What triggers heartburn?
Heartburn is the burning sensation in the chest due to backflow or reflux of the acidic stomach contents into the food pipe (esophagus). Heartburn is a major symptom of gastroesophageal reflux disease or GERD. The food pipe or esophagus is a tube that connects the mouth to the stomach. The lower end of the esophagus has a muscular valve called the lower esophageal sphincter or LES. The LES guards the reflux of stomach contents into the food pipe. In gastroesophageal reflux disease (GERD), the LES does not close properly allowing the stomach contents to leak back or reflux into the food pipe and irritate it.
Besides certain foods, several other factors may cause heartburn. They include:
- Sleeping or lying down right after a meal
- Rigorous exercise especially after a meal
- Obesity or being overweight
- Hiatal hernia (a condition in which the stomach bulges up into the chest through an opening in the diaphragm, the muscle that separates the two areas)
- Certain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), blood pressure medications, and medications used to treat asthma, heart diseases, anxiety, depression, and cancer
- Stress and anxiety
Can multivitamins cause heartburn?
- Avoid taking multivitamins in empty stomach
- Take multivitamins with food
- Do not take multivitamins right before exercise
- Try the easy to digest forms of multivitamins, such as chewable tablets, powders, and dissolvable forms
- Avoid mega doses of multivitamins, such as the once a month or once a week dose
- Take smaller daily doses of multivitamins
- Try meeting your daily nutrient needs through diet
How do you treat heartburn?
The treatment for heartburn involves:
- Lifestyle and home remedies:
- Eat small meals
- Eat your food slowly
- Avoid certain foods and beverages, such as spicy and oily foods, citrus, tomato, mint, garlic, chocolate, tea, coffee, carbonated drinks, and alcohol
- Do not lie down right after eating
- Do not snack close to bedtime
- Maintain a healthy weight
- Do not smoke
- Antacids to neutralize stomach acid
- H2 blockers to decrease acid production
- Foaming agents to coat the stomach to prevent reflux
- Proton pump inhibitors to reduce the amount of acid the stomach makes
- Prokinetics to help strengthen the lower esophageal sphincter (LES); they empty the stomach faster and reduce acid reflux
- Surgery: If the medications do not provide lasting relief and the symptoms are severely interfering with everyday activities, your doctor may recommend surgery options, which include:
- LINX device placement: The procedure involves surgically placing a ring (LINX device) around the outside of the lower end of the esophagus.
- Fundoplication: The procedure creates an artificial valve using the upper part of the stomach.
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Fundoplication (Acid Reflux Surgery)Fundoplication is a surgical procedure for treating GERD (gastroesophageal reflux disease). The procedure is to help GERD symptoms including heartburn. Eighty percent of patients with GERD also have a hiatal hernia, and during the fundoplication procedure, the hernial sac may also be surgically fixed. The procedure can be done with laparotomy, thoracotomy, or laparoscopy.
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GERD (Acid Reflux, Heartburn)GERD (gastroesophageal reflux disease) is a condition in which the acidified liquid contents of the stomach backs up into the esophagus. The symptoms of uncomplicated GERD are:
- regurgitation, and
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GERD (Acid Reflux) in Infants and ChildrenGERD (gastroesophageal reflux disease) is the upward movement of stomach content, including acid, into the esophagus and sometimes into or out of the mouth. Common symptoms of GERD in children include colic, feeding problems, poor growth, frequent vomiting or coughing, heartburn, regurgitation, recurrent wheezing, pneumonia, choking, or gagging. Treatment may involve elevating the child's bed, keeping the child upright after eating, limiting foods that seem to make the reflux worse, encouraging your child to exercise, and serving several small meals a day.
Heart Attack vs. HeartburnHeartburn is a symptom of another disease or medical problem and can be described as a feeling of burning in the chest accompanied by symptoms of nausea, vomiting, or a sour taste or food stuck in the back of the throat. Heart attack occurs when an artery in the heart is completely blocked by a blood clot, which causes that portion of heart muscle to die. Heart attack also has symptoms of chest pain, nausea, and vomiting, however, other warning signs and symptoms of a heart attack are unusual weakness or fatigue, and persistent and/or increased severity of symptoms over a few minutes. Heart attack is a life threatening emergency. If you think you or someone you are with is having a heart attack, call 911 immediately for urgent medical treatment. It may save your life.
Heartburn is a burning sensation experienced from acid reflux (GERD). Symptoms of heartburn include chest pain, burning in the throat, difficulty swallowing, the feeling of food sticking in the throat, and a burning feeling in the chest.
Causes of heartburn include dietary habits, lifestyle habits, and medical causes.
Treatments for heartburn include lifestyle changes, OTC medication,prescription medication, and surgery.
Heartburn During PregnancyHeartburn during pregnancy is quite common. During pregnancy the lower esophageal sphincter muscle becomes weakened , which likely occurs due to the effect of the high levels of the hormones estrogen and progesterone during pregnancy. Fortunately, this resolves after pregnancy. Management of heartburn during pregnancy are generally involves lifestyle changes and avoiding foods that promote heartburn, for example, don't smoke, avoid tight clothing, eat small, frequent meals, chew gum, or sip liquids.
Heartburn Foods SlidesLearn the symptoms of heartburn and which foods cause heartburn or GERD. Discover home remedies and which foods may provide treatment for heartburn relief.
Heartburn Causes, Symptoms and RemediesHeartburn is a symptom of acid reflux that causes chest pain when stomach acid backs up into the esophagus. Heartburn symptoms may mimic chest pain that occurs during a heart attack. Gastroesophageal reflux disease (GERD) may produce other symptoms.
Heartburn vs. Acid Reflux (Differences and Similarities)
Heartburn and acid reflux are not the same thing. Heartburn is actually a symptom of acid reflux. Heartburn gets its name because it feels like a burning sensation around the heart. Another symptom that occurs with heartburn is a bitter or sour taste in the mouth, usually when you eat or lye down. Heartburn affects more than 60 million people in the US at least once a month. Acid reflux, or GERD, occurs when stomach acid backs up into the esophagus, which irritates it. Heartburn is just one symptom of acid reflux. Other symptoms of acid reflux include:
- Nausea after eating
- A feeling of fullness during or after eating
- Abdominal bloating
- Upset stomach
- Reflux laryngitis
- A tightness in the throat
- Problems swallowing
- In some people, vomiting
Causes of acid reflux and heartburn include:
- Being obese
- Slouching (poor posture)
- Medications like calcium channel blockers, theophylline, nitrates, and antihistamines
- Foods and drinks like caffeine, citrus fruits and vegetables, alcohol, and chocolate
- Increase in stomach acid
- Eating a heavy meal
- Eating before bed
The treatment for heartburn and acid reflux is to treat the underlying cause, for example, GERD, with over-the-counter (OTC) medicine, prescription medicine, natural remedies, and lifestyle changes like a eating a healthy, less fatty, spicy diet, not eating big meals, not eating before bed, and getting regular exercise to improve your posture.
Sometimes a heart attack can mimic heartburn and acid reflux because they feel very similar. If you have symptoms of chest pain, tightness in the chest, heartburn, acid reflux, jaw, tooth, or head pain; shortness of breath, nausea, vomiting, sweating, discomfort in the upper middle of the abdomen, arm or upper back pain, or the general feeling of being ill, go to the nearest Emergency Department immediately because these are the symptoms of a heart attack.
American College of Gastroenterology. "Acid Reflux." 2017.
familydoctor.org. "Heartburn." Updated: Mar 2014.
National Library of Medicine; PubMed Health. "Heartburn and GERD: Treatment options for GERD." Updated: Nov 18, 2015.
How Can I Relieve Acid Reflux?Acid reflux refers to the condition in which the stomach contents move up into the food pipe (esophagus). When the acidic stomach contents leak frequently, more than twice a week over several weeks, into the esophagus, the condition is called gastroesophageal reflux disease (GERD). Treatment of acid reflux includes lifestyle and home remedies (eating small meals, not eating before bed, avoiding coffee and tea, etc.), medications, and surgery.
Ways to Relieve Acid Reflux (GERD, Heartburn)Most people have experienced some sort of pain or discomfort following a large meal or a particular food that didn’t quite agree with their stomach. Acid reflux symptoms can happen without a specific underlying condition.
What Is the Quickest Way to Get Rid of Heartburn?Taking antacids is considered the quickest way to get rid of heartburn. These over-the-counter medications help neutralize stomach acid. They are one of the first recommended treatments. They may provide quick relief. However, antacid overuse can cause problems such as diarrhea or chronic kidney disease, especially if they contain aluminum and magnesium.