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7 de dic. de 2023 · Heartburn is discomfort or actual pain caused by digestive acid moving into the tube that carries swallowed food to your stomach (esophagus). Typical features of heartburn include: A burning sensation in the chest that may also involve the upper abdomen; Usually occurs after eating or while lying down or bending over
- Overview
- Potential causes of persistent heartburn
- GERD
- Hiatal hernia
- Barrett’s esophagus
- Esophageal cancer
- The takeaway
Heartburn is caused by stomach acid backing up into the esophagus (the tube connecting your mouth to your stomach). Also called acid reflux, it feels like a burning pain typically just behind the breastbone.
Occasional heartburn usually isn’t a cause for concern. It can be managed with lifestyle changes and over-the-counter (OTC) medications, such as:
•antacids, such as Tums or Maalox
•H2 receptor blockers, such as Pepcid or Tagamet
•proton pump inhibitors, such as Prilosec, Nexium, or Prevacid
However, if heartburn becomes more frequent, won’t go away, or stops responding to OTC medications, it may be a sign of a more serious condition that should be addressed by your doctor.
Persistent heartburn may be a symptom of:
•gastroesophageal reflux disease (GERD)
•hiatal hernia
•Barrett’s esophagus
Treatment for GERD
You doctor will most likely start your treatment with OTC antacids and either OTC or prescription H2 receptor blockers and proton pump inhibitors. If the medications aren’t effective, your doctor may recommend surgery, such as: •laparoscopic Nissen fundoplication •magnetic sphincter augmentation (LINX) •transoral incisionless fundoplication (TIF)
Treatment for hiatal hernia
To relieve symptoms of heartburn, your doctor may recommend antacids, proton pump inhibitors, or H2 receptor blockers. If the medication isn’t alleviating the heartburn, your doctor may suggest surgery, such as: •open repair •laparoscopic repair •endoluminal fundoplication
Symptoms
Barrett’s esophagus doesn’t cause symptoms. GERD is a problem for many people who have Barrett’s esophagus. Persistent heartburn is a symptom of GERD. According to the National Institute of Diabetes and Digestive and Kidney Diseases, there’s a greater likelihood of people with Barrett’s esophagus developing a rare type of cancer called esophageal adenocarcinoma.
Treatment for Barrett’s esophagus
Your doctor will most likely recommend prescription-strength proton pump inhibitors. Other recommendations may include: •repeated surveillance endoscopy •endoscopic ablative therapies, such as photodynamic therapy and radiofrequency ablation •endoscopic mucosal resection •surgery (esophagectomy)
Treatment for esophageal cancer
Your doctor’s recommendations for treatment will take into account a number of factors, including the type and stage of your cancer. Treatment options may include: •chemotherapy •radiation therapy •immunotherapy, such as pembrolizumab (Keytruda) •targeted therapy, such as HER2-targeted therapy or anti-angiogenesis therapy •surgery, such as endoscopy (with dilation or stent placement), electrocoagulation, or cryotherapy
If you have heartburn that won’t go away and won’t respond to OTC medications, see your doctor for a diagnosis. Heartburn may be a symptom of a serious condition.
- Scott Frothingham
2 de nov. de 2022 · By Sherry Christiansen. Updated on November 02, 2022. Medically reviewed by Jay N. Yepuri, MD. Print. Heartburn can last for a few minutes to a few hours, depending on the cause. If heartburn is due to something you ate, you will probably have symptoms until the food has been digested.
28 de sept. de 2022 · Heartburn for multiple days in a row can result from gastroesophageal reflux disease (GERD), a hiatal hernia, Barrett’s esophagus, or esophageal cancer. Heartburn refers to the burning...
- Karen Veazey
16 de abr. de 2024 · Heartburn (acid reflux) feels like a sharp, burning sensation rising from your stomach, passing through your chest, and sometimes reaching your throat. Food, medication, health conditions, pregnancy, smoking, and stress are all common causes of sudden heartburn.
14 de nov. de 2023 · Constant heartburn can be a symptom of an underlying condition, such as GERD, esophagitis, or other gastrointestinal disorders. If you experience frequent heartburn or heartburn more than once a week for several weeks, consult a healthcare provider for diagnosis and treatment.
26 de abr. de 2024 · Heartburn is a burning sensation in your chest that often causes a bitter taste in your throat or mouth. In general, you can treat heartburn symptoms at home. Healthline
