors. If necessary, other methods can be included in the examination plan, for example, impedance measurement, ultrasound of the abdominal organs, radiography of the esophagus with contrast.

SYMPTOMS OF HEARTBURN IN THE THROAT

The main manifestation of heartburn is a regularly occurring burning sensation or pain that occurs behind the sternum and can spread up the esophagus, including into the larynx (throat).If it occurs at least once a week, then it is considered a manifestation of any disease ¹. Other symptoms that accompany heartburn include:

belching with sour contents;
a feeling of bitterness or acidity in the mouth;
nausea;
flatulence;
sleep disturbance;
pain in the upper abdomen.

Heartburn in the throat may appear after eating or on an empty stomach.

The severity of heartburn and associated manifestations may vary.That is why some patients do not seek medical help and prefer to self-medicate. Other patients for whom these symptoms cause significant discomfort and are constantly disturbed, regularly visit a doctor and receive prescribed therapy.

HOW TO GET RID OF HEARTBURN

Effective treatment of heartburn in the throat involves the impact on the immediate cause of its occurrence. Additionally, symptomatic therapy is prescribed, the essence of which is to eliminate the characteristic symptoms.

In most cases, heartburn can be quickly and effectively treated. For this, several groups of drugs are used, the most popular of which are proton pump inhibitors and antacids. They are distinguished by a high degree of safety and efficiency ⁴. The group of antacids includes the drug Rennie ^®️. It contains calcium carbonate and magnesium hydroxycarbonate. They quickly neutralize excess hydrochloric acid and effectively fight heartburn.The positive effect occurs already after 3-5 minutes after the tablet is resorbed. Rennie ^®️ has several flavors – cooling, mint (sugar free), orange. The drug can be taken by adults and children over 12 years of age. The maximum daily dose is 11 tablets. The minimum interval between doses is 2 hours ⁵.

1. S. A. Baranov, Yu. O. Shulpekova, V. M. Nechaev / MODERN CONCEPTS ABOUT THE PATHOGENESIS OF HEARTBurn / Siberian Medical Journal.2018; 33 (3) https://cardiotomsk.elpub.ru/
2. I. V. Maev, A. A. Samsonov, N. G. Andreev / HEARTBURN SYMPTOM: HABITUAL DISCOMFORT OR A SERIOUS PROBLEM? / PHARMACY № 10 – 2011 https://lib.medvestnik.ru/
3. I. A. Sholomitskaya, N. V. Kapralov / Heartburn: A MODERN LOOK AT THE PROBLEM / Belarusian State Medical University https://www.bsmu.by/
4 GD Fadeenko / Heartburn: causes and effective treatment / GASTROENTEROLOGIYA • LIKARIA’S CONSPECT № 17 (270) 2011 http: // health-ua.com /
Rennie Prescribing Instructions ^®️

L.RU.MKT.CC.01.2021.3592

What to do if heartburn is tortured

This symptom is known to any of us. However, he can rarely remind of himself, after eating some special food. It happens that our stomach does not like the same sweet peppers, garlic, onions, etc. However, heartburn may indicate the presence of a disease. What exactly and whether it is necessary to do something about it, says Professor of the Department of Gastroenterology and Nutrition of the Belarusian Medical Academy of Postgraduate Education, Doctor of Medical Sciences Yulia GORGUN.

– Such a well-known symptom as heartburn has long been considered a sign of stomach disease, associated with the presence of erosion, gastritis, ulcers in it, but in recent decades it has been considered as a sign of esophageal disease. We are talking about gastroesophageal reflux disease, dysfunctions of the lower esophageal sphincter. There is a special valve between the esophagus and the stomach that opens, allows food to pass lower and closes so that food does not come back.This valve creates a kind of barrier between the stomach, which is acidic, and the esophagus, which is neutral or slightly alkaline. The word “reflux” itself means “throwing” – due to malfunctioning of the valve, the contents of the stomach can be thrown into the esophagus. It may not close, or not close enough, or open more often than necessary.

– Any heartburn means that there was the same reflux into the esophagus, but how to understand that this is no longer just a reaction to some product, but a disease?

– Normally, the valve between the esophagus and the stomach periodically opens even when we are not using food.In this case, gastric juice can enter the esophagus, but a healthy person will not feel this, because the esophagus has its own defensive mechanism. As soon as acid gets into it from the stomach along with food, mucus is produced, the amount of saliva increases, peristalsis increases, and all this neutralizes the acid, directs the contents back to the stomach. If these relaxations are very frequent or the valve remains slightly open at all, our esophagus begins to suffer. And even to a very strong degree, when the patient has double reflux, in which not only hydrochloric, but also bile acid enters the esophagus.First, bile is thrown from the duodenum into the stomach, and then all this, together with gastric juice, enters the esophagus. Irritation of the esophagus with these components causes heartburn – a feeling of “burning” behind the breastbone. If heartburn begins to bother, disrupts well-being, or occurs more often than twice a week, gastroesophageal reflux disease is diagnosed, which has three forms. It is non-erasing, when the mucous membrane of the esophagus is not damaged, nothing appears during the examination, but the person feels heartburn, a sour or bitter taste in the mouth, even there is a cough, a hoarse voice, attacks like bronchial asthma, damage to tooth enamel… The second form is erosive, when, during an endoscopic examination, the doctor sees redness of the mucous membrane, some defects. The third form is called Barrett’s esophagus. This is when reflux bothers us for a long time, and the surface of the esophagus, trying to adapt to the acidic environment, in some areas has become similar to the epithelium of the stomach or intestines. This is called gastric or intestinal metaplasia in the esophagus and is considered a precancerous condition, especially if the disease is accompanied by intestinal metaplasia.The more widespread it is, the higher the risk of developing cancer.

– Can the three forms of reflux be considered successive stages of pathology?

– Now most scientists are inclined to believe that these are independent forms. Usually, the form expressed initially is retained in the future. However, within the same form, there are different manifestations. In a patient who has not been treated, did not lead a healthy lifestyle, light erosions can become more severe, gradually they can become more.

– So, all forms need to be treated …

– Yes. Treatment approaches can be considered with the example of the erosive form. There is a damaging factor here – hydrochloric acid – and there are medicines that reduce the production of acid in the stomach – proton pump inhibitors. The minimum standard course of treatment is two months, but some patients need three to four to heal erosions. It must be borne in mind that the tendency to the appearance of erosions remains even after treatment, therefore, maintenance therapy is required for some time, and in some cases for life.

Such patients need to reconsider their lifestyle. You can not overeat, gain a lot of weight, be obese, which in itself increases the tendency to reflux. It is imperative to quit smoking, because tobacco increases the production of hydrochloric acid, affects the tone of the sphincter. Alcohol should be limited as it also relaxes the sphincter and damages the epithelium. It is necessary to choose the right treatment for a number of other diseases, since the same non-steroidal anti-inflammatory drugs for pain relief also damage the mucous membrane. Any carbonated drinks are prohibited. Careful with citrus fruits. In general, everything sour, coffee, tomatoes, chocolate, fatty must be limited. As a rule, patients themselves already know which foods are causing them unpleasant symptoms and follow a certain diet. You need to eat often and in small portions. It is important not to overeat before bed – after the last meal, two to four hours should pass before bedtime. Some patients are advised to sleep with the edge of the bed raised. If the patient adheres to these recommendations, then sometimes it is possible to do without medication.

– Pharmacies today have a large selection of over-the-counter heartburn suppressants. Can’t you hurt yourself by self-medication?

– This group of drugs is called antacids, they contain compounds of aluminum, calcium, magnesium and neutralize acid due to the fact that they themselves are alkaline. However, their effect is short-term. The stomach is freed from the contents, and literally in 30-40 minutes everything went further along with the drug. Antacids can be used if heartburn is rare. If she is with us many times a day, then in order to effectively remove her, you will have to swallow such drugs every hour. And such frequent use can cause side effects. In general, antacids are almost not absorbed in the stomach, however, at high doses, they can be absorbed, which will disrupt the acid-base balance in the body. Antacids should not be used for a long time and in large doses.

– Proton pump inhibitors such as omeprazole are also available over the counter without a prescription…

– Any medications have side effects, so a doctor should prescribe them. Abroad, by the way, only 10 mg of omeprazole is considered an over-the-counter dose, and 20 mg – only with a prescription. Without a prescription, medicines can be purchased by those who have already received recommendations for use from a doctor. This can be a daily intake of a small dose or “therapy on demand” for a mild form of the disease, when after the main course of treatment, the patient himself adjusts the dose depending on how he feels.

– Is reflux associated with H. pylori infection?

– This infection affects acidity levels in different ways. If there is inflammation in the stomach against the background of Helicobacter, then there is often an increased production of acid, which, if the esophageal sphincter does not work properly, can lead to heartburn. Therefore, the removal of H. pylori infection can remove an unpleasant symptom. It also happens that, against the background of infection, acid production decreases – the bacterium lowers its level.Some studies show that after removal of Helicobacter, the amount of hydrochloric acid even increases, reflux disease worsens. Nevertheless, European scientists are inclined to believe that the treatment of H. pylori infection should be carried out regardless of the presence of gastroesophageal reflux disease. They are treated separately, starting with the removal of the infection.

– Are reflux surgery performed?

– Such operations are recommended for anatomical features: if there is a hernia of the esophageal opening of the diaphragm, when the stomach can be pulled into the chest, and also if drug treatment does not work.

– What tests are performed to make a diagnosis of reflux disease?

– If you suffer from heartburn every day (after eating, at night), then this in itself indicates the presence of pathology. However, in order to find out the form of the disease, a gastroscopy is performed, which will show if there is damage to the esophagus, if there is a suspicion of Barrett’s esophagus and if there is a hiatal hernia. The diagnosis of a hernia is also made after an X-ray examination of the esophagus and stomach.There is also such a study as pH metry – the gold standard for diagnosing reflux disease. This study is primarily necessary for those whose disease is atypical, if there is no effect of treatment, there is a cough, which is associated with the reflux of hydrochloric acid. To carry out a pH measurement through the nose, a thin probe is installed, which measures the pH level in the esophagus during the day. Recently, equipment was purchased to conduct such a study in children, but there is still no widespread practice of using it in Belarus.

– Is it possible to “extinguish” heartburn with regular soda?

– Soda quickly neutralizes acid, but it has an even shorter effect than antacids. In addition, in the process of neutralizing reactions, carbon dioxide is formed, which increases the pressure in the stomach and further enhances the production of hydrochloric acid. Taking soda can be accompanied by an “acid rebound” – an increase in acid production after the cessation of its action. Also, soda, unlike antacids, is easily absorbed, and when consumed in a larger dose, it can disrupt the acid-base balance of the blood and the body.

Svetlana BORISENKO

[email protected]

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In healthy people

How heartburn occurs

Food provocateurs

Prophylaxis

When to see a doctor

How to get rid of, causes and treatment of heartburn in the throat

CAUSES OF HEARTBURN IN THE THROAT AND DIAGNOSTIC TECHNIQUES

SYMPTOMS OF HEARTBURN IN THE THROAT

HOW TO GET RID OF HEARTBURN

What to do if heartburn is tortured

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