When Is Heartburn Considered Gastroesophageal Reflux Disease
Its that familiar burning or painful sensation in the chest that pretty much everyone has experienced often enough to immediately declare it a case of heartburn. However, some people arent sure if what the heartburn they feel is normal or a more serious, common condition known as gastroesophageal reflux disease .
Heartburn Acid Reflux And Gerd
The terms heartburn, acid reflux, and GERD are often used interchangeably. They actually have very different meanings.
Acid reflux is a common medical condition that can range in severity from mild to serious. Gastroesophageal reflux disease is the chronic, more severe form of acid reflux. Heartburn is a symptom of acid reflux and GERD.
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How Do I Know Im Having Heartburn And Not A Heart Attack
Chest pain caused by heartburn may make you afraid youre having a heart attack. Heartburn has nothing to do with your heart, but since the discomfort is in your chest it may be hard to know the difference while its going on. But symptoms of a heart attack are different than heartburn.
Heartburn is that uncomfortable burning feeling or pain in your chest that can move up to your neck and throat. A heart attack can cause pain in the arms, neck and jaw, shortness of breath, sweating, nausea, dizziness, extreme fatigue and anxiety, among other symptoms.
If your heartburn medication doesnt help and your chest pain is accompanied by these symptoms, call for medical attention right away.
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Will Heartburn Go Away On Its Own
For many people, occasional heartburn is common. By watching what you eat and avoiding certain triggers , you may be able to prevent heartburn or manage it. If you find that you frequently experience heartburn and that it keeps getting worse, it could be a sign of a medical condition like GERD. In these cases, your heartburn will not go away without treatment. Talk to your healthcare provider so that you can develop a treatment plan.
Southern Cross Medical Library
The purpose of the Southern Cross Medical Library is to provide information of a general nature to help you better understand certain medical conditions. Always seek specific medical advice for treatment appropriate to you. This information is not intended to relate specifically to insurance or healthcare services provided by Southern Cross. For more articles go to the Medical Library index page.
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Don’t Lie Flat When You Sleep
When you lie flat your stomach contents press against the LES. Keeping your head higher than your stomach helps reduce this pressure.
You can elevate your head in a couple of ways:
- Place bricks, blocks, or something sturdy and secure under the legs at the head of your bed.
- Use a wedge-shaped GERD pillow under your head and shoulders.
What Do I Do If I Think I Have Gerd
With GERD when reflux and heartburn happen more than once in a while the tissue lining your esophagus is getting battered regularly with stomach acid. Eventually the tissue becomes damaged. If you have this chronic acid reflux and heartburn you can see its affecting your daily eating and sleeping habits.
When GERD makes your daily life uncomfortable in this way, call your healthcare provider. Although GERD isnt life-threatening in itself, its chronic inflammation of the esophagus can lead to something more serious. You may need stronger prescription medications or even surgery to ease your symptoms.
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Causes Of Heartburn And Acid Reflux
Lots of people get heartburn from time to time. There’s often no obvious reason why.
Sometimes it’s caused or made worse by:
- certain food and drink such as coffee, tomatoes, alcohol, chocolate and fatty or spicy foods
- being overweight
- some medicines, such as anti-inflammatory painkillers
- a hiatus hernia when part of your stomach moves up into your chest
What Lifestyle Changes Help Gerd
Here is a list of lifestyle changes that may help your GERD:
Stop smoking if you smoke.
Don’t drink alcohol.
Lose weight if you’re overweight.
Eat smaller meals.
Avoid eating and drinking about four hours before going to bed.
Avoid lying down within three hours of a meal.
Raise the head of your bed by putting blocks of wood under the bedposts .
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Fatigue Sleepiness And Drowsiness: Duration And Treatment
Nicotine is a vasoconstrictor, constricting your blood vessels and stressing out your heart. As a smoker, your heart had to work harder, making your heart beat 10,000 more times a day.
When you stop smoking, your heart rate slows down, thus slowing down your metabolism. When you are not getting that punch of nicotine, you may feel tired, sleepy, and lethargic. You might feel run down, almost as if you have a coldin fact, some people refer to this feeling as the “smokers’ flu” or “quitters’ flu.” Don’t worry, this is only temporary and will only last a few weeks. After that, you will have more energy than when you smoked!
But sometimes it takes longer to get your energy back. Your body remembers running on those shots of nicotine and getting those boosts of energy. When you quit, your body needs to adjust to its natural rhythm and sometimes it can feel like you are more tired than ever. Listen to your body, get rest, and this too shall pass.
Treatment: Take cat naps, go to bed earlier, and drink fruit juice and water. If you have to drive or run heavy machinery, you can drink another cup of coffee or get some lozenges with caffeine in them to help keep you awake and safe.
Remember: Fatigue is the one trigger for smoking, so it is important to get your rest.
When Can I Expect The Heartburn To End During Pregnancy
Unfortunately, heartburn is a symptom you’re likely to experience throughout your entire pregnancy if you have it at all.
In fact, even if you escaped indigestion early on in your pregnancy, there’s a good chance you’ll have a surge starting around the second or third trimesters, when your uterus takes over your abdominal cavity and forces your stomach upwards.
Fortunately, the burn should clear up as soon as you give birth.
The Side Effects Of Quitting Smoking
So youve finally quit smoking. You thought life would immediately be better and your health would certainly improvebut not only do you not feel better, you feel worse than you did before. Now youre wondering how long these side effects and symptoms are going to last.
Knowledge is power with nicotine addiction: If you know ahead of time about the physical and emotional changes your body will undergo, it will give you an advantage and make it easier to follow through with your commitment to stop.
Knowing how long the side effects may lastand what you can do to prevent or alleviate themwill give you the information, resources, and confidence you need to quit smoking for good. The information you find below may save you the time and expense of doctor and/or emergency room visits, not to mention unnecessary medical tests.
Diagnosing H Pylori Infection
If your GP thinks that your symptoms may be due to an infection with H pylori bacteria, you may need to have a test for it, such as:
- a stool antigen test a pea-sized stool sample will be tested for H pylori bacteria
- a breath test
- a blood test a blood sample will be tested for antibodies to H pylori bacteria
Antibiotics and PPIs can affect the results of a urea breath test or a stool antigen test. Therefore, these tests may need to be delayed until two weeks after you last used a PPI, and four weeks after you last used an antibiotic.
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Is Gerd Dangerous Or Life
GERD isnt life-threatening or dangerous in itself. But long-term GERD can lead to more serious health problems:
- Esophagitis: Esophagitis is the irritation and inflammation the stomach acid causes in the lining of the esophagus. Esophagitis can cause ulcers in your esophagus, heartburn, chest pain, bleeding and trouble swallowing.
- Barrett’s esophagus: Barrett’s esophagus is a condition that develops in some people who have long-term GERD. The damage acid reflux can cause over years can change the cells in the lining of the esophagus. Barretts esophagus is a risk factor for cancer of the esophagus.
- Esophageal cancer: Cancer that begins in the esophagus is divided into two major types. Adenocarcinoma usually develops in the lower part of the esophagus. This type can develop from Barretts esophagus. Squamous cell carcinoma begins in the cells that line the esophagus. This cancer usually affects the upper and middle part of the esophagus.
- Strictures: Sometimes the damaged lining of the esophagus becomes scarred, causing narrowing of the esophagus. These strictures can interfere with eating and drinking by preventing food and liquid from reaching the stomach.
What Can Trigger Heartburn
Heartburn can be triggered by many different things that are a part of your daily life. For many people, heartburn can be caused by certain eating and lifestyle habits. These habits can involve things like eating large portions of food, eating too close to bedtime or even having high stress levels.
Certain foods and drinks can also trigger heartburn for some people. Some foods and drinks that could trigger your heartburn can include:
- Caffeinated beverages.
- Carbonated beverages.
Your lifestyle habits can also play a part in why you might experience heartburn. These everyday factors often contribute to medical conditions that cause heartburn, like GERD or hiatal hernia. Some lifestyle habits that can trigger your heartburn include:
- Being overweight.
- Having a high stress level.
- Wearing tight clothes and belts.
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How Do Antacids Work To Treat Heartburn
Antacids reduce the amount of stomach acid, relieving your heartburn. These medications can also be used to soothe stomach upset, indigestion and other pains in your stomach. Some antacids contain simethicone, which reduces gas. Antacids that you can get without a prescription include:
Make sure you always follow the instructions on the package or talk to your doctor about the right way to use an antacid. If you use tablets, chew them well before swallowing for faster relief.
Asthma Associated With Gerd
Nearly half of the patients with asthma have been seen to be having some element of acid reflux from their stomach. Its a common observation that asthma worsens after large meals, when we expect more acid reflux due to increased chances of back flow.
How acid coming from the stomach leads to asthma symptoms can be explained in more than one ways. Firstly, the acid irritates a nerve lying close to the lower esophageal sphincter. This nerve supplies the muscles controlling breathing. On being irritated, it tightens the muscles, narrowing the breathing spaces.
So, the patient starts wheezing.
Secondly, the acid may directly irritate the inner linings of the breathing tubes. Inflammation occurs there. The tubes get swelled from inside and produce copious mucoid secretions. This narrows their lumen, giving wheezing.
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How Does The Doctor Evaluate Heartburn
Your doctor may order several different tests and take the following steps to evaluate persistent heartburn that hasnt gone away even after you modify factors such as your diet:
- Your doctor may ask for an EKG to help rule out heart-related problems.
- Your doctor will perform an examination to see if you have any abdominal mass or a hiatal hernia. A hiatal hernia occurs when the upper part of the stomach and the LES move above the diaphragm.
- Your doctor will check your blood pressure.
- Your doctor will take a careful medical history to see if medications are causing the problem.
- Your doctor may ask for a gastric emptying study to see how fast food goes out of your stomach or a test to show how well the esophagus and the LES work.
- Your doctor may refer you for an upper endoscopy. In this test, a flexible tube with a tiny camera helps the doctor assess the esophagus and look for damage or abnormalities.
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Prevent Coffee Heartburn By Getting A Safe Amount Of Caffeine
A big player in the cause of acid reflux is overcaffeination. When your caffeine intake is too high, the muscle that connects the stomach to the esophagus is relaxed.1 When this happens, an opening is created for stomach acid to come up into your esophagus, which causes acid reflux. Ew! Thats pretty gross.
So how do we make sure we have a safe amount of caffeine? Most experts agree 600mg per day is overcaffeination.2 For some such as pregnant mothers, its advised to be 200mg .3 According to Health Canada the federal health department in Canada 400mg is a safe daily caffeine consumption rate.4
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Is There Anything Besides Eating That Leads To Heartburn
Besides eating a heavy meal, heavy lifting can cause heartburn, says Galier. So can exercise. And lying flat, especially after eating a big meal, can lead to heartburn, too.
People who are overweight or obese are more likely to suffer, Eisen says, noting that some people think only obesity raises heartburn risk. He also points out that pregnant women can suffer heartburn. He says thatâs probably because elevated levels of the hormone progesterone cause a temporary weakness in the LES.
Can Exercise Be A Cause Of Heartburn
Exercise can trigger heartburn. Sometimes thatâs due to increased pressure on the abdomen, which can increase the risk of acid reflux. In one study looking at different types of exercise, weightlifters had the most heartburn and acid reflux. Runners had milder symptoms and less reflux than weightlifters. Cyclists had the least reflux.
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What Is Gastroesophageal Reflux Disease
Gastroesophageal reflux disease is what happens when liquids and food in your stomach go the wrong way, or back up into your throat. When this happens, the foods and liquids can irritate your throat.
Your esophagus isn’t made to handle the acid in your stomach. This acid may also irritate your throat.
What Do I Eat To Prevent Nausea
Now, believe it or not, being hungry can actually make you feel like throwing up. So, can eating prevent nausea? Perhaps.
If you go about your day without stopping for a meal, your blood sugar levels can plummet. And if the last thing you ate was carb heavy, like a muffin or cereal, the likelihood of low blood sugar gets higher. The result? Nausea and feeling sick.8
So, what can you do to help yourself in this situation?
Eat up! Try and up your sugar intake with some dark chocolate , green mango, or a couple of bites of in-season fruit. A little spike of sugar will help reset your blood sugar levels and curb the common symptom of nausea in this case.
You can also try eating the following foods/drinks to help when you feel nauseous, because theyre pretty easy to swallow and digest:
- Unsweetened ginger tea
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Coffee And Caffeinated Beverages
Some people may experience heartburn when drinking coffee and other caffeinated beverages.
This is because caffeine has been shown to relax the lower esophageal sphincter, which can increase the risk of acid reflux and heartburn (
Even though coffee may cause heartburn in some people, not all studies have observed a link between coffee and acid reflux symptoms.
One study that included 1,837 people, 25% of whom had GERD, did not find a significant link between coffee consumption and GERD symptoms .
Though the research remains inconclusive, if you tolerate coffee, theres no need to avoid it. On the other hand, if coffee gives you reflux and heartburn, its best to avoid it or limit your intake.
Some people may experience heartburn when drinking coffee, though the link between coffee intake and heartburn is not very clear. If coffee gives you heartburn, its best to avoid it or reduce your intake.
Can Gerd Cause Asthma
We dont know the exact relationship between GERD and asthma. More than 75% of people with asthma have GERD. They are twice as likely to have GERD as people without asthma. GERD may make asthma symptoms worse, and asthma drugs may make GERD worse. But treating GERD often helps to relieve asthma symptoms.
The symptoms of GERD can injure the lining of the throat, airways and lungs, making breathing difficult and causing a persistent cough, which may suggest a link. Doctors mostly look at GERD as a cause of asthma if:
- Asthma begins in adulthood.
- Asthma symptoms get worse after a meal, exercise, at night and after lying down.
- Asthma doesnt get better with standard asthma treatments.
If you have asthma and GERD, your healthcare provider can help you find the best ways to handles both conditions the right medications and treatments that wont aggravate symptoms of either disease.
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Overloads Hacks & Tricks
Spam filtering services can sometimes get overloaded and as a result, choose not to filter at all. Rather than delay or deny what might be legitimate email, they elect instead to simply deliver it, even if they cant run their spam analysis on it. This doesnt happen often, but when it does, it manifests as a sudden influx of spam.
Also, accounts can get hacked. You said that the spam can somehow authenticate now. Authentication means that they can login as a Yahoo! user. One way that can happen is if spammers have hacked someones Yahoo account. Now they can use that account to send spam, even spam that looks like it comes from a non-Yahoo address.
As I said, its a game of cat and mouse. Spammers are constantly looking for new tricks and new techniques that will bypass existing spam filters. They may just have found a new one. If thats the case, I would expect the spam filter to continue the game of cat and mouse by eventually catching up: figuring out the loophole, and plugging it to stem the tide.
Using the junk or spam button on email in your inbox thats obviously spam is, in fact, one way you can help.