Diseases And Treatments

Heartburn - What It Is, Symptoms and Treatments

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Heartburn - What It Is, Symptoms and Treatmentsof this discomfort that affects millions of people in the world. Besides that,Heartburnis a burning sensation coming from the back of the sternum, a bone located in the anterior part of the thorax. It may present as a pain radiating from the chest, neck, or throat. The nameHeartburnoriginates from the chest pains that usually accompany the discomfort - pains that can be so strong that you can imagine that you are having a heart attack. In fact, the pain has nothing to do with the heart. Instead, they are caused by stomach acid that moves into the esophagus, producing a burning sensation and discomfort. The symptoms are usually caused by a disease known as gastroesophageal reflux disease.

Causes of Heartburn:In most cases, theHeartburnconstant is a symptom of gastroesophageal reflux or hiatus hernia, and arises mainly within the first 2 hours after the meal or when the subject lies down immediately after eating. Look at the symptoms of reflux and hernia. hiatus Another major cause of

Heartburnare the food errors, especially when one is in the habit of eating large volumes in one meal, to abuse of alcoholic beverages and consuming many fried foods, fats and processed condiments, such as cubed meat broths.

In addition, the use of tight clothing favors the emergence ofHeartburnbecause by tightening the stomach, the tight clothes end up causing the gastric contents to rise to the larynx and throat. Pregnancy also has this same effect because increasing the size of the baby causes the stomach to become depressed, causingHeartburn. Understand better because the pregnant woman hasHeartburn.

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Symptoms of Heartburn:Symptoms ofHeartburnusually occur after a meal or when you lie down.

  • Burning sensation in the upper abdomen, which moves to the chest, continuing through the neck and into the back of the throat.
  • Eructation (belching) and regurgitation of bitter gastric juices.
  • Discomfort that gets worse when you lie down (other than chest pain from a heart attack, which is usually associated with physical activity).
  • In some cases, nausea.

Heartburn Treatments:What happens if you do not take action:AnHeartburnOccasional mild usually gives in alone in a matter of a few hours and is not cause for major concerns. But if you haveHeartburnyou should often seek a doctor, since persistent acid reflux can lead to inflammation of the esophagus, making it difficult to swallow. Chronic gastroesophageal reflux disease can also lead to another condition called Barrett's esophagus. You should adopt a new lifestyle and change your diet, in combination with medications, to reduce or eliminate the problem.

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Home Solutions:There are many over-the-counter preparations that areHeartburn. None is recommended for very prolonged use. Carefully read the bull's warnings. Pregnant women, children and people with ulcers or kidney problems should consult a doctor before using any type of mediforHeartburn.

Antacids:If you have symptoms ofHeartburn, do not try to "defeat" it. The discomfort of aHeartburnoccasionally (once or twice a month) may be relieved by the administration of some antacids purchased without a prescription. These medications come in tablets, liquid or effervescent tablets and in formulas of regular or extra potency. Antacids containing magnesium can cause diarrhea, while those containing calcium can cause constipation.

Antacids should resolve the situation almost immediately. The recommended dose, given one to three hours after a meal, should offer different degrees of relief. If a single dose does not calm the symptom, the problem may be more severe and you should see a doctor. Do not use antacids frequently and regularly. Not only can side effects worsen, but they can mask the symptoms that require medical attention. Antacids may also interfere with the absorption of other medications.

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Blockers 112:These drugs, purchased without a prescription, contain 50% of the minimum dosage of the prescribed formulas and must be administered before the accesses, to prevent the excess of acid expelled. When you realize that you will beHeartburntake a H2 blocker. Be it suffer fromHeartburn, you will get relief faster by taking a conventional antacid.

Do not take milk as medicine.Unlike the popular myth, milk is not a recommended antidote toHeartburn. A glass of milk offers some relief as it descends into the stomach, but the milk does not act to prevent acidity, and may eventually stimulate its production in the stomach. In less than 30 minutes you can develop a more severe acidity than the one you were treating.

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Heartburn or Heart Attack:THEHeartburnand heart attack have overlapping symptoms. But there are substantial differences. The following symptoms signal a heart attack, not aHeartburn:

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  • Pain that radiates to the jaw or the arm.
  • Pain accompanied by sweating, nausea, dizziness or difficulty breathing.
  • Pain while performing a physical effort,

If these symptoms are present, you may have a heart attack and seek medical attention immediately.

How to Avoid Heartburn:

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  • Do not overeat.Instead, make smaller meals more often. When you exaggerate, the tendency of food is to accumulate and squeeze into the stomach, forcing the digestive juices upward. Instead of making large meals at lunch and dinner, which makes the stomach produce too much acid, eat 4 to 6 small meals, spacing them throughout the day.
  • Avoid fatty or acidic foods.Certain foods bring discomfort or exacerbate symptoms to manyHeartburn. This includes citrus fruits, the blend of Bloody Mary (cocktail made with vodka and tomato juice), onion, Tomatoes and tomato sauces and fatty foods, especially fried fatty meat (the fat takes digest). Red wine, after-dinner liqueurs, chocolate and mint or mint also increase theHeartburn.
  • Avoid constipation.Forcing the bowel can increase abdominal pressure, causingHeartburn. You should increase your intake of a diet high in fiber and fluid, which facilitates the elimination of digested food.
  • If you smoke, stop.The cigarette affects the lower esophageal sphincter and allows the stomach acids to enter the esophagus.
  • Avoid caffeine.Caffeine from coffee, tea, and chocolate can increase acid production in the stomach, leading toHeartburn.
  • Limit alcohol consumption.Many beverages that contain alcohol relax the lower esophageal sphincter, causingHeartburn.
  • Loosen the belt.If you eat more than usual, you should loosen the belt so you do not tighten the stomach and force the acids up.
  • Beware of snacks before bed.You should not eat too much before bed. Eat four hours before retiring. The combination of a large meal and the horizontal rest position forces the digestive juices into the esophagus. It's best to stand at least a few hours before bedtime.
  • Sleep on the left side.If you haveHeartburnat night, this position should keep the acid contents of the stomach below the union with the lower esophagus, thereby reducing the acid back into the esophagus.
  • Raise the head of the bed.Leaving the body tilted up should prevent stomach acids from moving in the esophagus overnight. Put some blocks of wood under the feet of the bed, at the headboard or a shim that will fit under the mattress.
  • Reduce Daily Stress. If stress causesHeartburn, you should find ways to reduce it through professional counseling, relaxation techniques or regular exercises.
  • Check medicines for side effects.Certain medications, such as antihistamines, contraceptives, hypertension, heart, asthma and sedative medicines can aggravateHeartburnbecause they decrease the resistance of the lower esophageal sphincter. If you take medicines regularly, talk to your doctor about possibleHeartburn.
  • Lose weight.If you are overweight, the extra pounds force the lower esophageal sphincter, contributing to its weakening.

When to seek medical attention:Contact a physician whenHeartburnis persistent or if you do not improve within two weeks after trying the home remedies. Or if symptoms include wheezing, difficulty swallowing, vomiting with blood that looks like ground coffee or black stools. These symptoms can be caused by a problem other than gastroesophageal reflux such as an ulcer, gallbladder or other gastrointestinal problems.

What the doctor should do:A detailed history should help the doctorHeartburn. It should first rule out problems like angina and heart attack, since chest pain felt whenHeartburnis practically indistinct from heart problems. If the doctor suspects that the discomfort is really due toHeartburn, the diet should be reviewed for inappropriate food to be identified. The doctor may order an endoscopy (examination in which an endoscope is inserted into the esophagus and stomach) and, if necessary, obtain a tissue sample for biopsy.

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For chronic reflux andHeartburn, the doctor should prescribe medications to reduce the acidity of the stomach. These drugs include H2 blockers and proton pumping inhibitors. There are also medications that reduceHeartburnaccelerating emptying of the stomach. In very rare cases, very severe reflux may require surgical intervention. But you should not opt ​​for surgery until you have exhausted all other possibilities.

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