What Happens When You Have Heartburn
While its name suggests otherwise, heartburn has no impact on your heart.
Heartburn, or acid indigestion, happens when your stomach acid flows back into your esophagus. It causes an uncomfortable burning feeling or pain in your chest that can move up to your neck and throat.
The esophagus is located close to the heart, so its often difficult for people to distinguish where the pain is coming from, Dr. Abdallah says.
This is why its important for a doctor to rule out a heart attack if over-the-counter antacids dont work or if you experience the less pronounced symptoms, he says.
If left untreated, heartburn can cause more serious problems such as inflammation and narrowing of the esophagus, respiratory problems, chronic cough or even cancer.
The good news: Several types of over-the-counter medicines are available to treat heartburn.
Can Gerd Negatively Affect The Heart
GERD cannot cause heart disease, but esophageal symptoms can be confused with cardiac symptoms, explains Larry Good, MD, whos been a practicing gastroenterologist for 40+ years. He has a private practice located in Lynbrook, NY and is affiliated with Concierge Choice Physicians, a leading provider of personalized care in the U.S.
In addition to chest pain, burning and aches, GERD can also cause issues with the throat such as coughing, a hoarse voice and a feeling of a lump in the throat.
When acid reflux makes its way to the throat, causing symptoms, the condition is known as LPR: laryngopharyngeal reflux disease.
How Are Palpitations Treated
The treatment of your palpitations depends on the cause. You may not need any treatment and your palpitations may go away by themselves.
If your palpitations are caused by some of the lifestyle factors above, such as alcohol, smoking or caffeine-containing drinks, you should avoid or reduce their intake. If you feel stressed or anxious, try to identify what is causing this and find ways to relax. Read these tips for managing stress.
If your palpitations are caused by a heart rhythm problem such as atrial fibrillation, you may be prescribed medicines to help prevent blood clots and bring your hearts rhythm and speed back to normal. Read more about treatment for atrial fibrillation.
Occasionally, palpitations caused by a heart problem may need more specialist tests or treatment in hospital or by referral to a cardiologist .
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Are There Similarities Among The Signs And Symptoms Of Heart Attack And Heartburn
A person can have these symptoms with either heartburn or a heart attack. Since the symptoms are so similar, it often makes it difficult for some people to tell if they are having heartburn or a heart attack.
- Chest pain . The pain may linger or subside.
Although heartburn may produce some less severe symptoms, heartburn is rarely life threatening. In contrast, heart attacks are frequently life threatening. If there is any doubt in your mind as to whether you or someone you are with has symptoms indicating heartburn or heart attack, you should call 911 immediately to be transported to an emergency department for medical treatment.
What Is The Prognosis For A Heart Attack And Heartburn
The prognosis for the majority of people with heartburn is good to excellent if they try to prevent any future problems. Severe heartburn has a reduced prognosis as it can lead to esophageal damage, Barretts esophagus, and/or inability to swallow due to stricture formation.
The prognosis of a heart attack may be good to fair if treated immediately however, the prognosis decreases if a large amount of heart muscle is damaged or destroyed during a heart attack. Complications of heart attacks include irregular heartbeat , heart valve damage, heart failure, additional heart attacks, and/or sudden death.
Complications occur more frequently after a person survives a heart attack. Complications occur less frequently after heartburn.
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Can Acid Reflux Disease Cause Heart Palpitations
For most people, the term acid reflux goes hand in hand with heartburn. Thats because the burn of the acid is likely to be felt in the lower portion of the esophagus, in the region of the heart. But acid reflux can also cause heart palpitations and other disturbances, such as chest pain. There is one huge caveat, however: If you experience chest pressure or pain and palpitations, it is extremely important that these symptoms be taken seriously and not be automatically attributed to heartburn, since they may also signal a heart attack.
Do Steroids Affect Your Heart
Theres no question that using steroids can increase your risk of heart attack and stroke.
People who use anabolic-androgenic steroids are more likely to have coronary artery disease, high blood pressure, and high cholesterol than those who do not take them.
This is because AAS can cause a buildup of lipids in your arteries, which could cause them to clog up and block blood flow.
Another way using steroids can affect your heart is by causing it to work harder than usual.
This may be due to the fact that AAS increases levels of testosterone, which makes muscles bigger and stronger at first but eventually causes them to break down.
The overworked heart can then lead to problems like heartburn, chest pain , and even heart failure.
So, while steroids can have some amazing benefits in medicine and for athletes and bodybuilders, they also come with a number of risks.
If youre thinking about taking them, its important to understand these risks before making your decision.
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Common Symptoms Of Heartburn
If you’ve got a burning feeling in your chest just behind your breastbone that starts after you eat, it might be heartburn. The symptoms could last from a few minutes to several hours.
- Chest pain, especially after you bend over, lie down, or eat
- Burning at the back of your throat
- Fluid at the back of your throat that tastes hot, sour, acidic, or salty
- Long-term cough, sore throat, or hoarseness
Telling your doctor about these symptoms is usually all they need to make a diagnosis of heartburn. But they may ask you to take special tests to find out how severe the problem is or to keep an eye on your treatment.
Clinicians Should Consider Withholding Ppis
Still, as a preventive measure, healthcare professionals may want to reconsider prescribing such medication if other options are available, suggests Dr. Schnabl.
Although obesity and alcohol use predispose a person to acid reflux requiring antacid medication, he says, many patients with chronic liver disease take gastric acid suppressive medications without appropriate indication.
We believe clinicians should consider withholding medications that suppress gastric acid unless there is a strong medical indication.
Dr. Bernd Schnabl
The researchers hope that their current findings, should they be confirmed by future research, may eventually lead the way to more effective and targeted therapies for chronic liver diseases.
We might someday be able to manipulate the gut microbiome, and in particular Enterococcus faecalis, to attenuate alcohol-related liver disease associated with gastric acid suppression, Dr. Schnabl concludes.
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Helpful Foods That Decrease Stomach Acid
Foods that are non-acidic, also referred to as alkaline, will help calm the stomach and prevent heartburn.
Examples of alkaline foods include:
- Bananas: Bananas are well known for soothing the stomach, and theyre also rich in
- Bread and rice: These carbohydrates help calm the stomach. Just make sure you go for the whole-grain bread and brown rice.
- Ginger: This ancient herb has long been regarded as a therapeutic agent for the digestive system.
- Plant-based milks: Along with water, plant-based milks are generally neutral and soothe the stomach.
Is It Heartburn Or A Heart Attack How To Tell
Is that burning sensation in your chest simply heartburn or the sign of something much worse? Its not always easy to tell.
Unfortunately, the stakes couldnt be higher. Forty percent of women and 30 percent of men with coronary artery disease experience this symptom, UH cardiologist disease specialist Barbara Williams, MD says.
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Do You Feel Pressure In Your Chest And Discomfort In Your Shoulders Arms Neck Jaw Or Back Do You Feel Like You Have Indigestion
Angina signals an underlying heart condition that can lead to a heart attack. Stable angina is triggered by emotional stress, smoking, heavy meals and extreme variances in temperature, all of which cause your heart to work harder.
This type of angina is episodic but controllable. Your doctor can help you understand and manage the condition.
Unstable angina is characterized by sudden chest pain or worsening or persistent chest discomfort that occurs during sleep or reduced physical activity. It is caused by a reduction in blood flow to the heart. This is a serious health issue that requires immediate medical attention.
What Should You Do If You Have Heart Palpitations
If you begin to experience chest pains or tightness, you should seek medical attention. Heart palpitations could be a symptom of a serious heart-related condition. You shouldnt ignore them.
Learn about your family history. If you have a family member that has had any type of heart disease, this increases your risk of having a heart attack.
Unless your doctor instructs you otherwise, call 911 or go to the emergency room if you feel sudden, intense heart palpitations. This is especially true if theyre accompanied by:
- shortness of breath
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You Have Unintentional Weight Loss Or Stomach Symptoms
Your heartburn may be a symptom of more serious gastrointestinal issues, or untreated acid reflux may lead to consequences that require immediate intervention. If youre losing weight quickly without trying, have frequent nausea and/or diarrhea, are vomiting blood, or notice bloody stool, contact an emergency medical care provider. Gastrointestinal symptoms can signal a whole range of illnesses from cancer to food poisoning, so play it safe and see your doctor.
What Is Gallbladder Heartburn
If you have heard about this type of heartburn, you must be wondering what it is and how it is related to the gallbladder. Let us find out.
Heartburn is one of the symptoms of gallbladder disease. However, there is no other link between heartburn and gallbladder. Heartburn you feel like a symptom of gallbladder disease is not ordinary heartburn. It is a similar feeling, but it is not real heartburn.
People believe that what they feel is heartburn because gallbladder discomfort occurs in the same way as heartburn does, and nearly in the same place. Gallbladder disease symptoms include indigestion, abdominal pain, belching, and nausea. Heartburn feels almost the same, so it is no wonder that people believe that these symptoms are nothing but heartburn.
Heartburn results from too much acid concentrated in the stomach. It shows the same symptoms as gallbladder disease indigestion, belching, and hiccups.
What are the causes of heartburn? There can be several. The cause number one is the food you eat. Spicy foods, caffeine, alcohol, and acidic foods are responsible for heartburn. Your lifestyle has a lot to do with heartburn. Your eating habits can contribute to this problem, too. If you eat large meals, you are likely to experience heartburn. The quality of your meals is also important. Certain types of food can trigger heartburn. Avoid junk food, acidic foods, alcohol, and caffeine.
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Key Points About Palpitations
See your doctor or go to the nearest emergency department if you or someone you care for has palpitations and any of the following symptoms:
- recreational drugs such as cocaine, heroin, amphetamines, ecstasy and cannabis
- not getting enough sleep
- strenuous physical activity or exercise.
If you think lifestyle factors are causing your palpitations, you can take steps to reduce their effect on you. This may involve stopping smoking, drinking less caffeine and alcohol, avoiding recreational drugs or choosing a less intense form of exercise.
Treatment Options For Heartburn
FDA identifies three classes of OTC medications for treating occasional heartburn. These include:
- Antacids. These medications help neutralize stomach acid. They can provide quick relief of heartburn symptoms. Common antacids are:
Although these medications can be helpful, they may have side effects, according to the NIDDK . Antacids can cause constipation or diarrhea. PPIs may cause headache, diarrhea, or upset stomach. Talk with your doctor about any medications youre already taking to see if youre at risk for any drug interactions.
If OTC medications do not relieve your symptoms, your doctor may be able to prescribe stronger versions of these medications.
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Diagnosis Of Fatty Liver Disease
Fatty liver disease isnt regularly picked up because it doesnt always cause symptoms. You usually only know you have it if abnormal numbers are picked up during a standard liver function tests or you have a scan of your abdomen for another health reason.
Its a good idea to have your liver function checked if you have risk factors for developing fatty liver disease like Type 2 diabetes, metabolic syndrome, or obesity, or if you take certain prescription medications like steroids and amiodarone.
If you do experience any of the following symptoms, youre condition has likely already progressed to cirrhosis of the liver:
- Nausea, loss of appetite, unexplained weight loss
- Jaundice with yellowing skin and whites of the eyes
- Abdominal pain or fullness in the upper right side of your belly
- Extreme tiredness and weakness
- Swelling in your arms and legs
If you have any of these symptoms, make an appointment at our offices right away for an evaluation.
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Data Extraction And Quality Assessment
Data extraction was performed using predefined forms. Data extracted from these papers were verified by another investigator. Discrepancies were resolved by consensus. The extracted information included the following items: the first author, publication year, study country or area, study design, sample size, methods used for NAFLD diagnosis, diagnosis of GERD, outcome of interest and covariates adjusted in multivariate regression analyses. The most up-to-date or comprehensive data were included when multiple publications exist.
Two investigators evaluated the risk of bias independently. Quality assessment was based on the Newcastle-Ottawa scale as recommended by the Cochrane Collaboration. NOS was developed to assess the quality of nonrandomized studies with its design, content and usability. A âstar systemâ has been proposed where a study is assessed in three domains: selection , comparability and exposure/outcome . We judged studies with a score of at least eight stars to be at low risk of bias, indicating the high quality of these studies.
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Acid Reflux Medication & Liver Disease
Our stomachs produce acid to kill ingested microbes. By taking a medication that suppresses the secretion of these gastric acids, it changes the composition of the gut microbiome.
Researchers at University of California San Diego School of Medicine uncovered evidence in mice and humans suggesting that stomach acid suppression may promote liver injury and the progression of three chronic liver diseases: alcoholic liver disease, nonalcoholic fatty liver disease and nonalcoholic steatohepatitis , as a result of these microbiome changes.
Specifically, researchers found that the lack of gastric acid promotes the growth of the bacteria Enterococcus in the intestines. When this bacteria translocates to the liver, it worsens inflammation and chronic liver disease. To confirm the increased Enterococcus bacteria was behind the effect on chronic liver disease, the team colonized mice with Enterococcus faecalis to mimic the overgrowth they had observed with acid suppression. The results? Increased Enterococcus alone was sufficient to induce mild steatosis and increase alcohol-induced liver disease in these mice.
A large, randomized, controlled clinical trial is needed to definitively show the link between PPIs and the risk of chronic liver disease in humans, but this introductory data brings to light a major concern with these all-too-common acid reflux medications.
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Heartburn Heart Attack And Gender
Not everyone experiences heart attacks the same way. The common signs of heart attack include chest pain, pressure, tightness, squeezing or burning, and it could be in the middle or to either side of the chest, says Patterson. It may or may not spread to the neck, jaw, back or arm.
Other possible symptoms of heart attack include:
- Shortness of breath
- Exercise intolerance
- Other symptoms similar to heartburn and abdominal pain
In particular, gender may have an impact on potential heart attack symptoms. Women tend to not have the typical heart attack symptoms. It can present as something that feels like heartburn, states Sauer.
It is more common for women to present with the atypical symptoms, agrees Patterson. An example would be fatigue without chest pain or shortness of breath without chest pain.
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Inflammatory Bowel Disease And Coeliac Disease
Besides GERD, also other conditions of chronic inflammation like inflammatory bowel disease may be associated with increased AF-occurrence. Inflammation activity, which is enhanced in chronic inflammatory bowel disease, may play a role in the development of AF. Active inflammatory bowel disease is associated with increased risk of AF and stroke., One study showed an increase in electrocardiographic P-wave dispersion in patients with inflammatory bowel disease, which is considered an AF risk factor.
AF is more common both before and after coeliac disease diagnosis in patients with coeliac disease though the excess risk is small. However, in a population-based study of patients with coeliac disease, failed mucosa healing was not associated with an increased risk of AF. Echocardiographic studies revealed a more pronounced atrial remodelling in patients with coeliac disease, characterized by slower atrial electrical conduction and higher atrial electromechanical delays, while atrial mechanical function was preserved. Potential explanations for the increased risk of AF in coeliac disease include chronic inflammation and shared risk factors.
Additional studies are needed to clarify the link between AF and conditions of chronically increased inflammation like inflammatory bowel disease and autoimmune diseases such as coeliac disease.