SEVEN LEADING CAUSES OF HEARTBURN
What is Heartburn ?
Heartburn is a burning and painful feeling in the chest just behind the chest-bone. In a normal person,the part where the food pipe meets the stomach is guarded by muscular valve called the lower esophageal sphincter. The sphincter ensures movement of food from the food pipe into the stomach,and at the same time prevents contents of the stomach from moving back into the food pipe. In some cases however, the tone of the lower esophageal sphincter may be reduced, allowing the acidiccontents of the stomach to move back into the food pipe. This results in symptoms of heartburn.
Heartburn may also occur due to direct irritation of the food pipe. The pain of heartburn typicaly appears after a meal and is increased if the person lies down soon after the meal. Patients with reflux symptoms usually experience heartburn at least twice a week.
On long term, reflux can cause complications including cancer of the food pipe in some individuals. Reflux not only causes inflammation of the food pipe; the acid may reflux into the respiratory tract resulting in cough, laryngitis (inflammation of the sound box), pharyngitis (inflammation of the upper throat), sinusitis (inflammation of the sinuses) and lung complications like bronchitis, asthma, and pneumonia. Once heartburn is diagnosed, it is important to treat it early toprevent complications.
Leading causes of heartburn.
- Substances that irritate the food pipe: Substances like spicy foods, citrus fruits, cigarette smoke and aspirin-like painkillers that irritate the food pipe can result in heartburn.
- Decreased lower esophageal sphincter tone: In many cases, the cause of decreased tone of the lower esophageal sphincter is not known. In other cases, it may be due to:
- Intake of certain foods and beverages: Certain foods and beverages like peppermint, caffeinated drinks like coffee, tea, and soft drinks, chocolate, fatty foods, and alcohol decrease the tone of the lower esophageal sphincter resulting in reflux and heartburn.
- Scleroderma: Patients with autoimmune conditions like scleroderma may have a decreased lower esophageal sphincter tone resulting in reflux.
5. Smoking: In addition to acting as an irritant, smoking also decreases lower esophageal sphincter tone leading to reflux.
6. Medications: Some medications like anticholinergic drugs and smooth muscle relaxants relax the lower esophageal tone and result in reflux.
7. Surgery: Damage to the lower esophageal sphincter due to surgery can decrease the tone of the lower esophageal sphincter.
Compiled by Wilbert Masamba


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