Heartburn

Heartburn is a common symptom characterized by a burning sensation in the chest and throat, often accompanied by a sour taste in the mouth. It occurs when stomach acid flows back up into the esophagus, irritating the lining and causing discomfort.

Causes of Heartburn

• GERD (Gastroesophageal Reflux Disease): A chronic condition where the lower esophageal sphincter (LES) does not close properly, allowing stomach acid to flow back up into the esophagus.
• Eating certain foods: Citrus fruits, tomatoes, chocolate, spicy foods, and fatty or fried foods can trigger heartburn in some individuals.
• Obesity: Excess weight can put pressure on the stomach, causing stomach acid to flow back up into the esophagus.
• Pregnancy: Hormonal changes and pressure from the growing fetus can cause heartburn in pregnant women.
• Hiatal hernia: A condition where part of the stomach bulges up into the chest, which can cause stomach acid to flow back up into the esophagus.
• Medications: Certain medications, such as antihistamines and sedatives, can relax the LES and contribute to heartburn.

Symptoms of Heartburn

• Burning sensation in the chest and throat
• Sour taste in the mouth
• Difficulty swallowing
• Coughing or wheezing
• Hoarseness
• Bloating and discomfort in the upper abdomen

Treatment Options for Heartburn

• Lifestyle changes: Avoiding trigger foods, losing weight, elevating the head of the bed, and avoiding tight clothing can help alleviate heartburn symptoms.
• Over-the-counter medications: Antacids, histamine-2 (H2) blockers, and proton pump inhibitors (PPIs) can help neutralize stomach acid and reduce symptoms.
• Prescription medications: In severe cases, prescription-strength PPIs or other medications may be necessary to control symptoms.
• Surgery: In rare cases, surgery may be necessary to repair a hiatal hernia or tighten the LES.

Complications of Untreated Heartburn

• Esophagitis: Inflammation of the esophagus, which can lead to scarring and narrowing of the esophagus.
• Stricture: Narrowing of the esophagus, which can make swallowing difficult.
• Barrett's esophagus: A precancerous condition where the lining of the esophagus changes to resemble the lining of the intestine.
• Esophageal cancer: In rare cases, chronic heartburn can increase the risk of developing esophageal cancer.

Frequently Asked Questions (FAQs)

What is heartburn?
A burning sensation in the chest and throat.

What causes heartburn?
Stomach acid flowing back into the esophagus.

What triggers heartburn?
Eating spicy or fatty foods, lying down after eating.

How common is heartburn?
Affects up to 20% of the population.

Is heartburn a sign of a serious condition?
Usually not, but can be a symptom of GERD.

Can heartburn be treated at home?
Yes, with antacids and lifestyle changes.

What are some lifestyle changes for heartburn?
Avoid trigger foods, lose weight, elevate head while sleeping.

Can medications help heartburn?
Yes, antacids, H2 blockers, and proton pump inhibitors.

How long does heartburn typically last?
Varies, but usually resolves with treatment.

When should I see a doctor for heartburn?
If severe, frequent, or accompanied by difficulty swallowing.