Heartburn là gì

Despite its name, heartburn has nothing khổng lồ vì with the heart (although some of the symptoms are similar to a heart attack). Heartburn is an irritation of the esophagus caused by acid that refluxes (comes up) from the stomach.

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Mặc dù có tên là vậy, nhưng triệu chứng ợ rét (ợ chua) ko tương quan gì đến tyên mạch cả (dẫu cũng bao gồm một trong những triệu bệnh tương tự nlỗi đau tim). Ợ nóng (ợ chua) là hiện tượng thực quản ngại bị kích ưng ý vày a-xkhông nhiều trào ngược (tung ngược lên) từ bỏ dạ dày.

Heartburn facts

Despite its name, heartburn has nothing to lớn vì chưng with the heart (although some of the symptoms are similar to lớn a heart attack). Heartburn is an irritation of the esophagus caused by acid that refluxes (comes up) from the stomach. Heartburn is also a symptom of more serious gastroesophageal reflux disease, or GERD.

When swallowing, food passes down the throat and through the esophagus to the stomach. Normally, a muscular valve sầu called the lower esophageal sphincter (LES) opens to lớn allow food into lớn the stomach (or khổng lồ permit belching); then it closes again. Then the stomach releases strong acids to help break down the food. But if the lower esophageal sphincter opens too often or does not cthua trận tight enough, stomach acid can reflux or seep baông xã into the esophagus, damaging it and causing the burning sensation we know as heartburn.

Not only can stomach acid in the esophagus cause heartburn, but it can also cause ulcers, strictures (narrowing) of the esophagus, and cancer of the esophagus.

Most people have sầu felt heartburn at one time or another. In fact, the American Gastroenterological Association reports that more than 60 million Americans experience heartburn/GERD symptoms at least once each month. Though uncomfortable, heartburn does not usually pose a serious health problem for most people.

However, if heartburn symptoms occur frequently và persistently, it may be a sign of a more serious problem, such as gastroesophageal reflux disease (GERD). GERD is a chronic reflux of acid into the esophagus. Left untreated, GERD can cause a host of complications, including esophagitis, esophageal ulcers, hoarseness, chronic pulmonary disease, and Barrett"s esophagus (a change in the lining of the esophagus that increases the risk of developing cancer of the esophagus).

Heartburn symptoms

Heartburn has several symptoms, including:

* A burning feeling in the chest just behind the breastbone that occurs after eating & lasts a few minutes to lớn several hours.

* Chest pain, especially after bending over, lying down, or eating.

* Burning in the throat -- or hot, sour, acidic, or salty-tasting fluid at the baông xã of the throat.

* Difficulty swallowing.

* Feeling of food "sticking" in the middle of the chest or throat.

Reporting these symptoms khổng lồ your doctor is usually all that is needed for your doctor lớn diagnose heartburn. However, your doctor may perkhung special tests such as endoscopy or pH monitoring lớn determine the severity of your problem or khổng lồ monitor your treatment.

Heartburn causes

Various lifestyle và dietary factors can contribute khổng lồ heartburn by relaxing the lower esophageal sphincter and allowing it lớn open, increasing the amount of acid in the stomach, increasing stomach pressure, or by making the esophagus more sensitive lớn harsh acids. These factors include:

Dietary Habits

* Eating too much.

* Eating certain foods, including onions, chocolate, peppermint, high-fat or spicy foods, citrus fruits, garlic, and tomatoes or tomato-based products.

* Drinking certain beverages, including citrus juices, alcohol, caffeinated drinks, & carbonated drinks.

* Eating before bedtime.

Lifestyle habits

* Being overweight

* Smoking

* Wearing tight-fitting clothing or belts

* Lying down or bending over, especially after eating

* Stress

Medical causes

* Pregnancy.

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* Bulging of part of the stomach into lớn the chest cavity, also called hiatal hernia.


* Taking certain medications, especially some antibiotics & aspirin.

Heartburn treatment

Treating heartburn requires adjustments to your lifestyle, medications, và possibly surgery if your heartburn is due to GERD or a hiatal hernia.

Tips to alleviate heartburn symptoms

* Raise the head of your bed about 6 inches to allow gravity lớn help keep the stomach"s contents in the stomach. (Do not use piles of pillows because this puts your toàn thân into a bent position that actually aggravates the condition by increasing pressure on the abdomen.)

* Eat meals at least three to lớn four hours before lying down & avoid bedtime snacks.

* Eat smaller meals.

* Maintain a healthy weight to eliminate unnecessary intra-abdominal pressure caused by extra pounds.

* Limit consumption of fatty foods, chocolate, peppermint, coffee, tea, colas, và alcohol -- all of which can relax the lower esophageal sphincter -- and tomatoes and citrus fruits or juices, which contribute additional acid that can irritate the esophagus.

* Give up smoking, which also relaxes the lower esophageal sphincter.

* Wear loose belts & clothing.

Heartburn can be treated with medicine. Medicines used khổng lồ treat heartburn can range from over-the-counter remedies to lớn medicine requiring a doctor"s prescription.

Over-the-counter heartburn treatments

* Antacids. Antacids neutralize excess stomach acid to lớn relieve sầu heartburn, sour stomach, acid indigestion, and stomach upmix. They are also occasionally recommended lớn help relieve the pain of ulcers. Some antacids also contain simethicone, an ingredient that helps eliminate excess gas. Examples of antacids include: Tums, Rolsida, và Maalox. You should take antacids exactly as directed by your doctor, or according khổng lồ the manufacturer"s directions. If you are using the tablets, chew them well before swallowing for faster relief. Serious side effects can occur with an overdose or overuse of antacids. Side effects include constipation, diarrhea, change in color of bowel movements và stomach cramps.

* Acid blockers. These medicines relieve heartburn, acid indigestion, and sour stomach, and are available without a prescription. Pepcid AC, Tagamet HB, Zantac 75, Axid AR, & Prilosec OTC are examples of over-the-counter acid blockers. Acid blockers work by reducing the production of stomach acid. Take these medications according khổng lồ the directions on the package, or as advised by your doctor. Possible serious side effects that need to be reported khổng lồ your doctor right away include confusion, chest tightness, bleeding, sore throat, fever, irregular heartbeat, weakness, & unusual fatigue. Other less serious side effects include mild headache, dizziness và diarrhea, which are usually temporary and will likely go away on their own.

People who have sầu more severe heartburn symptoms that aren"t relieved with these medications or who have been using these drugs for more than two weeks should tương tác their doctor. They may need medicine obtained with a doctor"s prescription.

Prescription heartburn treatments

* H2 Blockers. Histamine-2 (H2) blockers such as Pepcid, Tagamet, Zantac, và Axid work by reducing the production of stomach acid. The prescription forms of these medications (which usually contain higher doses than the over-the-counter versions) can generally relieve heartburn & treat GERD. They also may be used for other conditions as determined by your doctor.

* Proton pump inhibitors. Depending on the source of your problem, your doctor can prescribe medications that blochồng acid production more effectively than the H2 blockers, namely the family of medications doctors hotline proton pump inhibitors, or PPIs for short. They include: Prilosec, Prevacid, Aciphex, Protonix, & Nexium. Another PPI product combines Prilosec with sodium bicarbonate (Zegerid).

* Promotility Agents. Promotility agents work by speeding up digestion, which prevents acid from staying in the stomach too long, và strengthening the lower esophageal sphincter, reducing reflux baông xã up inlớn the esophagus. Reglan is a promotility agent occasionally used to treat heartburn associated with GERD. The side effects of Reglan may include drowsiness, fatigue, diarrhea, restlessness, & movement problems. Another promotility agent, Propulsid, was removed from the market in 2000 because it caused serious heart arrythmias (abnormal heart beat) in some people.

Most patients are successfully treated with these medications. Only a few people need surgery khổng lồ correct the disorder.