Other Causes Of Morning Heartburn
Although GERD is a common reason for heartburn in the morning, there are other reasons that someone can experience heartburn during this time. Some factors include your activities the night before and lifestyle habits. Other factors include:
- Having a high stress level
- Hiatal hernia
- Wearing tight clothes and belts
- Acidic foods like tomatoes and citrus
- Alcoholic beverages
Your healthcare provider can help you create a list of foods to remove and incorporate into your diet that will help treat your GERD symptoms. It is important to work with your healthcare provider, continuing to take your medicineif prescribedand following a plan that will help you have the best outcome regarding your condition.
What Can You Do About Your Heartburn
A good rule of thumb is to seek medical attention if you have more than two episodes of heartburn a week especially if you notice difficulty swallowing, weight loss or anemia, Dr. Gabbard says.
Your doctor may help you lose weight or adjust your medications.
A change in blood pressure medicine may help reduce your heartburn symptoms, for instance. Or your doctor may suggest a proton pump inhibitor such as Prilosec OTC® or Nexium® to help control your GERD.
If your heartburn is worse at night, changing your sleeping position may help. Dr. Gabbard recommends using a body pillow or sleep-positioning device that helps keep you on your left side with your head elevated.
Finally, he has a warning for men over 50 who have chronic heartburn.
If at least two of these conditions apply you are Caucasian, have abdominal obesity, are a former or current smoker you may have a higher risk for Barretts esophagus, a precancerous condition that can lead to esophageal cancer.
Even if you are feeling fine, you should see your doctor. He or she may recommend a one-time scope examination to make sure there are no signs of the condition.
There is no pill to strengthen and restore your sphincter muscle to its younger days. But you can work with your doctor to reduce that burning sensation as you age.
Why Heartburn And Gas May Occur At The Same Time
Gas and heartburn are not always connected directly. However, it is possible for the two to exist together and make each other worse. It is also possible for a person to manage them in a similar way.
One common cause of heartburn and gas is eating too much too quickly. Eating large amounts of food in one sitting can trigger heartburn, while eating quickly may cause a person to swallow more air, resulting in gas.
Drinking fizzy alcoholic drinks, such as beer, can also cause both conditions to co-occur.
Relieving gas through belching can cause heartburn to worsen. The release of air when someone passes gas either during or immediately after a meal can cause more acid to rise in the throat. If this occurs, a person may experience heartburn.
People can treat heartburn directly with a couple of different types of medication that are available on prescription or over the counter .
Medications for heartburn include:
- Antacids, which offer quick relief for heartburn.
- H2 blockers, such as famotidine , which block the amount of acid that a persons stomach produces.
- Proton pump inhibitors, which are longer-lasting medications that act in a similar way to H2 blockers. Examples include omeprazole and lansoprazole .
There are fewer medications to treat gas. Antacids do not typically prevent or treat gas. Instead, a person can try the following drugs:
Some people may also have success using home remedies for heartburn. Some potential remedies to try include:
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What Is Acid Reflux
When you swallow food, it passes from your throat, through your esophagus, and then through an opening in your stomach.
This opening usually closes once the food passes through. If it doesn’t, acid from your stomach may enter through the opening and travel the wrong wayback into your esophagus and to your throat. This is called acid reflux. The opening can occur sporadically after a meal leading to multiple reflux events.
What Are The Causes Of Heartburn Every Day
Occasional heartburn happens to many people, but if it becomes an everyday occurrence it may indicate an underlying health disorder or unhealthy dietary habits. Heartburn results from stomach acid backup that gets into the esophagus and throat, causing a burning sensation in the chest or bitter taste in the back of the throat. People who have chronic heartburn should consult a doctor to find out what may be causing it.
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Is Gerd Keeping You Up At Night
People with GERD often have a hard time getting a good nightâs sleep because of persistent acid reflux. Find out how to cut down on this problem.
Youre trying to get a good nights sleep, but it just isnt happening. In addition to tossing and turning, the burning sensation of heartburn isnt making your sleep efforts any easier.
Whats going on? Was it something you ate? Your sleeping position?
Heartburn and gastroesophageal reflux disease, or GERD, are frequent causes of sleeplessness. As many as one in four people who experience sleep disturbances report that they have nighttime heartburn.
For people who have been diagnosed with GERD, the rate is even higher three people out of four report having nocturnal GERD symptoms. These individuals are more likely to suffer sleep problems such as insomnia, sleep apnea, and daytime sleepiness as a result of their nighttime heartburn.
Sleeplessness poses a serious health problem. In addition to the physical and mental effects that stem from lack of sleep, people who experience nocturnal GERD are at greater risk for some of the worst complications of the disease, including erosive esophagitis, dyspepsia, and esophageal cancer.
How Does GERD Disturb Sleep?
Researchers have figured out several ways in which GERD-related acid reflux interferes with sleep:
GERD and Sleep Position: Dos and Donâts
If you are a GERD sufferer, you can do a lot to improve your quality of sleep by changing your sleeping position. Doctors recommend that you:
Control Your Acid Reflux
If you have frequent acid reflux, that means you have acid reflux disease . The vast majority of patients with acid reflux disease respond well to daily acid suppressing medications, such as proton pump inhibitors.
It’s important to note, however, that while these medications effectively manage symptoms, they are not a cure. The heartburn pain will go away, but the backsplash of damaging fluid still occurs.
That’s because proton pump inhibitors can’t fix the underlying mechanical problem the dysfunction of the valve between the esophagus and stomach. Long-term use of proton pump inhibitors can also cause significant side effects, and you must consider the lifetime cost of taking these medications.
For these reasons, surgery may be necessary to correct the valve mechanism, with the goal of eliminating the need for reflux medication. Advances in technology have improved doctors ability to tailor procedures to each individual patient, with greatly improved outcomes.
These techniques are performed through small or even no incisions, and serve to restore the valve mechanism between the esophagus and stomach to prevent acid reflux, explains Justin Karush, DO, a thoracic surgeon at Rush. Common procedures for GERD include laparoscopic Nissen fundoplication, transoral incisionless fundoplication and magnetic sphincter augmentation .
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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.
Not All Of Them Are Obvious
Feel like you just cant keep that nasty stuff in your belly from bubbling up into your throat? What youre experiencing might not be run-of-the-mill heartburn. It could be a case of gastroesophageal reflux diseaseGERD, for shorta condition that causes the acid and food in your stomach to rise into your esophagus, and sometimes even enter your mouth or lungs. GERD is far from rare: In fact, it occurs in 20 percent of the U.S. population, according to the medical journal Gastroenterology. But there are also several factors that make some people an easier target for the disease.
Everyone has a small, normal amount of gastroesophageal reflux, but an abnormal amount of acid reflux occurs when the one-way valve between the esophagus and the stomach, called the lower esophageal sphincter, becomes too loose, says Ketan Shah, M.D., gastroenterologist at Saddleback Medical Center in Laguna Hills, California. This can occur for multiple reasons that cause intra-abdominal pressure to be abnormally elevated, including being overweight or obese, frequent overeating, lying down too soon after eating, chronic straining or coughing, or chronic heavy lifting. These are typically the people who are more susceptible to GERD.
Heartburn won’t go away
Heart Attack Feeling
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Difficulty Swallowing And Sore Throat
If stomach acids go all the way up your esophagus, they can reach the back of your throat. This condition is called laryngopharyngeal reflux . Besides heartburn, you might feel symptoms like a in your throat or a . You may constantly need to clear your throat or have trouble swallowing. Lifestyle changes can usually correct LPR. Try eating a bland diet and stop eating three hours before bed. If you are overweight, losing weight may help relieve pressure on your stomach. Also skip caffeine, alcohol and cigarettes.
What Medications Do I Take To Manage The Symptoms Of Gerd
Many over-the-counter and prescription medications relieve GERD. Most of OTC drugs come in prescription strength too. Your provider will give you a prescription for these stronger drugs if youre not getting relief from the OTC formulas.
The most common GERD medications:
- Antacids include Tums®, Rolaids®, Mylanta®, Riopan® and Maalox®.
- H-2 receptor blockers include Tagamet®, Pepcid AC®, Axid AR® and Zantac®.
- Proton pump inhibitors include Prevacid®, Prilosec®, Zegerid®, Nexium®, Protonix®, AcipHex® and Dexilant®.
- Baclofen is a prescription drug used to reduce the relaxation of the lower esophageal sphincter which allows acid backwash.
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High Bmi Is Linked To Heartburn
Carrying excess weight slows foods course though your digestive system, creates more pressure within your abdomen, and loosens the sphincter muscle that keeps your stomach contents out of your esophagus, concludes a study from the Annals of Internal Medicine.
All of those may explain the link between heartburn and a high BMI, the study authors say.
Reduction in weight through lifestyle modifications such as meeting with a registered dietitian, eating less, and moving more may be the best solutions to reduce the pain, Dardarian says.
What To Do About Acid Reflux
You can take certain steps to help avoid waking up with acid reflux, including:
- Sleep with your body raised from the waist up by elevating the end of your bed 6 to 9 inches.
- Stop eating 3 hours before you go to bed.
- Stay away from foods that typically cause acid reflux, such as coffee, chocolate, garlic, onion, and mint.
Your doctor may suggest medications, such as:
- proton pump inhibitors first thing in the morning, about 30 minutes before breakfast
- OTC antacids that may provide quick relief by neutralizing stomach acid
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Eating The Wrong Foods Can Cause Heartburn
Yes, research has linked onions, spicy foods, and soda to heartburn. But those triggers arent universal.
If you have bad symptoms when you eat something, by all means, dont eat it, Brown says.
But the idea that acidic foods will drive up your stomach acid levels and cause heartburn is problematic.
The thing about acid in food is that its minuscule compared to whats already in your stomach, Brown says. Your stomach makes about 2 liters of hydrochloric acid a day to break down what you eat, so high-acid foods arent going to make much of a difference.
What Are The Treatment Options
If you have heartburn, your provider may prescribe over-the-counter antacids, which may come in a chewable tablet. They might also recommend prescription drugs such as H2 blockers or proton pump inhibitors, which reduce how much acid your stomach makes.
Providers may also recommend lifestyle changes, like losing weight and quitting smoking, which can increase stomach acid production. Other changes often include reducing stress, exercising more, avoiding food around bedtime, raising the head of the bed about 6 inches, and eating more high-protein, low-fat meals.
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What Are My Options If These Treatments Don’t Work
If a person continues to have heartburn, a health care professional may recommend adding a drug such as metoclopramide . This drug empties food and acid quickly from the stomach so less can back up into the esophagus. Reglan also helps tighten the lower esophageal sphincter.
If a person still have symptoms, a health care professional will then recommend one of the drugs called proton pump inhibitors. Examples of these drugs are omeprazole , lansoprazole , esomeprazole , rabeprazole , and pantoprazole . These tablets prevent the stomach from secreting acid. They are very effective and are typically taken only once a day. These drugs usually are prescribed if other drugs have not helped. They may have to be used indefinitely.
So What Foods Should You Eat
Apart from avoiding those foods that set off your heartburn , a diet that contains lots of fiber, legumes, and vegetables, as well as olive oil and other components of Mediterranean-style diets, seems to be protective against GERD and heartburn, Brown says.
Substituting water for carbonated beverages like soda also seems to be helpful, Dardarian says.
The article Its Not Food Causing Your HeartburnHere Are The 5 Real Culprits was originally published on Prevention.com
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What Are The Complications Associated With Heartburn
Occasional heartburn isnt typically a cause for concern. However, frequent heartburn may be a symptom of GERD. This condition may require treatment with prescription medication or surgery.
If left untreated, GERD may lead to additional health problems, such as an inflammation of the esophagus, which is called esophagitis, or Barretts esophagus, according to a 2018 review . Barretts esophagus causes changes in the lining of the esophagus that can increase your risk of esophageal cancer.
Long-term heartburn can also affect your quality of life. See your doctor to determine a course of treatment if you find it difficult to carry on your daily life or are severely limited in your activities due to heartburn.
Keep The Lines Of Communication Open
Brown says it’s important to talk to your primary care doctor if you’ve been experiencing recurring acid reflux or are treating yourself for heartburn with over-the-counter medications or a prescription from another doctor. You’ll also want to visit your doctor if you experience any of the following:
- Trouble swallowing
- Blood in your stool or vomit, which indicates bleeding in the gastrointestinal tract
“These are important symptoms to watch out for, because you can have Barrett’s esophagus without experiencing heartburn,” says Brown.
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Gerd And Obstructive Sleep Apnea
Research has also identified a link between GERD and obstructive sleep apnea , a sleep disorder that involves blockage of the airway that incites pauses in breathing during sleep. Debate exists among experts about whether GERD causes OSA, OSA causes GERD, or if they simply share similar risk factors.
It is possible that GERD affects the airway and ability to breathe normally, causing more apneas during the night. At the same time, people with OSA wake up frequently at night and may then detect GERD symptoms. Lack of sleep from OSA may make the esophagus more susceptible to reflux.
In addition, factors like alcohol consumption, smoking, and obesity can increase risk for both GERD and OSA, so the correlation between the conditions may be a result of these factors.
While the exact relationship between GERD and OSA is subject to further research, it is clear that the conditions can occur together and create significant complications for a persons sleep, comfort, and overall health.
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:
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Why Do I Keep Getting Heartburn Every Day Causes & Triggers
Occasional heartburn is usually not a cause for concern and can be managed with lifestyle changes and over-the-counter medications. However, frequent heartburn that occurs every day may be a sign of something more serious.
Learn about what causes frequent heartburn and what may be triggering the discomfort.