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.
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.
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 dont seem to help.
Nonprescription antacids are only part of the treatment for heartburn. They can work very well, but these antacids alone usually cant 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 dont, adding a nonprescription antacid can be helpful.
How do antacids work?
What if lifestyle changes and antacids dont 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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Tips To Keep Heartburn On The Backburner
To prevent occasional bouts of heartburn, try taking the following five steps:
1. Avoid eating within three hours of the time you go to bed.
2. Take any acid suppressant medication, such as a proton pump inhibitor, first thing in the morning. Because of the way proton pump inhibitor-type medications activate, its not helpful to take these medications at night on an empty stomach, says Brown.
3. Sleep on a slight incline, with your head elevated, and/or sleep on your left side. If you have chronic heartburn, falling asleep in the wrong position enables acid to sneak into the esophagus. Keeping your head raised slightly keeps that from happening. Studies have also found that while sleeping on the right side actually aggravates heartburn, flipping over to your left side is likely to calm it, although the reason why is unknown.
4. Avoid foods that may cause acid reflux, such as peppermint, coffee and chocolate. Interestingly, spicy foods havent been shown to cause heartburn, says Brown. And theres some evidence that spicy foods may actually protect the body from ulcers.
5. If you smoke or use other tobacco products, quit. Not only does smoking relax the lower esophageal sphincter, allowing stomach acid to move up into the esophagus where it doesnt belong, but it also can slow the production of saliva, which protects against acid in the esophagus.
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When To Seek Medical Advice
Having mild, infrequent heartburn generally isnt cause for concern. But if youre experiencing heartburn more than twice a week, or if your symptoms are severe or getting worse, its important to speak with your doctor. Frequent heartburn could be a sign of gastro-oesophageal reflux , a condition that requires prescription medication and monitoring.
If you are experiencing chest pain and arent sure if its heartburn or a heart attack, seek immediate medical attention by calling triple zero .
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Heartburn Causes And Risk Factors
Heartburn symptoms can start up because of a problem with a muscular valve called the lower esophageal sphincter . It’s located where the esophagus meets the stomach — below the rib cage and slightly left of center.
Normally, with the help of gravity, the LES keeps stomach acid right where it should be — in your stomach. When it’s working right, the LES opens to allow food into your stomach or to let you belch, then closes again. But if the LES opens too often or doesn’t close tightly enough, stomach acid can seep into the esophagus and cause a burning sensation.
If your LES doesn’t tighten as it should, there are often two things that contribute to the problem. One is overeating, which puts too much food in your stomach. Another is too much pressure on your stomach, often due to obesity, pregnancy, or constipation.
Certain foods can relax your LES or increase stomach acid, including:
Meals high in fats and oils often lead to heartburn, as do certain medications. Stress and lack of sleep can raise how much acid your stomach makes and can cause heartburn.
If you’re pregnant, the hormone progesterone can relax your LES and lead to heartburn. Smoking also relaxes the LES and increases stomach acid.
When Should Someone See A Doctor About Heartburn
Galier says if you are reaching for antacids more days than not, you should see your doctor.
Eisen considers heartburn “occasional” if it occurs once a week or less. He says itâs time to seek medical help if you have had heartburn more than once a week for six months or longer more and are not getting better.
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Big Meals And Eating Certain Foods
The occasional episode of acid reflux may also just be the result of a little more acid production than usual perhaps brought on by a particularly large meal or your sensitivity to certain foods.
And if you lie down before all your food is digested, you run the risk of having some of that excess acid leak through the sphincter.
Regardless of the cause of your acid reflux, lying down whether its at night or during the day is bound to worsen symptoms and prolong the time it will take your body to digest your food completely.
How Do I Stop Feeling Guilty Not Vegan
Taking steps gradually as soon as you see that there are no pounds to lose will eliminate the guilt. In fact, you dont have to do this until the next day. Furthermore, you cannot expect to fully commit to an vegan lifestyle in life. There isnt a difference between a diet and marriage, if you are not sure if you are happy or healthy with them you can change them.
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Check If You Have Acid Reflux
The main symptoms of acid reflux are:
- heartburn a burning sensation in the middle of your chest
- an unpleasant sour taste in your mouth, caused by stomach acid
You may also have:
- a cough or hiccups that keep coming back
- a hoarse voice
Your symptoms will probably be worse after eating, when lying down and when bending over.
Alginate Drugs Such As Gaviscon
Gaviscon is probably the best-known heartburn therapy. It has a different mode of action than antacid drugs. Alginate drugs such as Gaviscon vary slightly in composition, but they usually contain an antacid.
The alginic acid works by creating a mechanical barrier against the stomach acid, forming a foamy gel that sits at the top of the gastric pool itself.
Any reflux is then relatively harmless as it consists of alginic acid and not damaging stomach acid.
The active ingredientalginateis found naturally in brown algae.
If you want to buy Gaviscon, then there is an excellent selection available online.
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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.
Complications Of Gerd And Acid Reflux
Ulcers Stomach acid in the esophagus can cause ulcers. These ulcers have the potential to bleed. To check for bleeding ulcers, your doctor may recommend a stool sample test called hemocult.
Stricture Damage caused by acid reflux can cause the esophagus to scar and narrow. This is called stricture. Over time, stricture could cause a blockage of food and require treatment. The scar tissue is a result of ulcers that occur and heal over time.
Lung and throat problems Acid reflux in the throat could lead to irritation or inflammation of the vocal cords or a sore throat. If the acid is inhaled into the lungs, it could cause aspiration pneumonia or symptoms of asthma. If the acid reflux is chronic, it could eventually cause permanent lung damage including pulmonary fibrosis or bronchiectasis.
Barrettâs esophagus Barrettâs esophagus occurs when the cells in the lower esophagus transform. The transformation is usually caused by damage to the esophageal lining, most often from chronic acid reflux or GERD. There is a small chance these cells may develop into cancer. Patients with Barretts esophagus should have an upper endoscopy done periodically to look for early signs of cancer.
Esophageal cancer Barrettâs esophagus is a major risk factor for developing esophageal cancer. The rate of esophageal cancer is on the rise, but relatively few people with GERD develop Barrettâs esophagus and even fewer people with Barrettâs esophagus develop esophageal cancer.
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Reasons Why Your Heartburn Medicine Isnt Working
Perhaps youve been misdiagnosed. Perhaps your diet is exacerbating your symptoms. Find out why heartburn meds can let you down, and what to do about it.
If you have horrible, persistent heartburn, relief can be as simple as popping a pill once or twice a day. Proton pump inhibitors, or PPIs, put the kibosh on the stomachs acid production, keeping gastric juice from backing up into the esophagus and causing pain.
But they dont work for everyone. Even if youre one of those people who does well on PPIs you can still have breakthrough symptoms from time to time, when heartburn flares into an agonizing episode.
Studies suggest that up to 40% of people with heartburn who take a PPI once a day still experience heartburn or other breakthrough symptoms once in a while, says David A. Johnson, MD, a professor of medicine and the chief of gastroenterology at Eastern Virginia Medical School in Norfolk, Va., and past president of the American College of Gastroenterology.
Find out why heartburn meds can let you downand what to do about it.
Can Heartburn Be Prevented Or Avoided
You might be able to avoid heartburn by making some lifestyle changes.
- Place 6- to 9-inch blocks under the legs at the head of your bed to raise it.
- Try to eat at least 2 to 3 hours before lying down. If you take naps, try sleeping in a chair.
- Quit smoking if you smoke.
- Lose weight if youre overweight.
- Dont overeat.
- Avoid tight clothes and tight belts.
- Avoid foods and beverages that give you heartburn.
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What Can Cause Constant Acid Reflux
Acid reflux is an illness caused due to the frequent occurrence of the backwash of acids released by the stomach into the esophagus tube. Normally, the lower esophageal sphincter acts as a barrier between the stomach and the esophagus. However, when there is a small opening or non-functionality of the wall, the acids released by the stomach enter into the esophagus tube irritating.
While the occurrence is common for human beings if the symptoms are repetitive and occur more than twice in a week than you are suffering from acid reflux, also known as gastro esophageal reflux disease.
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 wont go away
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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.
Is There Surgery To Treat Gerd
GERD is usually controlled with medications and lifestyle changes . If these dont work, or if you cant take medications for an extended period, surgery may be a solution.
- Laparoscopic antireflux surgery is the standard surgical treatment. Its a minimally invasive procedure that fixes your acid reflux by creating a new valve mechanism at the bottom of your esophagus. The surgeon wraps the upper part of the stomach around the lower portion of the esophagus. This reinforces the lower esophageal sphincter so food wont reflux back into the esophagus.
- LINX deviceimplantation is another minimally invasive surgery. A LINX device is a ring of tiny magnets that are strong enough to keep the junction between the stomach and esophagus closed to refluxing acid but weak enough to allow food to pass through.
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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.
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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Can A Vegan Diet Make You Sad
According to a new study, animal-welfare activists, vegetarians, and those who choose meat alternatives packaged and processed than meat are at higher risk of depression. Bond University research found that a less-quality plant-based diet, especially one that focuses only on fresh produce, is more likely to harm a persons mental well-being than a more-quality diet that emphasizes fresh food.
Other Causes Of Frequent Heartburn Are Listed Below
- Eating 2 to 3 hours before bedtime can be one of the reasons behind heartburn. Try to avoid having meals just before we go to our bed. This causes the food to slide into our esophagus and trigger a burning sensation in our chest.
- Avoid drinking before bedtime. Drinking too much alcohol can invite heartburn problems.
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