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Heartburn
ICD-10 R12.
ICD-9 787.1
.Heartburn, also known as acid reflux, is a painful and burning sensation in the esophagus, just behind the breastbone, usually associated with regurgitation of gastric acid (gastric reflux).^ This is what causes the burning pain associated with heartburn .
  • Heartburn - Introduction - NHS24 Health Library 30 January 2010 2:14 UTC www.nhs24.com [Source type: General]

^ Heartburn, also called pyrosis, is a condition wherein there is a painful or burning sensation in the esophagus, just below the breastbone because of gastric acid regurgitation.

^ Heartburn is the name of the condition given to a burning discomfort in the chest , just behind the breastbone.
  • My Cure for Heartburn | All Natural remedies to Cure Heartburn 30 January 2010 2:14 UTC mycureforheartburn.com [Source type: General]

[1] .The pain often rises in the chest and may radiate to the neck, throat, or angle of the jaw.^ The pain often rises in the chest and may radiate to the neck or throat.
  • Heartburn Symptoms - Medical Symptoms Pages 30 January 2010 2:14 UTC www.symptoms101.com [Source type: Reference]

^ Although the pain often starts in the chest, it may stretch to the neck, throat and jaw.
  • Heartburn Remedies, Heartburn Relief, Natural Heartburn Cures, Heartburn - Naturalcures.com 30 January 2010 2:14 UTC www.naturalcures.com [Source type: FILTERED WITH BAYES]

^ See also: Health & Medicine Back and Neck Pain Diseases and Conditions The pain often rises in the chest and may radiate to the neck or throat.

.Heartburn is a major symptom of gastroesophageal reflux disease, otherwise known as GERD; acid reflux is also identified as one of the causes of chronic cough, and may even mimic asthma.^ Heartburn is the most common symptom of acid reflux disease .
  • Suffering from Frequent Heartburn Symptoms? Ask Your Doctor about Prevacid 30 January 2010 2:14 UTC www.prevacid.com [Source type: FILTERED WITH BAYES]

^ Heartburn is the main symptom of GERD (gastro-esophageal reflux disease).

^ The acid reflux heartburn may need to be treated with heartburn medicane .

.Despite its name, heartburn actually has nothing to do with the heart, although some heart problems may give rise to a similar burning sensation; it is called heartburn because of a burning sensation near where the heart is located.^ The heart has no connection with this condition despite the name and is only so called because of a burning sensation near to the heart .

^ Note : A burning sensation in the chest is usually heartburn and is not associated with the heart.
  • Heartburn 30 January 2010 2:14 UTC www.diet.com [Source type: FILTERED WITH BAYES]

^ It gets its name because of the burning sensation it causes near the heart - although some heart problems may give rise to a similar burning sensation.
  • Heartburn Remedies, Heartburn Relief, Natural Heartburn Cures, Heartburn - Naturalcures.com 30 January 2010 2:14 UTC www.naturalcures.com [Source type: FILTERED WITH BAYES]

.The pain associated with acid reflux is due to the presence of acid in the esophagus.^ If reflux persists, the acid can damage the esophagus.
  • Heartburn—Overview - HealthLibrary 30 January 2010 2:14 UTC healthlibrary.epnet.com [Source type: FILTERED WITH BAYES]

^ This is due to the acid reflux from the stomach.

^ Sleep elevated 6-8 inches on a wedge pillow that supports you through the torso to prevent acid from refluxing or going back up your esophagus at night.
  • Frequent Heartburn - Acid Reflux pillow wedge relieves GERD, heartburn, acid indigestion, Gastroesophageal Reflux and more. 30 January 2010 2:14 UTC www.medslant.com [Source type: General]

.Acid is produced in the stomach as an aid to digestion and is not intended to be present in the esophagus.^ It works to decrease the acid the stomach produces.
  • Heartburn And Dizziness | LIVESTRONG.COM 30 January 2010 2:14 UTC www.livestrong.com [Source type: General]

^ While the stomach can withstand acid, the esophagus cannot.
  • heartburn |heartburn drugs | medicine for heartburn| herbal remedies heartburn 30 January 2010 2:14 UTC www.herbalcureindia.com [Source type: General]

^ Acid is present in the stomach to digest food.

.Unlike the stomach's lining, which can tolerate very high concentrations of acid, the presence of acid in the esophagus eats away at the lining of the esophagus and causes pain.^ The acid irritates the lining of the esophagus and causes the symptoms of GERD. .
  • Heartburn - Acid Reflux - GERD 30 January 2010 2:14 UTC www.healthranker.com [Source type: Academic]

^ Inflammation of the esophagus from refluxed stomach acid can damage the delicate lining.
  • Heartburn and Acid Reflux and GERD 30 January 2010 2:14 UTC www.astrologyzine.com [Source type: FILTERED WITH BAYES]

^ This can reduce the potential damage stomach acids can inflict on the lining of the stomach or esophagus.
  • Heartburn Awareness - Links and Resources 30 January 2010 2:14 UTC cop.uams.edu [Source type: FILTERED WITH BAYES]

.Acid reflux does not occur because there is too much acid created by the stomach, but because the muscular barrier or valve between the esophagus and the stomach opens prematurely allowing acid, bile and other stomach contents into the esophagus.^ Gastroesophageal reflux —The flow of stomach contents into the esophagus.
  • Heartburn 30 January 2010 2:14 UTC www.diet.com [Source type: FILTERED WITH BAYES]

^ This allows stomach acid to back up (reflux) into the esophagus.
  • Heartburn Home Treatments 30 January 2010 2:14 UTC hubpages.com [Source type: General]

^ Esophagitis can occur as a result of too much stomach acid in the esophagus.
  • Heartburn (GERD) 30 January 2010 2:14 UTC www.fbhc.org [Source type: Academic]

.The name of this muscular barrier is the Lower Esophageal Sphincter (LES).^ Chocolate makes the LES (lower esophageal sphincter) relax.

^ One of the effects of caffeine is a relaxation of the LES, or Lower Esophageal Sphincter.

^ Malfunction of the lower esophageal sphincter muscles.
  • Gastroesophageal Reflux Disease (GERD) 30 January 2010 2:14 UTC www.healthassist.net [Source type: FILTERED WITH BAYES]

.Other sphincters in the body include the anal and bladder sphincters, in addition to the mouth and the eye.^ Other symptoms of heartburn include a burning feeling in the throat, a bitter taste in the mouth, hoarseness, belching and coughing spells.

^ Other foods that can relax your sphincter, and should be avoided to alleviate or prevent heartburn, include beer, wine, and other alcoholic beverages, and tomatoes.
  • The Doctors Book of Home Remedies Heartburn 30 January 2010 2:14 UTC www.mothernature.com [Source type: General]

^ In addition to digesting food, stomach acid provides a first defense against viruses, bacteria, and other harmful organisms entering your body through your mouth.
  • Heartburn Drugs Linked to Pneumonia: Nexium, Prevacid, Prilosec, and More 30 January 2010 2:14 UTC www.vaxa.com [Source type: FILTERED WITH BAYES]

Each of them closes in circumference around a radius. .When the LES doesn't stay closed or when it opens at the wrong time, reflux can occur.^ But if the LES opens too often or does not close tight enough, stomach acid can reflux, or seep, into the esophagus and cause a burning sensation.
  • WebMD Heartburn Health Center - Find GERD, acid reflux and heartburn information 30 January 2010 2:14 UTC www.webmd.com [Source type: General]

^ Obesity, pregnancy, and tight clothing can impair the ability of the LES to stay closed by putting pressure on the abdomen.
  • Heartburn | Encyclopedia of Medicine | Find Articles at BNET 30 January 2010 2:14 UTC findarticles.com [Source type: General]

^ Gastroesophageal reflux disease, or GERD, occurs when the lower esophageal sphincter (LES) does not close properly, and stomach contents splash back, or reflux, into the esophagus.
  • Heartburn - WrongDiagnosis.com 30 January 2010 2:14 UTC www.wrongdiagnosis.com [Source type: General]
  • Heartburn Symptoms, Diagnosis, Treatments and Causes - WrongDiagnosis.com 30 January 2010 2:14 UTC wrongdiagnosis.com [Source type: Academic]
  • Heartburn 30 January 2010 2:14 UTC www.paralumun.com [Source type: FILTERED WITH BAYES]

.In many cases, acid reflux medications known as PPI's (proton pump inhibitors) such as Nexium and Prilosec work well enough at reducing acid levels that the pain goes away.^ It works by reducing the acid production of the body.
  • Stop Heartburn Right Now! Don't Let It Defeat You! 30 January 2010 2:14 UTC stopheartburnguide.com [Source type: General]

^ Proton pump inhibitors (PPIs) are a group of medications that prevent the release of acid in the stomach and intestines.
  • Heartburn Awareness - Links and Resources 30 January 2010 2:14 UTC cop.uams.edu [Source type: FILTERED WITH BAYES]

^ Proton pump inhibitors .
  • Heartburn - Yahoo! Health 30 January 2010 2:14 UTC health.yahoo.com [Source type: General]
  • Health Information 30 January 2010 2:14 UTC www.coxhealth.com [Source type: General]
  • Heartburn Relief 30 January 2010 2:14 UTC www.heartburn-relief.org [Source type: FILTERED WITH BAYES]
  • Acid Reflux & GERD Treatments - Heartburn Treatments/Relief 30 January 2010 2:14 UTC www.zegerid.com [Source type: FILTERED WITH BAYES]

.Unfortunately, PPI's don't help reinforce the LES, and in some cases surgery may be required.^ In few cases, surgery may be needed.

^ Surgery may be recommended in certain cases.

^ Some patients who are unable to control their symptoms with non-prescription medication may either choose prescription antacids or surgery , or opt for a combination of the two.
  • Heartburn: Heartburn Relief - Chest Pain: 30 January 2010 2:14 UTC disease.holplus.com [Source type: Academic]

.According to research conducted by the American Gastroenterological Association, 38% of PPI users experience break-through pain while taking PPI's.^ American Gastroenterological Association website.
  • Heartburn—Overview - HealthLibrary 30 January 2010 2:14 UTC healthlibrary.epnet.com [Source type: FILTERED WITH BAYES]
  • Heartburn - HealthLibrary - Somerville, New Jersey NJ 30 January 2010 2:14 UTC www.somersetmedicalcenter.com [Source type: FILTERED WITH BAYES]

^ According the American Gastroenterological Association these include high-fat foods, spicy dishes, tomatoes, mustard, vinegar, citrus fruits, carbonated beverages, peppermint and spearmint, coffee, alcohol and yes, chocolate.

^ But there are many people who will find their heartburn will break through, especially at night, even while they are taking a prescription heartburn medication.
  • About Heartburn and Gas | Mylanta 30 January 2010 2:14 UTC www.mylanta.com [Source type: General]

The LES is also sometimes referred to as the cardiac sphincter, referring to a part of the stomach referred to as the cardia and not, as might be thought, to the heart, lending some additional confusion to the term "heartburn".

Contents

Diagnosis

Biochemical

Esophageal pH Monitoring 
A probe can be placed via the nose into the esophagus to record the level of acidity in the lower esophagus. .Because some degree of variation in acidity is normal, and small reflux events are relatively common, esophageal pH Monitoring can be used to document reflux in real-time.^ Also people with normal stomach function seem to have some degree of reflux.
  • Acid Reflux Heartburn Treatment and Remedies 30 January 2010 2:14 UTC acidrefluxheartburn.com [Source type: FILTERED WITH BAYES]

^ I could really use some advice!
  • Hernia POST-OP?? MAJOR HEARTBURN PLEASE HELP! - LAP-BAND® Surgery and LAP-BAND® Discussion Forum 30 January 2010 2:14 UTC www.lapbandtalk.com [Source type: FILTERED WITH BAYES]

^ Some reflux is normal.

Mechanical

Manometry 
In this test, a pressure sensor (manometer) is passed through the mouth into the esophagus and measures the pressure of the lower esophageal sphincter directly.
Endoscopy 
The esophageal mucosa can be visualized directly by passing a thin, lighted tube with a tiny camera known as an endoscope attached through the mouth to examine the esophagus and stomach. In this way, evidence of esophageal inflammation can be detected, and biopsies taken if necessary. Since an endoscopy allows a doctor to visually inspect the upper digestive tract the procedure may help identify any additional damage to the tract that may not have been detected otherwise.
Biopsy 
A small sample of tissue from the esophagus is removed. It is then studied to check for inflammation, cancer, or other problems.

Prevention

.Relief is often found by raising the head of the bed, raising the upper body with pillows, or sleeping sitting up.^ Prop up your head on a higher pillow to sleep.

^ Next sleep with the head and upper torso raised - use additional pillows or raise the headboard.

^ Elevate the head of your bed or sleep on an extra pillow.
  • How to Curb Heartburn During Pregnancy - Herbal Heartburn Remedy 30 January 2010 2:14 UTC www.naturaleco.com [Source type: General]

.Avoid pillows that raise the head only, as this does little for heartburn and places continuous strain on the neck.^ Another recommended form of heartburn relief is to avoid pillows which only raise the head, as this does little for heartburn and places continuous strain on the neck.
  • Heartburn Remedies, Heartburn Relief, Natural Heartburn Cures, Heartburn - Naturalcures.com 30 January 2010 2:14 UTC www.naturalcures.com [Source type: FILTERED WITH BAYES]

^ (Avoid raising your head with piles of pillows.
  • Heartburn and GORD slideshow: Heartburn causes, triggers, and remedies 30 January 2010 2:14 UTC www.webmd.boots.com [Source type: FILTERED WITH BAYES]

^ If you experience night-time heartburn, try placing blocks under the legs of your bed to raise the head about 15cm (6 inches), or sleep with your upper body on a wedge pillow.
  • Heartburn and GORD slideshow: Heartburn causes, triggers, and remedies 30 January 2010 2:14 UTC www.webmd.boots.com [Source type: FILTERED WITH BAYES]

.Eating a big meal causes excess stomach acid production, and attacks can be minimized by eating small frequent meals instead of large meals, especially for dinner.^ Alkaline foods cause an acid stomache.
  • Acid Reflux Cures on Earth Clinic, Your Source for Home Remedies! 30 January 2010 2:14 UTC www.earthclinic.com [Source type: General]

^ The most common is eating a large meal.
  • Sterling Rock Falls Clinic :: Gastroenterology :: Heartburn and Reflux 30 January 2010 2:14 UTC www.srfc.com [Source type: FILTERED WITH BAYES]

^ Eat smaller frequent meals.
  • Symptoms and Home Remedy for Acidity, Heartburn 30 January 2010 2:14 UTC www.fatfreekitchen.com [Source type: FILTERED WITH BAYES]

.To minimize attacks, a sufferer may benefit from avoiding certain foods that stimulate excess acid secretion and/or relax the opening between the stomach and esophagus.^ Alkaline foods cause an acid stomache.
  • Acid Reflux Cures on Earth Clinic, Your Source for Home Remedies! 30 January 2010 2:14 UTC www.earthclinic.com [Source type: General]

^ Smoking also stimulates the production of stomach acid.
  • Heartburn - Summer - Preventing Summertime Heartburn 30 January 2010 2:14 UTC slclk.about.com [Source type: General]

^ I have also suffered from excess stomach acid and bloating.
  • Heartburn No More�- Cure Acid Reflux Naturally 30 January 2010 2:14 UTC heartburnnomore.com [Source type: General]

.Acidic fruit or juice, fatty foods, pretzels, coffee, tea, onions, peppermint, chocolate, or highly spiced foods are to be avoided, especially shortly before bedtime.^ Avoid The Following: Foods that cause heartburn include tomatoes, citrus fruits, onions, chocolate, peppermint, tea, coffee and caffeine containing drinks.

^ Avoid spicy, greasy or fatty foods, chocolate and caffeine .
  • Heartburn and Indigestion - March of Dimes 30 January 2010 2:14 UTC www.marchofdimes.com [Source type: General]

^ Avoid acidic foods and juices.

[2] .While there are clearly other health-related benefits associated with dietary interventions, a zealous recommendation for dietary restrictions is not evidence-based, and there is stronger support for reducing the symptoms of acid reflux found in behavioral changes such as eating less and elevating one's head while sleeping.^ Other common symptoms of reflux include: .

^ Acid reflux symptoms .

^ GORD (acid reflux) symptoms .
  • Heartburn and GORD slideshow: Heartburn causes, triggers, and remedies 30 January 2010 2:14 UTC www.webmd.boots.com [Source type: FILTERED WITH BAYES]

[3] .Tight clothing around the abdomen can also increase the risk of heartburn because it puts pressure on the stomach, which can cause the food and acids in the stomach to reflux to the lower esophageal sphincter.^ Avoid foods that cause heartburn.
  • What Should I Do To Cure Heartburn In Children? | Stop Heartburn Right Now! Don't Let It Defeat You! 30 January 2010 2:14 UTC stopheartburnguide.com [Source type: General]

^ The risk of stomach acid reflux increases with more food in the stomach.

^ Smoking may increase stomach acid.

Treatment

Medications

.Antacids, H2-receptor antagonists, alginates, proton pump inhibitors, and other alternative treatments are used to treat heartburn.^ Proton pump inhibitors .
  • Heartburn - Yahoo! Health 30 January 2010 2:14 UTC health.yahoo.com [Source type: General]
  • Health Information 30 January 2010 2:14 UTC www.coxhealth.com [Source type: General]
  • Acid Reflux & GERD Treatments - Heartburn Treatments/Relief 30 January 2010 2:14 UTC www.zegerid.com [Source type: FILTERED WITH BAYES]

^ The medication for heartburn usually involves the application of antacids, H2-receptor antagonists, sodium bicarbonate, Alginates, Proton-pump inhibitors etc.
  • Heartburn Symptoms, Heartburn Treatment & Causes 30 January 2010 2:14 UTC www.ayushveda.com [Source type: FILTERED WITH BAYES]

^ These may include antacids, proton pump inhibitors and h2-receptor antagonists.

Examples of antacids include:

Antacids

.Antacids act as buffering agents in the lower esophagus, gastric lumen, and duodenal bulb.^ Recent studies show that the opening in the diaphragm acts as an additional sphincter around the lower end of the esophagus.
  • Heartburn 30 January 2010 2:14 UTC www.gastro.com [Source type: Academic]
  • Heartburn (GERD) 30 January 2010 2:14 UTC www.fbhc.org [Source type: Academic]
  • GERD, ACID REFLUX, HEARTBURN, HIATAL HERNIA 30 January 2010 2:14 UTC www.lapsurgery.com [Source type: Academic]

^ Once the sequelae of chronic and severe inflammation in the esophagus that is caused by reflux acidic gastric juice is the development of a circumferential scar that narrows its lumen.
  • Heartburn and Gastroesophageal Reflux Disease 30 January 2010 2:14 UTC www.alhewar.com [Source type: FILTERED WITH BAYES]

^ Some antacids, such as Gaviscon, have a foaming agent (alginate) that acts as a barrier between stomach acid and the esophagus .
  • Heartburn - Yahoo! Health 30 January 2010 2:14 UTC health.yahoo.com [Source type: General]
  • Health Information 30 January 2010 2:14 UTC www.coxhealth.com [Source type: General]

.Antacids contain an anion and cation; the anion binds with hydrogen molecules, forming water and additional compounds, whereas the cation reacts with the chloride molecule.^ Most antacids (such as Tums, Alkaeltzer, and Maalox) contain some type ffer that rapidly binds with stomach acid, forming a neutral compound.
  • HEARTBURN: EVERYTHING YOU NEED TO KNOW 30 January 2010 2:14 UTC www.lapsurgery.com [Source type: FILTERED WITH BAYES]

^ Alka-Seltzer Heartburn Relief in water contains the antacid sodium citrate as the principal active ingredient .
  • Alka-Seltzer Heartburn Relief 30 January 2010 2:14 UTC www.alka-seltzer.com [Source type: Reference]

^ Antacids contain aluminum, calcium, magnesium, or sodium, any of which will bind with the acid in your stomach to form neutral, inoffensive compounds.
  • HEARTBURN: EVERYTHING YOU NEED TO KNOW 30 January 2010 2:14 UTC www.lapsurgery.com [Source type: FILTERED WITH BAYES]

.March 2010" style="white-space:nowrap;">[citation needed] The result is a subtle increase in gastric pH. This will help ease the symptoms because the stomach reflexes will be neutralized.^ Saliva helps to neutralize stomach acid.
  • How to Relieve Heartburn - wikiHow 30 January 2010 2:14 UTC www.wikihow.com [Source type: General]

^ Saliva helps neutralize stomach acid.
  • Natural home remedies: Heartburn | Home Remedies | Get Healthy | Best Health 30 January 2010 2:14 UTC www.besthealthmag.ca [Source type: General]

^ Bernstein test - a test that helps to confirm that the symptoms are a result of acid in the esophagus.
  • Gastroesophageal Reflux Disease (GERD) / Heartburn - New York Presbyterian Hospital 30 January 2010 2:14 UTC nyp.org [Source type: Academic]

Antacids can adversely prevent the conversion of pepsin to pepsinogen if pH is greater than 5, and/or increase the pressure on the lower esophageal sphincter (LES.)

Sodium bicarbonate

.Sodium bicarbonate is a base; when introduced to the stomach, this compound acts as an antacid.^ The antacids work first to neutralize the acid in the stomach, and then the H2 blockers act on acid production.
  • Heartburn, Gastroesophageal Reflux (GER), and Gastroesophageal Reflux Disease (GERD) 30 January 2010 2:14 UTC digestive.niddk.nih.gov [Source type: FILTERED WITH BAYES]

^ Commonly used antacids such as Tums, Maalox, and others neutralize stomach acid with aluminum or magnesium hydroxides, calcium carbonate, or sodium bicarbonate.
  • Gastro Problems & D-limonene - Natural Organic Home Garden Health Howard Garrett Dirt Doctor 30 January 2010 2:14 UTC www.dirtdoctor.com [Source type: FILTERED WITH BAYES]

^ Most antacids (such as Tums, Alkaeltzer, and Maalox) contain some type ffer that rapidly binds with stomach acid, forming a neutral compound.
  • HEARTBURN: EVERYTHING YOU NEED TO KNOW 30 January 2010 2:14 UTC www.lapsurgery.com [Source type: FILTERED WITH BAYES]

.A simple and relatively harmless way to treat a one-off heartburn is to drink a solution of a small amount of sodium bicarbonate (baking soda) mixed with water, which quickly neutralizes the acid that causes the pain.^ Mix 1/2 tsp to 1 tsp of baking soda per glass of water.
  • 12 Heartburn Remedies Plus Causes & Prevention Tips : TipNut.com 30 January 2010 2:14 UTC tipnut.com [Source type: General]

^ Mix some baking soda (AKA sodium bicarbonate) with water and drink the solution.
  • How to Relieve Heartburn - wikiHow 30 January 2010 2:14 UTC www.wikihow.com [Source type: General]

^ Mix throughly and drink quickly.
  • Heartburn Remedies 30 January 2010 2:14 UTC susangaer.com [Source type: General]

.Excess sodium intake, however, is thought to raise blood pressure and cause other health problems.^ This health problem is caused by the excess of stomach acid that reaches in the esophagus.

^ This causes other problems along the process.
  • Acid Reflux Heartburn Treatment and Remedies 30 January 2010 2:14 UTC acidrefluxheartburn.com [Source type: FILTERED WITH BAYES]

^ There are many things you can do to help maintain a health blood pressure.
  • Natural Remedies during Pregnancy FAQ - Childbirth.org 30 January 2010 2:14 UTC www.childbirth.org [Source type: General]

H2-receptor antagonists

.Often called H2 blockers, H2-receptor antagonists work by decreasing the amount of acid the body releases into the stomach.^ It works by reducing the acid production of the body.
  • Stop Heartburn Right Now! Don't Let It Defeat You! 30 January 2010 2:14 UTC stopheartburnguide.com [Source type: General]

^ The antacids work first to neutralize the acid in the stomach, and then the H2 blockers act on acid production.
  • Heartburn, Gastroesophageal Reflux (GER), and Gastroesophageal Reflux Disease (GERD) 30 January 2010 2:14 UTC digestive.niddk.nih.gov [Source type: FILTERED WITH BAYES]

^ It works to decrease the acid the stomach produces.
  • Heartburn And Dizziness | LIVESTRONG.COM 30 January 2010 2:14 UTC www.livestrong.com [Source type: General]

.H2s are systemic, meaning they require absorption into the bloodstream in order to work.^ It takes about 20 to 40 minutes, maybe even up to an hour for them to work because they have to be absorbed by the small intestine, get into the blood stream, in order to work.

^ "So often, people with heartburn tell me they get home late from work, eat a late dinner and fall into bed," Dr. Hamilton says.
  • Total Health For Women Heartburn 30 January 2010 2:14 UTC www.mothernature.com [Source type: General]

.Therefore, H2s can often take 30 minutes or longer before they start working, and therefore are often taken to prevent heartburn rather than for fast relief of symptoms.^ Fast-acting-they start to work in a few minutes.
  • HEARTBURN: EVERYTHING YOU NEED TO KNOW 30 January 2010 2:14 UTC www.lapsurgery.com [Source type: FILTERED WITH BAYES]

^ Tags: heartburn symptoms , what is heartburn , heartburn relief .
  • Heartburn — Blogs, Pictures, and more on WordPress 30 January 2010 2:14 UTC en.wordpress.com [Source type: General]

^ This can prevent heartburn from acid reflux if taken about 30 minutes before meals.
  • Heartburn and GORD slideshow: Heartburn causes, triggers, and remedies 30 January 2010 2:14 UTC www.webmd.boots.com [Source type: FILTERED WITH BAYES]

Alginates

.Alginates work differently than antacids and H2 blockers, by forming a protective barrier in the stomach that prevents stomach acid from refluxing back up into the esophagus.^ Reflux is when food or liquid travels from the stomach back up into the esophagus (the tube from the mouth to the stomach).
  • AllRefer Health - Heartburn (Non-Cardiac Chest Pain, Pyrosis) 30 January 2010 2:14 UTC health.allrefer.com [Source type: General]

^ Antacids , like Maalox or Mylanta, work by neutralizing stomach acid.

^ Gastroesophageal reflux —The flow of stomach contents into the esophagus.
  • Heartburn 30 January 2010 2:14 UTC www.diet.com [Source type: FILTERED WITH BAYES]

.Alginic acid is naturally derived (from brown seaweed) and is non-systemic.^ The seaweed bladderwrack is high in alginic acid.

^ Not only will this system teach you the only way to prevent your acid reflux from being formed, you will also learn the only way to naturally cure heartburn for good - the holistic way.
  • Heartburn No More�- Cure Acid Reflux Naturally 30 January 2010 2:14 UTC heartburnnomore.com [Source type: General]
  • Heartburn No More Home Remedy For Heart Burn 30 January 2010 2:14 UTC www.ebooksresearch.com [Source type: General]

.Alginates provide faster relief than H2-receptor antagonists and PPIs, and longer-lasting relief than antacids.^ H-2-receptor blockers don't act as quickly as antacids, but they provide longer relief.

^ H2 receptor antagonists (10) .
  • Heartburn - Kosmix : Reference, Videos, Images, News, Shopping and more... 30 January 2010 2:14 UTC health.kosmix.com [Source type: General]

^ They are often prescribed drugs called Proton Pump Inhibitor (PPI), (H)2-Receptor Blockers and/or antacids when they have pain caused by acid reflux or heartburn.
  • The Acid Reflux and GERD Diet will End Your Pain Permanently 30 January 2010 2:14 UTC acidrefluxdiet.com [Source type: General]

This is also known to have a better overall outcome for relief.[citation needed]

Proton-pump inhibitors

.Proton pump inhibitors, called PPIs, are a class of medications which can be effective for people who do not respond to antacid or acid blockers.^ Proton pump inhibitors .
  • Health Information 30 January 2010 2:14 UTC www.coxhealth.com [Source type: General]

^ Proton Pump Inhibitors: This type of medication is available by prescription only.

^ They are often prescribed drugs called Proton Pump Inhibitor (PPI), (H)2-Receptor Blockers and/or antacids when they have pain caused by acid reflux or heartburn.
  • The Acid Reflux and GERD Diet will End Your Pain Permanently 30 January 2010 2:14 UTC acidrefluxdiet.com [Source type: General]

.Proton-pump inhibitors are systemic and directly block acid production in the stomach cells.^ Proton pump inhibitors .
  • Heartburn - Yahoo! Health 30 January 2010 2:14 UTC health.yahoo.com [Source type: General]

^ Proton pump inhibitors block acid production and allow time for damaged esophageal tissue to heal.
  • Heartburn 30 January 2010 2:14 UTC www.cnn.com [Source type: General]
  • Heartburn 30 January 2010 2:14 UTC quiz.cnn.com [Source type: General]

^ Proton pump inhibitors are a class of drugs that block the release of acid into the stomach.
  • Heartburn and GORD slideshow: Heartburn causes, triggers, and remedies 30 January 2010 2:14 UTC www.webmd.boots.com [Source type: FILTERED WITH BAYES]

.In order to prevent heartburn the medication disfigures and disables the proteins (proton pumps) that control the pH of the stomach, allowing the body to digest them.^ In order to prevent heartburn the medication disfigures and disables the proteins (proton pumps) that control the pH of the stomach, allowing the body to digest them.

^ They are often prescribed drugs called Proton Pump Inhibitor (PPI), (H)2-Receptor Blockers and/or antacids when they have pain caused by acid reflux or heartburn.
  • The Acid Reflux and GERD Diet will End Your Pain Permanently 30 January 2010 2:14 UTC acidrefluxdiet.com [Source type: General]

^ Some over the counter medications treat the heartburn after it has begun, such as antacids, while others are aimed at decreasing the stomach acid before a meal, such as proton pump inhibitors.

.Proton-pump inhibitors are not fast-acting, but provide long-lasting relief.^ Proton pump inhibitors .
  • Heartburn - Yahoo! Health 30 January 2010 2:14 UTC health.yahoo.com [Source type: General]
  • Health Information 30 January 2010 2:14 UTC www.coxhealth.com [Source type: General]

^ ZEGERID is a proton pump inhibitor.
  • Acid Reflux Symptoms & Heartburn Symptoms 30 January 2010 2:14 UTC www.zegerid.com [Source type: General]

^ They are often prescribed drugs called Proton Pump Inhibitor (PPI), (H)2-Receptor Blockers and/or antacids when they have pain caused by acid reflux or heartburn.
  • The Acid Reflux and GERD Diet will End Your Pain Permanently 30 January 2010 2:14 UTC acidrefluxdiet.com [Source type: General]

.PPIs are intended to be short-term medications only.^ Prescription and over the counter drugs such as antacids and proton pump inhibitors were only designed to for occasional use or short-term care of the condition.

^ The information provided on this site is intended for your general knowledge only and is not a substitute for professional medical advice or treatment for specific medical conditions.

^ These drugs only provide short-term relief from heartburn symptoms and are effective only for about half of the individuals who have symptoms of GERD. .
  • Heartburn and Acid Reflux and GERD 30 January 2010 2:14 UTC www.astrologyzine.com [Source type: FILTERED WITH BAYES]

Diet and food remedies

.Approximately 90-95% of sufferers of heartburn or esophageal disorder can link their symptoms to specific foods.^ Restricting Diet: Restricting diet is very important, since 90-95% of sufferers of heartburn or esophageal disorder can link their symptoms to specific foods.

^ Heartburn can be triggered by specific foods, and the easiest way to treat heartburn related to food is by simply avoiding those foods that may irritate or cause heartburn.

^ A great majority of people will suffer the discomfort of heartburn at some stage in their lives and recognizing heartburn symptoms as soon as they strike is best.
  • Heartburn Symptom, Treatment, Medication And Acid Reflux Reviews 30 January 2010 2:14 UTC www.heartburnandyou.com [Source type: FILTERED WITH BAYES]

[4] .One way to manage symptoms is to choose foods and drinks which have low risk of causing acid reflux, and avoiding those with high risk.^ Alkaline foods cause an acid stomache.
  • Acid Reflux Cures on Earth Clinic, Your Source for Home Remedies! 30 January 2010 2:14 UTC www.earthclinic.com [Source type: General]

^ Acid reflux – Symptoms, Prevention and Treatment .

^ The risk of stomach acid reflux increases with more food in the stomach.

.For example, it has been shown that fatty foods and caffeinated beverages can cause the symptoms of heartburn.^ It can cause heartburn and other uncomfortable symptoms.
  • Heartburn | LIVESTRONG.COM 30 January 2010 2:14 UTC www.livestrong.com [Source type: General]

^ Drinks that are carbonated and caffeinated can cause heartburn symptoms as well.
  • Heartburn - Find Information on Symptoms & Treatment with Symptomfind.com 30 January 2010 2:14 UTC www.symptomfind.com [Source type: General]

^ These kinds of food can cause heartburn.
  • Heartburn and Indigestion - March of Dimes 30 January 2010 2:14 UTC www.marchofdimes.com [Source type: General]

[citation needed]
.Drinking milk is not a recommended treatment to heartburn.^ Many people believe that drinking a glass of milk will help their heartburn.

^ "Some people recommend milk for heartburn—but there's a problem with it," says Dr. Klein.
  • The Doctors Book of Home Remedies Heartburn 30 January 2010 2:14 UTC www.mothernature.com [Source type: General]
  • Heartburn | The Prevention Home Remedies Finder 30 January 2010 2:14 UTC homeremedies.prevention.com [Source type: General]

^ I recommend perfectlyhealthy products for treatment of heartburn, including Heartburn Ease to heal the esophagus, along with Mega Greens plus MSM and pH Plus to achieve the proper pH level.
  • How pH Levels and Acidity Relate to Heartburn 30 January 2010 2:14 UTC www.naturalnews.com [Source type: FILTERED WITH BAYES]

.A glass of milk can provide quick relief; however, milk contains calcium and protein, which both stimulate more acid production in the stomach.^ Fats, proteins, and calcium in milk can stimulate the stomach to secrete acid.

^ It's this: Fats, proteins, and calcium in milk can stimulate the stomach to secrete acid.
  • The Doctors Book of Home Remedies Heartburn 30 January 2010 2:14 UTC www.mothernature.com [Source type: General]

^ A glass of milk does provide immediate relief as it goes down, but milk contains calcium and protein, and these eventually stimulate even more acid production in the stomach.
  • Heartburn - Symptoms, Treatment and Prevention 30 January 2010 2:14 UTC www.healthscout.com [Source type: FILTERED WITH BAYES]

.Consequently, shortly after drinking a glass of milk, a harsher heartburn can return.^ Many people believe that drinking a glass of milk will help their heartburn.

^ Milk: Drinking a glass of cold milk could give you quick relief from acidity and heartburn .
  • Stop Heartburn - Heartburn Remedies - Acidity 30 January 2010 2:14 UTC www.goherbalremedies.com [Source type: FILTERED WITH BAYES]

^ Lemon Juice : Add 1 teaspoon lemon juice to half a glass of water and drink for heartburn relief (mentioned previously on 15 Helpful Household Lemon Aids ).
  • 12 Heartburn Remedies Plus Causes & Prevention Tips : TipNut.com 30 January 2010 2:14 UTC tipnut.com [Source type: General]

[5]

Positional therapy

.Sleeping on the left side has been shown to reduce nighttime reflux episodes in patients.^ Try sleeping on your left side .
  • How to Relieve Heartburn - wikiHow 30 January 2010 2:14 UTC www.wikihow.com [Source type: General]

^ Try sleeping on your left side.
  • Natural home remedies: Heartburn | Home Remedies | Get Healthy | Best Health 30 January 2010 2:14 UTC www.besthealthmag.ca [Source type: General]

^ Reflux also occurs less frequently when lying on your left side rather than your right.
  • Heartburn and GORD slideshow: Heartburn causes, triggers, and remedies 30 January 2010 2:14 UTC www.webmd.boots.com [Source type: FILTERED WITH BAYES]

[6]
.A meta-analysis suggested that elevating the head of bed is an effective therapy, although this conclusion was only supported by nonrandomized studies.^ Elevate the head of the bed.
  • Heartburn—Overview - HealthLibrary 30 January 2010 2:14 UTC healthlibrary.epnet.com [Source type: FILTERED WITH BAYES]

^ Elevate the head of your bed.
  • Heartburn 30 January 2010 2:14 UTC www.cnn.com [Source type: General]
  • Heartburn 30 January 2010 2:14 UTC quiz.cnn.com [Source type: General]

^ Elevate head of bed 6-8 inches.
  • Heartburn—Overview - HealthLibrary 30 January 2010 2:14 UTC healthlibrary.epnet.com [Source type: FILTERED WITH BAYES]
  • Heartburn - HealthLibrary - Somerville, New Jersey NJ 30 January 2010 2:14 UTC www.somersetmedicalcenter.com [Source type: FILTERED WITH BAYES]

[7] .The head of the bed can be elevated by plastic or wooden bed risers that support bed posts or legs, a therapeutic bed wedge pillow, or a wedge or an inflatable mattress lifter that fits in between mattress and box spring.^ Elevate the head of the bed.
  • Heartburn—Overview - HealthLibrary 30 January 2010 2:14 UTC healthlibrary.epnet.com [Source type: FILTERED WITH BAYES]
  • Heartburn—Overview – UPMC, Pittsburgh, PA, USA 30 January 2010 2:14 UTC www.upmc.com [Source type: FILTERED WITH BAYES]

^ Elevate the head of your bed.
  • Heartburn 30 January 2010 2:14 UTC www.cnn.com [Source type: General]
  • Heartburn 30 January 2010 2:14 UTC quiz.cnn.com [Source type: General]

^ Elevate head of bed 6-8 inches.
  • Heartburn—Overview - HealthLibrary 30 January 2010 2:14 UTC healthlibrary.epnet.com [Source type: FILTERED WITH BAYES]
  • Heartburn—Overview – UPMC, Pittsburgh, PA, USA 30 January 2010 2:14 UTC www.upmc.com [Source type: FILTERED WITH BAYES]

.The height of the elevation is critical and must be at least 6 to 8 inches (15 to 20 cm) to be at least minimally effective to prevent the backflow of gastric fluids.^ Elevating the head of the bed by 6 to 8 inches has proven to be an effective way to hamper the back flow of gastric fluids.
  • Natural Heartburn Cures - Easy Tips for the Prevention of Heartburn 30 January 2010 2:14 UTC ezinearticles.com [Source type: FILTERED WITH BAYES]

^ Raising the head of the bed 6 to 8 inches (15.2 to 20.3 centimeters).

^ Keep your head elevated at least six to eight inches when sleeping.

.Some innerspring mattresses do not work well when inclined and may cause back pain; some prefer foam mattresses.^ Some of the conditions which may be causes of chest pain , causing fear of a...

^ Most Hemorrhoid creams work in the same style: They costrict the blood vessels causing them to reduce in size and numb the pain caused due to hemorrhoids.

^ For some people, heartburn causes minor discomfort after eating, while others experience pain so intense that they rush to an emergency room fearing a heart attack.
  • Gastro Problems & D-limonene - Natural Organic Home Garden Health Howard Garrett Dirt Doctor 30 January 2010 2:14 UTC www.dirtdoctor.com [Source type: FILTERED WITH BAYES]

.Some practitioners use higher degrees of incline than provided by the commonly suggested 6 to 8 inches (15 to 20 cm) and claim greater success.^ Raising the head of the bed 6 to 8 inches (15.2 to 20.3 centimeters).

^ This condition will be very serious if you use higher dosages more than a year.
  • Drugs To Prevent Heartburn And Their Side Effects! | Health Watch Center 30 January 2010 2:14 UTC www.healthwatchcenter.com [Source type: FILTERED WITH BAYES]

^ If you have been using antacids for more than 2 weeks, it is time to see your health care provider.
  • Heartburn, Gastroesophageal Reflux (GER), and Gastroesophageal Reflux Disease (GERD) 30 January 2010 2:14 UTC digestive.niddk.nih.gov [Source type: FILTERED WITH BAYES]

Surgery

.In some cases, laparoscopic surgery of the esophagus may be a possible alternative treatment.^ In few cases, surgery may be needed.

^ Surgery may be considered as a treatment option.
  • Heartburn, Gastroesophageal Reflux (GER), and Gastroesophageal Reflux Disease (GERD) 30 January 2010 2:14 UTC digestive.niddk.nih.gov [Source type: FILTERED WITH BAYES]

^ Snoring (bed partners may report very loud and interrupted snoring) Heartburn (acid back-up that causes heartburn may be responsible for some cases of sleep...

See also

References

  1. ^ Heartburn
  2. ^ "Lifestyle Changes to Manage Your Heartburn" WebMD
  3. ^ http://www.medscape.com/viewarticle/536343
  4. ^ http://www.mediprimer.com/Gastroenterology/heartburn/95.html
  5. ^ http://www.healthscout.com/ency/68/418/main.html
  6. ^ Khoury, RM; Camacho-Lobato L, Katz PO, Mohiuddin MA, Castell DO (1999). "Influence of spontaneous sleep positions on nighttime recumbent reflux in patients with gastroesophageal reflux disease". Am. J. Gastroenterol. 94 (8): 2069–73. doi:10.1111/j.1572-0241.1999.01279.x. PMID 10445529. 
  7. ^ Kaltenbach T, Crockett S, Gerson LB (2006). "Are lifestyle measures effective in patients with gastroesophageal reflux disease? An evidence-based approach". Arch. Intern. Med. 166 (9): 965–71. doi:10.1001/archinte.166.9.965. PMID 16682569. 
Controlled Carbohydrate Diet 1. [1] 2. [2]

External links


Simple English

Heartburn is an uncomfortable feeling in the chest that results when acids from the stomach travel up the esophagus (the tube leading from the mouth to the stomach) and burn the lining. It can be helped by taking antacids, such as calcium carbonate and sodium bicarbonate. These chemicals are found in retail stores as several brands, such as TUMS.


Citable sentences

Up to date as of December 21, 2010

Here are sentences from other pages on Heartburn, which are similar to those in the above article.








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