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Saturday, October 26, 2013

Disadvantages of heartburn;

Heartburn, Causes, occurring, symptoms, diagnosis, treatment;

How heartburn occurs?

How to treat Heartburn?

Heartburn overview and events; the esophagus is an elastic tube, connecting the mouth to the stomach. It is made of muscles that work to push foods toward the stomach in rhythmic waves. Once in the stomach, food is prevented from refluxing back into the esophagus, by special area of circular muscle located at the junction of the esophagus and stomach, called lower esophagus sphincter (LES). A pressure difference across the diaphragm, the flat muscle that separates the chest from the abdomen, tends to keep stomach contents in the stomach.

Heartburn occurring

The stomach mixes and combines foods, acids, and enzymes together to start digestion. There are special protective cells that line the stomach to prevent the acid from causing inflammation. But the esophagus does not acquire the same protection, therefore, when the stomach products reflux back into the esophagus, they can cause inflammation to the lining.

Heartburn causes

Heartburn is a symptom of gastro esophageal reflux disease, known as GERD and is caused by acid refluxing back into the esophagus. The risk factors are including the increase production of acid in the stomach, as well as structural problems that allow acid reflux into the esophagus. Some common foods, drinks, and prescription medications stimulate and increase stomach acid secretion; this is the main cause of heartburn. Among the irritants are:
1.    Alcohol, caffeine, aspirin, and anti-inflammatory medications.
2.    Carbonated beverages, and acidic juices like grapefruit, orange, pineapple, acidic foods, such as tomatoes, grapefruits, oranges and chocolate.
3.    Smoking and consumption of high fat content foods tend to affect the lower esophagus function causing it to relax and allow acid to reflux into the esophagus.
4.    A hiatal hernia, in which a portion of the stomach lies in the chest instead of the abdomen, can affect the way the lower esophagus works and it is a risk factor for reflux.
5.    Pregnancy can cause increased pressure in the abdomen, which can affect lower esophagus function and provoke to reflux.
6.    Obesity may also cause increased pressure in the abdomen, and thus reflux in the same way.
7.    Primary diseases of esophagus can also present with heartburn as a symptom.

Heartburn symptoms

Heartburning is a symptom of gastro esophageal reflux disease GERD:
1.    As stomach acid refluxes up into esophagus and causes harmful pain.
2.    This pain can be felt as a burning sensation behind the sternum or breastbone, either as a spasm or a sharp pain.
3.    Many times the pain of acid reflux can be mistaken for the pain of a heart attack.
4.    The pain of acid reflux can remain in the lower chest or it can radiate to the back of the throat and be associated with water brash, a sour taste in the back of the throat.
5.    If there is acid reflux near the larynx in the throat, it may cause coughing episodes or hoarseness.
6.    Reflux over prolonged periods, can be severe enough that acid wears away the enamel on teeth and causes decay.
7.    Symptoms are often worsened after heavy meals, leaning forward, or lying flat.
8.    Those affected may often awaken from sleep with heartburn.
9.    Heartburn is not without complications if ignored; recurrent irritation and inflammation of the esophagus can lead to ulcers, which are small areas of tissue breakdown, and these can cause serious bleeding, as well, scarring and stricture are other significant complications of GERD.
10. Changes in the type of cells lining the esophagus may result from acid reflux causing a condition known as Barrett’s esophagus, which is associated with an increased risk of esophagus cancer.

Heartburn diagnosis

As heartburn is a common complaint, though it can be confused with other chest related illnesses, such as, heart attack, pulmonary embolus, pneumonia, and chest wall pain. The diagnosis begins with a complete history and physical examination. In some instances, further testing, like X-ray or other tests, may be required.

Heartburn treatment

Practice lifestyle changes, eat smaller, more frequent meals, avoid eating before bedtime, avoid alcohol, aspirin, caffeine, rid of smoking, elevate the head of the bed or use tow or more pillows to allow gravity to keep acid in the stomach and avoid acid reflux. Taking antacids may be useful after meals, at bedtime or when needed, to bind excess acid in the stomach and to coat the esophagus.
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