When Should I See My Doctor
Get immediate medical attention if you have any chest pain, pressure, or burning that doesnât go away . These can also be signs of a heart attack.
Also get medical help right away if you are vomiting blood or what looks like dark coffee grounds. See a doctor immediately if your stools are black, bloody, or a maroon color.
If your heartburn is severe and over-the-counter medicines donât help, or if you have taken them for more than 2 weeks, call your doctor. Also see your doctor if you are losing weight without trying or having trouble swallowing. Your doctor can check to see what is causing the problem and what the best solution will be for you.
How I Do I Know If My Wind Burping Flatulence And Bloating Is Normal
The average person breaks wind up to 40 times a day. Anything less than this is normal. Often people believe that they have excessive flatus is because an embarrassing incident like a loud or smelly fart in public has led to the belief that something is wrong. However, if these events are severe, ongoing, troublesome or if you are worried about them you should discuss your concerns with your doctor.
In addition, if you develop burping associated with chest discomfort, especially discomfort associated with exertion, or if you have difficulties in swallowing you should seek medical advice.
If bloating is persistent or associated with weight loss, abdominal pain or diarrhoea you should see your doctor as it can be a symptoms of more serious bowel conditions.
Swallowing Too Much Air During Eating
Normally, you swallow small amounts of air while youre eating. Some individuals may excessively swallow air which leads to burping a lot after eating.
The swallowing of air can be voluntary or involuntary. Aerophagia depends on physical factors or psychological factors.
Causes of aerophagia include:
- 19% of people with aerophagia have psychological factors as anxiety .
Aerophagia is one of the common causes of burping a lot after eating.
Aerophagia may cause other symptoms that burping such as:
- Feeling full after eating.
- Sometimes, regurgitation of food or vomiting can occur.
The things you can do to prevent aerophagia-induced burping after eating:
- Take small bites.
- Yellow coloring of your eyes or skin
Also call your healthcare provider if you have indigestion that lasts longer than 2 weeks.
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What Is Acid Reflux
Theres a ringlike muscle where your esophagus meets your stomach called the lower esophageal sphincter . A properly working LES protects the esophagus from the acid in your stomach by keeping the pathway between them clenched shut.
When the LES is loose or too relaxed, acidic gastric juices can bubble up into your esophagus, which is a major cause of acid reflux.
A little bit of reflux is normal. But if you have excessive stomach acid in your esophagus, youre likely to be in a lot of discomfort.
Its very common, says Naveen Narahari, MD, of REX Digestive Healthcare. On any given week, 60 percent of the adult population might have some kind of reflux. But we look closely at patients who have symptoms frequently over the course of a week.
Three or more times a week is cause for concern, adds Ruth Mokeba, MD, of REX Digestive Healthcare, as well as high intensity of symptoms. We can help these patients improve their quality of life and hopefully reduce their chances of developing a more serious disease like Barretts esophagus or esophageal cancer.
A complication of long-term GERD, Barretts esophagus changes a patients esophageal lining. This tissue damage leads to an increased risk of cancer.
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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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How Long Does Heartburn Last
Heartburn can affect people differently. In general, heartburn symptoms begin shortly after eating and can last anywhere from a few minutes to a couple of hours, or even longer.
How long you experience symptoms depends on the underlying cause. It also depends on what you do at the first sign of symptoms. For example, sometimes heartburn symptoms last until your body digests the triggering food. Other times, it goes away if you stand up instead of lying down after eating.
If you take OTC antacids or prescription medications as part of a treatment plan, you may experience a shorter duration or fewer heartburn symptoms.
Your esophagus connects to your stomach at a juncture known as the lower esophageal sphincter. If the lower esophageal sphincter is functioning properly, it closes when food leaves the esophagus and enters the stomach.
In some people, the lower esophageal sphincter doesnt function properly or it becomes weakened. This leads to contents from the stomach leaking back into the esophagus. Stomach acids can irritate the esophagus and cause symptoms of heartburn. This condition is known as reflux.
Certain conditions and other factors may make it more likely for you to experience heartburn. Risk factors include:
What Are Other Medical Conditions That Cause Burping
Acid reflux isnt the only possible medical condition that causes excessive burping. Certain diseases like constipation, gastritis, irritable bowel syndrome, and lactose intolerance all have side effects of burping.
In addition to that, acid reflux itself can also come as a result of other medical conditions. Gastroesophageal reflux disease or GERD causes chronic acid reflux and, as a result, burping. To get an accurate diagnosis, contact a medical professional.
02-14-20 Esophageal Issues
Most people have experienced the symptoms of heartburn at one time or another. Perhaps you ate too much just before bed and awoke to a burning sensation in your chest. You may have even had some regurgitation of stomach acid into your throat and mouth. While unpleasant, these symptoms are easily treated with antacids or home remedies for most. Its only an occasional occurrence and is given little thought after the discomfort passes. However, for sufferers of acid reflux disease, these symptoms and others can become a regular occurrence.
When heartburn becomes more persistent, occurring two or more times a week, or if it is resistant to medications, its time to see a specialist. Additionally, there are several other symptoms that may suggest acid reflux disease, also known as gastroesophageal reflux disease . While these symptoms may not be as disruptive as heartburn, they also point to this chronic digestive disorder and should be addressed.
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Common Triggers For Heartburn
Some people experience heartburn regardless of what they eat. Others find they only get it after eating certain foods or meals. Common food triggers for heartburn include:
- large meals
Smoking cigarettes can also be a trigger for heartburn.
Other things that can increase the risk and the severity of heartburn include:
- being overweight or obese
- taking certain medications
- exercising too soon after eating
What Is The Treatment For Heartburn
The health care professional will recommend treating heartburn in a stepwise fashion. For mild or occasional symptoms, simple lifestyle modifications may be enough. The next step is nonprescription antacids such as Maalox, Mylanta, Tums, or Rolaids. Other treatments include acid blockers and even surgery. In most cases, one or more of these treatments provide relief from heartburn and prevent it from turning into a more serious disease.
I take nonprescription antacids for heartburn, but they don’t seem to help.
Nonprescription antacids are only part of the treatment for heartburn. They can work very well, but these antacids alone usually can’t stop heartburn. A health care professional will probably recommend that the patient make lifestyle changes in addition to other treatments.
What kind of lifestyle changes and remedies can I make to reduce heartburn?
Try any or all of the following:
Will these changes stop the heartburn?
They may. If they don’t, adding a nonprescription antacid can be helpful.
How do antacids work?
What if lifestyle changes and antacids don’t work?
If a person still has symptoms after lifestyle modifications and antacids, a health care professional probably will prescribe a stronger drug. The usual choice is one of the histamine-2 blockers, or acid blockers. These drugs block the biochemical process that creates acid in the stomach.
What are acid blockers?
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You Have A Food Allergy
“In my clinical experience, heartburn can be a symptom of underlying gastrointestinal disorders including food allergies,” says Krisel Nagallo, ND, a naturopathic physician. Indeed, the Cleveland Clinic lists heartburn as one of the common symptoms of food intolerance, and , MD, notes on his blog that common culprits of heartburn “include dairy and gluten-containing foods like wheat, barley, rye, and oats.”
Foods That May Trigger Heartburn
Although the actual cause of heartburn is physical, people generally view their heartburn triggers as the root cause. Though scientifically thats not the case, its still worth noting which behaviors can trigger the experience of heartburn. Food, for instance, is a common heartburn trigger.2
Check out this list of common offenders to see if any could be triggering your heartburn:
- Tomatoes, tomato sauce, and ketchup
- Oranges, grapefruit, and other citrus fruits and juices
- Coffee, tea, or other caffeinated products
- Exercising soon after eating5
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Lifestyle Remedies For Heartburn
Heartburn can be a real pain, but you can help prevent it by making some simple changes to your routine. First, watch what you eat. Having more food in your stomach keeps more acid moving into your esophagus. Instead of gorging, graze on smaller portions of food throughout the day. Avoid the most notorious heartburn triggers: chocolate, caffeine, citrus fruits, and tomatoes.
Watch the fat in your meals, too, because both consuming high-fat foods and being overweight can cause heartburn. “If you have extra weight in your belly, basically what youâre doing is putting pressure on the stomach,” Marrero says. That added pressure pushes more stomach acid up into your esophagus.
Nighttime can be a real nightmare for heartburn sufferers. Approximately one in four Americans has heartburn attacks at night. When youâre lying in bed, gravity works against you, keeping that corrosive acid stuck in your esophagus. You might have heard the advice to raise the head of your bed 6 to 9 inches, which can help. But Marrero says itâs not always practical if you share a bed. He says a better solution is to stop eating two to three hours before bedtime so that you go to sleep with an empty stomach.
Your Internal Plumbing Isnt Working Like It Should
When burping occurs with other gastrointestinal issues, including diarrhea, constipation, and farting, it can indicate an underlying condition like IBS, lactose intolerance, or food sensitivities, says De Latour.
Girl in my class talking about her IBS & how if she doesnt burp shell puke and Im just like SOMEONE UNDERSTANDS
Seriously on the struggle bus? Make a complete list of all your symptoms to give your doctor when you go in for your appointment, so they can quickly identify your burping triggers
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When To Go To The Doctor For Your Heartburn
Most of the time, heartburn is more of an annoyance than a major medical issue. Frequent heartburn is a symptom of gastroesophageal reflux disease , otherwise known as acid reflux. In rare cases, acid reflux can turn into something more serious.
When is it time to get help for heartburn? People who have heartburn more than twice a week should talk to their doctor, says Marrero. He says to be on the watch for these symptoms: unexplained weight loss, anemia, or food getting stuck in the throat when swallowing. The constant flow of stomach acids can scar the esophagus, narrowing it so much that you have trouble swallowing. In some people, the cells of the esophagus can actually begin to change and turn cancerous. An early checkup is the best thing you can do to ensure your health and prevent any possible, though rare, complications.
Perlman-Smithâs heartburn eventually got so serious that she turned to her doctor for help. Medication relieved her symptoms, and she learned to use a little caution — especially when it comes to spicy foods and alcohol. “Today, I try to stay away from things that would make my heartburn flare up,” she says.
Can I Do Anything Else To Avoid Dyspepsia
You can do quite a bit to help yourself feel better:
If you smoke, stop smoking.
If some foods bother your stomach, try to avoid eating them.
Try to reduce the stress in your life.
If you have acid reflux, dont eat right before bedtime. Raising the head of your bed with blocks under two legs may also help.
Unless your doctor tells you otherwise, dont take a lot of anti-inflammatory medicines like ibuprofen, aspirin, naproxen and ketoprofin . Acetaminophen is a better choice for pain, because it doesnt hurt your stomach.
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Foods That May Cause Heartburn
Foods commonly known to be heartburn triggers cause the esophageal sphincter to relax and delay the digestive process, letting food sit in the stomach longer, says Gupta. The worst culprits? Foods that are high in fat, salt or spice such as:
- Fried food
- Carbonated beverages
“Moderation is key since many people may not be able to or want to completely eliminate these foods,” says Gupta. “But try to avoid eating problem foods late in the evening closer to bedtime, so they’re not sitting in your stomach and then coming up your esophagus when you lay down at night. It’s also a good idea to eat small frequent meals instead of bigger, heavier meals and avoid late-night dinners and bedtime snacks.”
Take A Proactive Approach
Thats why, if you have had heartburn or acid reflux consistently for longer than three years, you should have an endoscopy, says Brown. An endoscopy is a simple procedure where a specially designed scope is used to examine the esophagus and take tissue samples, when necessary.
The tissue samples or biopsies are examined to look for any abnormal cell growth, Brown explains. The hope is that well be able to catch any abnormal cells before they become cancerous.
Patients who are diagnosed with Barretts typically undergo repeat endoscopies one year and three years later. If precancerous cells are seen at that point, treatment may involve surgical removal of the esophagus to prevent eventual progression to cancer.
But a technique available at Rush, the HALO Ablation System, enables doctors to use radiofrequency ablation to remove Barretts tissue completely, without invasive surgery and with relatively few complications.
HALO ablation has shown to be an effective alternative to surgery in select patients, says Brown. However, the good news is that most patients with Barretts will never progress to the point that they require this level of intervention.
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What Are Prescription Medications For Heartburn
If over-the-counter antacids and acid blockers do not relieve your heartburn, your healthcare provider may give you a prescription for other medicines, such as:
- Prescription-strength acid blockers: In prescription-strength , Zantac®, Tagamet®, Pepcid® and Axid® can generally relieve heartburn and treat GERD.
- Proton pump inhibitors: These are drugs that block acid production more effectively. Proton pump inhibitors include Aciphex®, Nexium®, Prevacid®, Prilosec® and Protonix®.
There are some proton pump inhibitors that can be purchased over-the-counter. Talk to your healthcare provider about these medications and what is best for you.
Heartburn Bloating And Belching
Bloating, belching and heartburn after eating can be caused by consuming particularly fatty or oily foods. When it comes to drinks, carbonated or alcoholic beverages can lead to excess gas and bloating. Equally, wearing tight or restrictive clothing around your waistline may exacerbate the problem further, so it may be a good idea to wear loose clothing while eating.5 You should not try to relieve gas by belching, as this can make heartburn worse as it causes more acid to rise in your throat.6 Find out more about the causes of heartburn so you can identify your personal triggers.
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Six Signs Your Heartburn Could Be Something More Serious
That burning, uncomfortable sensation in your chest? Itâs probably heartburn. Heartburn is a very common ailment that affects many people for many reasons. It occurs when digestive acid escapes the stomach and irritates the delicate lining of the esophagus.
Usually, itâs the result of eating certain foods, or simply overeating, and can be treated with over-the-counter antacids. But sometimes, heartburn is a symptom of bigger problems, that require other solutions. Hereâs when to call a doctor: