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Why Do I Still Have Heartburn

Delayed Heartburn: Why Does It Happen

Why you need B12 if you have acid reflux or take PPIs

Even though you shouldn’t have had that spicy Mexican enchilada or that extra cup of coffee, you actually don’t feel too bad afterwards-at least not right away. But hours or even a day or two later, you feel those familiar and terrible symptoms of reflux coming on and heartburn brought on by reflux is plaguing you once again.

“When you have patients with delayed gastric emptying who feel the effects of reflux long after eating, they are considered to have delayed reflux,” says Lisa Ganjhu, MD, DO, a gastroenterologist at Saint Luke’s-Roosevelt Hospital in New York City.

Typically, heartburn comes on right after a heavy meal. “Usually, the symptoms are immediate,” Ganjhu says. “But there are people with delayed symptoms.”

Reflux occurs when food in the stomach backwashes, or comes back up, explains Anthony A. Starpoli, MD, director of esophageal endotherapy at Lenox Hill Hospital in New York City. Symptoms can range from a burning sensation in the chest to hoarseness, voice strain, a cough and even asthma, he says.

“Unfortunately, most reflux is chronic and relapsing,” Starpoli says. “It comes and goes. And it’s often a person’s dietary habits that cause it.”

Both delayed and chronic heartburn can wreak havoc with a person’s sense of well being. Fortunately, help is at hand-even for individuals who may not experience symptoms right at the end of a meal.

Here’s how to minimize and alleviate delayed heartburn symptoms:

Medicines And Other Treatments

Your childs healthcare provider may also recommend other options.

Medicines. Your child’s provider may prescribe medicines to help with reflux. There are medicines that help reduce the amount of acid the stomach makes. This reduces the heartburn linked to reflux. These medicines may include:

  • H2-blockers. These reduce the amount of acid your stomach makes by blocking the hormone histamine. Histamine helps to make acid.
  • Proton pump inhibitors. These help keep your stomach from making acid. They do this by stopping the stomach’s acid pump from working.

The provider may prescribe another type of medicine that helps the stomach empty faster. If food doesnt stay in the stomach as long as normal, reflex may be less likely to occur.

Calorie supplements. Some babies with reflux cant gain weight because they vomit often. If this is the case, your child’s healthcare provider may suggest:

  • Adding rice cereal to baby formula
  • Giving your baby more calories by adding a prescribed supplement
  • Changing formula to milk- or soy-free formula if your baby may have an allergy

Avoid Eating Before Bed

Night-time heartburn is heartburn that occurs at night, and 79% of weekly heartburn sufferers may experience it.1 When you are upright, gravity helps keep stomach acid in the stomach where it belongs, but when you lie down at night, it can become easier for stomach acid to push past your lower esophageal sphincter and leak into your esophagus.

For many people, night-time heartburn can be more disruptive than the symptoms they experience throughout the day. Night-time heartburn can make it hard to fall, and stay, asleep.

Suffering from night-time heartburn, even once a week, can cause fatigue, decrease productivity at work, and overall impact to your daily life. This type of heartburn also has been linked to increased snoring.

To manage your night-time heartburn, consider making changes to your diet and lifestyle, such as avoiding eating before bed or sleeping with your upper body slightly elevated.2

Antacids like TUMS work quickly to bring you heartburn relief. Keep a bottle beside your bed, so you can get back to sleep faster. Take medication at night in an upright position, before lying down to resume sleep. If your night-time heartburn doesnt improve, you may want to talk to your doctor about Nexium 24HR , a proton pump inhibitor that requires only one pill for all day and night relief.3


  • Fries, Wendy C. â28 Tips for Nighttime Heartburn Relief.â WebMD. N.p., n.d. Web. .
  • Recommended Reading: Severe Heartburn And Acid Reflux

    Why Do I Have Heartburn There Can Be Lots Of Reasons

    Millions of people are healthy and fit but experience various levels of heartburn. The true answer to why you have heartburn has to do with the fact that your lower esophageal sphincter doesnt close as fully as it should. Dysfunction in this way allows stomach acids to rise up above where they should, leaving a painful and unpleasant tasting burning sensation behind.

    The following are some of the common reasons why you have heartburn even if you eat right and are fit.

    Other Ways To Relieve Heartburn

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    In addition to removing foods from your diet that may cause heartburn, there are other ways to tame heartburn.

    • Maintain a healthy body weight. Obesity is associated with GERD. Losing weight and maintaining a healthy body weight may decrease GERD symptoms like heartburn (
    • ).

    There are many other ways to improve and manage symptoms of GERD.

    If you have heartburn, its best to develop a treatment plan with a healthcare professional.


    There are many other methods you can use to manage GERD symptoms. A healthcare professional can help come up with a treatment plan that works best for you.

    Also Check: Things That Can Cause Heartburn

    Can Cucumbers Give You Acid Reflux


    Cucumbers are rich in two of the most basic elements needed for healthy digestion: water and fiber. If you struggle with acid reflux, you should know that drinking water can help suppress acute symptoms of acid reflux by temporarily raising stomach pH its possible that water-rich cucumbers may have a similar effect.

    Beside above, are cucumbers acidic or alkaline? The high water content and alkaline potassium in cucumber make it a mild diuretic that can ease bloating. Cucumber is high in alkaline magnesium, calcium, plus vitamin K1 all essential for bone health. Eat cucumber regularly if you are eating a low-meat or low-dairy diet.

    Hereof, why does cucumber give me heartburn?

    Cucumber is also not a friendly snack for people with sensitive stomachs. It contains an ingredient called cucurbitacin, which is a powerful ingredient, known to cause indigestion problems. Even a little growling or indigestion can lead to flatulence or burping, which again makes it difficult to rest with ease.

    Can I eat pears with acid reflux?

    Noncitrus fruits, including melons, bananas, apples, and pears, are less likely to trigger reflux symptoms than acidic fruits.

    Elevate Your Head In Bed

    Keeping your head up is ideal if you experience acid reflux at night, says Huber. Piling up the pillows isnt the best way to go about this, though, as pillows are liable to shift. An adjustable bed base might be a better option for you if you have acid reflux, says Huber. Adjustable bases make it easy to get into a sleeping position that will help mitigate symptoms.

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    What Are The Symptoms Of Indigestion

    Each persons symptoms may vary. Symptoms may include:

    • Feeling full too soon while eating
    • Feeling pain, burning, and discomfort in your upper belly or abdomen
    • Feeling bloated
    • Burping and loud stomach gurgling
    • Having an upset stomach or vomiting
    • Having diarrhea
    • Having gas

    The symptoms of indigestion may look like other health problems. Always see your healthcare provider to be sure.

    When Should You Consider A Ppi

    Why Do You Still Have Acid Reflux? PPI Not Working?

    Talk to your doctor if you have symptoms such as trouble swallowing, weight loss, or chest pain. Call the doctor if you dont get better in about two weeks. The doctor will look for signs of problems such as GERD .

    If you have GERD, you probably need a PPI. Talk to your doctor if:

    • You have heartburn at least twice a week for several weeks.
    • Food or acid often come back up into your throat.
    • You take antacid or H2 blockers, and you make changes like the ones described on this page, but your heartburn does not go away.

    If your doctor thinks you need a PPI:

    • Ask to start with a low dose of generic prescription lansoprazole or omeprazole. You can also get these medicines over the counter.
    • If the heartburn gets better after a few weeks, talk to your doctor about gradually lowering your dose.

    This report is for you to use when talking with your healthcare provider. It is not a substitute for medical advice and treatment. Use of this report is at your own risk.


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    If You Go Prescription

    Both histamine blockers and PPIs began as prescription remedies but are now available over the counter, which leaves doctor-prescribed options relatively limited.

    The majority of prescription medications are PPIs and do not differ substantially from the OTC version, says Jeffrey Tipton, DO, MPH, medical director at CareMore in Cerritos, Calif. Patients are sometimes prescribed medications such as Reglan that increase motility in the GI tract. Like most medications, these are helpful for some and not for others.

    Key Points About Gerd

    • GERD is a long-term digestive disorder.
    • It happens when stomach contents come back up into the food pipe .
    • Heartburn or acid indigestion is the most common symptom of GERD.
    • Vomiting can cause problems with weight gain and poor nutrition.
    • In many cases, GERD can be eased by diet and lifestyle changes.
    • Sometimes medicines, tube feedings, or surgery may be needed.

    Read Also: Natural Things To Help Heartburn

    What Are The Signs And Symptoms Of Heartburn

    Heartburn that is more frequent or interferes with your daily routine may be a symptom of a more serious condition that requires medical care. Symptoms of heartburn include: A burning pain in the chest that usually occurs after eating and may occur at night

    The pain is often worse after eating, in the evening, or when lying down or bending over. Occasional heartburn is common and no cause for alarm. Most people can manage the discomfort of heartburn on their own with lifestyle changes and over-the-counter medications. Heartburn that is more frequent or interferes with your daily routine may be

    When To Go To The Doctor


    Usually, indigestion only happens once in a while, like after eating certain foods that dont agree with you. But youll want to see the doctor if you get indigestion even when youre eating healthy foods, exercising, and getting enough sleep.

    You may need to be examined or have stomach X-rays or other tests to make sure your indigestion is not a sign of another problem in your digestive tract. Depending on what the doctor finds, you might need to make changes in your diet or take medicine.

    Be sure to tell your parent or talk to a doctor if these things happen in addition to your indigestion:

    • vomiting , especially if you see blood in your vomit
    • weight loss
    • frequent or intense stomach pain
    • black or bloody bowel movements

    These can be signs of other problems, so be sure to talk to a doctor if you experience one or several of these symptoms.


    Recommended Reading: How To Help Heartburn Naturally

    When Heartburn Gets Serious

    Ignoring heartburn — just putting up with it, popping a few pills day after day — isn’t necessarily the best plan. There are complications that can result from letting the problem linger.

    “When heartburn is not appropriately treated, acid reflux can cause erosion and ulcers in the lining of the esophagus,” says William C. Orr, PhD, a clinical professor of medicine and specialist in gastrointestinal disorders at the University of Oklahoma Health Sciences Center.

    “It’s extremely painful and greatly affects the patient’s lifestyle,” he tells WebMD. “It really alters very significantly the quality of life.”

    Long-term acid reflux can cause scarring and narrowing in the esophagus, which can also lead to swallowing difficulties, Radhika Srinivasan, MD, a gastrointestinal specialist and assistant professor of medicine at the University of Pennsylvania in Philadelphia, tells WebMD.

    This condition, called esophageal strictures, can interfere with eating and drinking by preventing food and liquid from reaching the stomach. Strictures are treated by dilation, in which an instrument gently stretches the strictures and expands the opening in the esophagus.

    In fairly rare cases, chronic acid reflux can also cause a pre-cancerous condition called “Barrett’s esophagus,” she adds. Barrett’s esophagus is a result of the chronic acid reflux into the esophagus causing dangerous changes in the cells that line the esophagus — these cells can become cancerous.

    Ppis Can Change The Way Other Drugs Work

    PPIs interact with some common prescription drugs. For example, some PPIs can reduce the blood-thinning effect of the drug Plavix , according to the US Food and Drug Administration. This can increase the risk of heart attack and even death. If you take Plavix, talk to your doctor about whether you should take a PPI.

    Also Check: Why Do Certain Foods Give Me Heartburn

    If Its More Than Heartburn

    One of the most important tips for dealing with heartburn is making sure your symptoms arent signs of anything more serious. Sometimes heart and lung issues can seem like acid reflux, says Wyneski, so pay attention to your pain. If you feel pain radiating into the neck or down the arm, severe palpitations, or lightheadedness, or if you’re passing out, seek medical attention.

    What Does Heartburn Feel Like

    How Come I Don’t Have Heartburn?

    Heartburn typically feels like a burning in the center of your chest, behind your breastbone. When you have heartburn, you may also feel symptoms like:

    • A burning feeling in your chest that can last anywhere from a few minutes to a couple of hours.
    • Pain in your chest when you bend over or lay down.
    • A burning feeling in your throat.
    • A hot, sour, acidic or salty taste in the back of your throat.
    • Difficulty swallowing.

    Read Also: What Kind Of Tea Helps Heartburn

    Adopt New Bedroom Habits

    Do you have trouble sleeping at night due to heartburn? If so, try sleeping on your left side this position seems to help. Experts also recommend keeping your upper body elevated to make it harder for acids to flow up the esophagus. Raise the head of your bed or use a thick wedge-shaped body pillow when sleeping to keep heartburn at bay.7


  • Definition & Facts for GER & GERD. The National Institute of Diabetes and Digestive and Kidney Diseases. . Accessed 09/01/2019. Referenced text is highlighted in source PDF.
  • Baking Soda for Heartburn. Gastrointestinal Society 2019. . Accessed 09/01/2019. Referenced text is highlighted in source PDF.
  • Does apple cider vinegar help with acid reflux? Medical News Today. . Accessed 10/11/19. Referenced text is highlighted in source PDF.
  • Remedies: Chewing Gum for Heartburn. The New York Times. . Accessed 10/14/19. Referenced text is highlighted in source PDF.
  • What to drink if you have acid reflux. Medical News Today. . Accessed 10/14/19. Referenced text is highlighted in source PDF.
  • * Onset of acid neutralization does not imply the onset of symptom relief.

    What Is Gastroesophageal Reflux Disease

    Gastroesophageal reflux disease is when someone has reflux more than twice a week. It’s a more serious condition than GER. Doctors usually treat it with medicine.

    GERD can be a problem if it’s not treated because, over time, the reflux of stomach acid damages the tissue lining the esophagus, causing inflammation and pain. In adults, long-lasting, untreated GERD can lead to permanent damage of the esophagus.

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    What Are The Health Consequences Of Gerd

    Chronic reflux and GERD can cause serious complications. These include inflammation and ulcers of the esophagus, scar tissue that narrows the esophagus, spasms affecting the airway, chronic cough, damage to teeth, and exacerbated asthma symptoms.

    In about 10-20% of cases of GERD, damage to the esophagus from stomach acid becomes a condition called Barrett esophagus. Barrett esophagus is considered to be the primary risk factor for esophageal cancer although not everyone with the condition develops cancer.

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    Heartburn And The Lower Esophageal Sphincter

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    Heartburn is burning chest sensation or even pain. The majority of times it is due to the backward flow of stomach acid and digestive enzymes into the esophagus. These acids and enzyme cause irritation and inflammation of the esophagus which is not equipped to handle these corrosive substances. The main reasons for reflux is a weak or dysfunctional lower esophageal sphincter .

    Normally the LES, which is a group of muscles, keeps the junction between the esophagus and stomach closed. It opens momentarily when food has to pass down from the esophagus into the stomach. However, under certain circumstances and in certain individuals the LES fails to function effectively. This means that stomach acid and digestive enzymes can flow up into the esophagus.

    It is important to note that sometimes a burning chest pain may not be due to acid reflux. Cardiac chest pain can also present similar to heartburn in most people although it is typically described as a suffocating sharp pain.

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    Do You Have Gerd Or Just A Little Heartburn

    If youre experiencing heartburn on your vegan diet, its worth getting clear about how serious this issue is for you. More than 60 million Americans get heartburn on a monthly basis, but only around 15 million on a daily basis.

    Here is the difference between heartburn, acid reflux, and GERD:

    • Heartburn is a symptomthe sensation you experience when you have that discomfort in your chest.
    • Acid reflux is the actual condition of stomach acid making its way into your esophagus, which often causes the symptom of heartburn.
    • Gastroesophageal reflux disease is a chronic condition of getting heartburn twice or more per week, due to acid reflux.

    So, how often do you feel heartburn? You may want to track it and know more precisely. If its a regular occurrence, you should mention it to your physician.

    Below Ill share some tips for tracking your heartburn and which foods trigger it!


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