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Doctor insights on: Heartburn

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Dr. Charles Cattano
1,502 Doctors shared insights

Heartburn (Overview)

A painful burning sensation in the esophagus, just below or behind the breastbone. The pain often rises in your chest and may radiate to your neck or throat.


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What causes heartburn?

What causes heartburn?

Stomach acidity: Our GI system is in continuous operation, with the average adult swallowing 1 quart of saliva/day & the esophagus opening slightly to let it into the stomach. We feed at intervals & the muscular stomach walls squeeze & mix food with stomach acid. If the esophagus opens to accept saliva while the stomach is squeezing, acid is pushed up the esophagus & may burn the walls. Over time this can cause hb. ...Read more

Dr. Charles Cattano
1,502 Doctors shared insights

Heartburn (Overview)

A painful burning sensation in the esophagus, just below or behind the breastbone. The pain often rises in your chest and may radiate to your neck or throat.


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What are some available diagnostic tests to evaluate heartburn symptoms?

What are some available diagnostic tests to evaluate heartburn symptoms?

See below.: Possible tests are endoscopy and biopsy. Some chest pain may warrant an EKG (cardiogram) to rule out heart disease. Possible labwork, looking for the cause or consequences can include a blood count, electrolyte levels, pancreatic enzymes. A test for H. Pylori, should be considered, since this bacteria can cause symptoms and can be treated. ...Read more

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Treating Heartburn (Checklist)

Use an over-the-counter heartburn medication
Daily
Avoid eating heavy meals
Daily
Limit fatty or acidic foods
Daily
Avoid alcoholic drinks
Daily
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What increases your risk of having heartburn?

What increases your risk of having heartburn?

Lifestyle: Heartburn is more common in people who are heavier. It is also associated with diet:larger meals, fatty, spicy or greasy foods, alcohol, tomato or citrus foods are also common triggers. ...Read more

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What preventative treatments are there for GERD and heartburn?

What preventative treatments are there for GERD and heartburn?

Prevent/Control GERD: Avoid foods & behavior that delay stomach emptying &/or relax the lower esophageal sphincter--spicy, greasy food, mints, alcohol, tobacco, chocolate, tomato-based products, caffeinated & fizzy drinks, eating before bedtime. Lose weight. Elevate head of bed on blocks. Use otc acid blockers for relief (h2's: tagamet, zantac, (ranitidine) pepcid; ppi's: prilosec, prevacid, zegerid). See a GI doctor if persistent. ...Read more

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What causes heartburn?

Stomach acidity: Our GI system is in continuous operation, with the average adult swallowing 1 quart of saliva/day & the esophagus opening slightly to let it into the stomach. We feed at intervals & the muscular stomach walls squeeze & mix food with stomach acid. If the esophagus opens to accept saliva while the stomach is squeezing, acid is pushed up the esophagus & may burn the walls. Over time this can cause hb. ...Read more

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Could having heartburn mean I am pregnant?

Could having heartburn mean I am pregnant?

Yes: Heartburn is a common symptom in pregnancy, but it is a common health problem for nonpregnant women as well. The easiest way to answer this question is for you to do an over-the-counter pregnancy test available at any pharmacy. ...Read more

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How do I treat heartburn at home?

How do I treat heartburn at home?

U can use Tums (calcium carbonate) or: Other antacids or talk to your pharmacist. If this persists for more than a week or two, see your doctor. ...Read more

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Constant heartburn and acid reflux for over 2 years. How can I get this treated?

Constant heartburn and acid reflux for over 2 years. How can I get this treated?

Diet, meds&surgery: Avid the foods that cause acid reflux
avoid obesity, if obese loose weight
h2 blockers like ranitidine and others
prton pump inhibiters
if nothing else helps than fundal plication surgery or stretta procedure
se a gastroenterologist or discuss with your family doctor. ...Read more

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What are some natural remedies for treating heartburn? Ginger? Mint?

What are some natural remedies for treating heartburn? Ginger? Mint?

DGL, slippery elm: Chronic or recurring heartburn needs to be checked out by a doc to make sure there aren't ulcerations, erosions, infection, cancer etc. Heartburn can be worsened by mint, chamomile, tobacco, alcohol, sweets, coffee, chocolate, fried food, spicy, or acidic food, large deglycyrrhinated licorice can coat the esophagus (w/o adrenal/kidney side effects); slippery elm can help-ok short term. ...Read more

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What is a homemade treatment for heartburn?

What is a homemade treatment for heartburn?

Apple cider vinegar: No medicine or home remedy works for everyone but according to the feedback at http://www. Earthclinic. Com/cures/acid_reflux. Html
apple cider vinegar is the home remedy that has helped the most people. But while 265 people say it helped, 40 found it did not help or only did a bit. That article gives other remedies to try. Avoiding inciting foods like fats/alcohol to prevent acidity is also important. ...Read more

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What are good home treatments for heartburn?

What are good home treatments for heartburn?

Avoid certai. Foods.: Avoid acidic foods such as citrus, tomato, and alcohol. Be careful with caffeine and derivatives. Avoid eating for a couple hours before you lie down or go to sleep.
As far as home remedies, try ginger, in any form, chamomile tea, or try a banana. ...Read more

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How to cure heartburn?

How to cure heartburn?

Control-yes. Cure?: Heartburn (gerd) is a pain! Many reasons for it. Usually obese, poor diet and lifestyle, but many are thin, eat properly and it is there. Avoiding fatty meals, alcohol, spices to some extent, avoiding eating or drinking after 6 P.M., elevating the head of bed 6-8 inches, taking antacids, alginates, h-2 blockers like pepcid, (famotidine) etc, prilosec, etc may help. May need surgery to cure. See pcp/gi doc. ...Read more

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How can I get rid of heartburn?

How can I get rid of heartburn?

Few things to try...: Heartburn is very common and often lifestyle is a major contributing factor. Smoking/alcohol/caffeine/mint/fatty foods/too-spicey foods, and many medications cause heartburns. Obesity and laying down after meals etc...Are other risks. So, if you can control the above, you r much less likely to suffer heartburn. If above not adequate, otc prilosec/zantac/pepcid may help. Consult doc. Good luck. ...Read more

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Best recommended OTC drug for random heartburn? No prilosec. Tums (calcium carbonate) and rolaids make me vomit. Nothing to chew. Rather a preventative than an as needed.

Best recommended OTC drug for random heartburn? No prilosec. Tums (calcium carbonate) and rolaids make me vomit. Nothing to chew. Rather a preventative than an as needed.

How about behaviors?: Assuming you have tried ranitidine (otc), here are some thoughts. Heartburn is caused by acidic stomach contents sloshing up into the less protected esophagus, and it can be brought on by acidic or spicy foods, alcohol, coffee, etc. If you are overweight or pregnant, you are more prone to heartburn because of the greater pressure in your belly. Eating late at night may bring it on, as can smoking. ...Read more

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Is it okay to take lanzoprazole or omeprazole everyday due to my frequent heartburn? Spicy foods seems to trigger it again after 14 day treatment.

Is it okay to take lanzoprazole or omeprazole everyday due to my frequent heartburn? Spicy foods seems to trigger it again after 14 day treatment.

See below.: Many people take these meds every day, generally would like to take no meds if possible. Can try taking for thirty days then switching to every other day for a few days before stopping it and see how that works. If discomfort returns you should probably see doc to straighten this out. ...Read more

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How do I prevent heartburn?

How do I prevent heartburn?

Diet, lifestyle, Rx: Dietary changes such as minimizing large meals, fatty or acidic foods, losing weight if obese and not eating near bedtime. If symptoms persist then try an otc medication. ...Read more

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What does the doctor do when he gets heartburn?

What does the doctor do when he gets heartburn?

Heartburn: Treatment depends on the frequency & severity of symptoms. Otc antacids may be sufficient for minor, occasional symptoms; h2 blockers like zantac/axid/tagamet may be needed for more frequent, more severe symptoms. If sx are almost daily, ppi's like prilosec/prevacid/protonix may be needed. Reducing dietary triggers (fats/soda/spicy foods) may also help. See doc for eval & treatment. ...Read more

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How come I get heartburn?

How come I get heartburn?

Acid: The acid from your stomach irritates your esophagus (the tube that goes from your stomach to your throat) this can cause heartburn and chest pain. The stomach has a special lining that protects it unless there is an ulcer. ...Read more

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Both my children were born with gastroesophageal reflux disease, commonly called gerd. Is this genetic?

Both my children were born with gastroesophageal reflux disease, commonly called gerd. Is this genetic?

Reflux is universal: For a baby to burp (like you want) it refluxes air from the stomach. A wet burp is the same event with a little added. All babies reflux to some degree & their flat position to rest aggravates the process. Some babies become agitated after a while from the stomach acids that accompany the reflux events & improve with treatment. We don't label reflux a disease unless the kid has life altering sx. ...Read more

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How can I tell if my child has heartburn?

How can I tell if my child has heartburn?

Fussy with feeds: Baby may arch away from the nipple, burp a lot and become very fussy during or shortly after feeding.Unlike the baby who has mild reflux, will display marked discomfort when he/she spits up. If not attended baby may have increased risk for respiratory problems including ear infections. ...Read more

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What increases your risk of having heartburn?

Lifestyle: Heartburn is more common in people who are heavier. It is also associated with diet:larger meals, fatty, spicy or greasy foods, alcohol, tomato or citrus foods are also common triggers. ...Read more

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What factors add to heartburn?

Many contributors: There are many factors which can lead to heartburn. Problems with swallowing from medical conditions, diet (fatty, spicy, greasy foods, caffeine, tomato based foods, or citrus fruits or juices). Weight gain appears to be the fastest growing problem leading to increasing gerd and heartburn. ...Read more

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I have been diagnosed GERD & I get heartburns almost once a week. I usually take a Pantoprezole tablet then - is it safe to take it so often?

I have been diagnosed GERD & I get heartburns almost once a week. I usually take a Pantoprezole tablet then - is it safe to take it so often?

Talk to doc but: First you need to take the Pantoprazole 30-60 mins before your first meal of the day. There is also concern that chronic use of this type of drug increases the risk in getting pneumonia and possibly traveler's diarrhea.
If taken only when heartburn starts, then a Histamine 2 reverse agonist (Pepcid, Zantac) may be more appropriate. ...Read more

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Is there a difference between heartburn and gerd?

Is there a difference between heartburn and gerd?

Yes: Heartburn is a common symptom of gastroesophageal reflux disease (gerd). Not all heartburn is gerd (95%+ is) and not everyone with gerd has heartburn. ...Read more

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What is the difference between heartburn and gerd?

Really the same: Some doctors may call more regular episodes of heartburn gerd i.e. Daily as opposed to episodic heartburn that you get from eating too much pizza. ...Read more

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What else causes frequent severe heartburn besides gerd?

Studies have shown: That the differential diagnosis of heartburn symptoms is quite broad, but according to Dr. Harmon and others in Therapeutic Advances in Gastroenterology, there are five major causes:
Medications, functional dyspepsia, GERD, peptic ulcer disease, and cancer.
GERD may have no symptoms of heartburn whatsoever. Here is a review to read: http://tinyurl. Com/nqnv9qr ...Read more

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I am experiencing heartburn (gerd) (worsened by: lying flat).

I am experiencing heartburn (gerd) (worsened by: lying flat).

Heartburn: Approaches to heartburn include: elevating the head of the bed, not wearing tight clothes that cinch the abdomen, avoiding meals late at night, waiting at least 3 hours after a meal to lie down, not allowing body weight to be excessive, not smoking, acupuncture, hypnosis, ginger tea, relaxation and medications such as antacids, Proton pump inhibitors or H-2- receptor antagonists. ...Read more

Dr. Heidi Fowler
1,263 Doctors shared insights

Indigestion (Definition)

Indigestion = Difficulty ...Read more