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2 de nov. de 2022 · 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.
- Overview
- Treating heartburn
- Preventing heartburn
- Seeking help
- Heartburn and pregnancy
- The takeaway
What to expect from heartburn
The uncomfortable symptoms of heartburn can last for two hours or longer, depending on the cause.
Mild heartburn that occurs after eating spicy or acidic food typically lasts until the food has been digested. Heartburn symptoms may also return several hours after they first appeared if you bend over or lie down.
Occasional heartburn that responds to at-home treatment is usually nothing to worry about.
But if you consistently get heartburn a few times a week or more, it can be a sign of an underlying condition requiring a doctor’s care. In this case, your heartburn will most likely continue to occur until the condition causing it is treated or managed.
Heartburn symptoms can include:
If your heartburn isn’t the symptom of an underlying condition, you should be able to successfully treat it with over-the-counter (OTC) medications, such as antacids, proton pump inhibitors, or H2 receptor antagonists.
You may also find relief from the following lifestyle changes:
•Avoid lying down within two hours of eating. Instead, take a walk to help stimulate digestion.
•Avoid eating any additional food until your heartburn has passed, especially spicy, acidic, or citrus foods.
•If you have any specific food triggers, such as tomato-based foods, citrus, alcohol, coffee, or soda, avoid them while you have heartburn.
•If you smoke, avoid cigarettes or other types of nicotine while you’re experiencing heartburn.
There are many ways you may be able to prevent occasional heartburn or reduce the frequency of chronic heartburn.
•Identifying food triggers can help you eliminate or reduce heartburn. Food triggers may include garlic, onions, citrus foods, tomatoes and tomato products, alcohol, soda, and coffee.
•Reducing your serving sizes at meals can help. Try to eat several mini-meals during the day rather than a few large ones.
•Avoid eating late at night or right before bed.
•Stop smoking cigarettes, if you smoke.
•Being overweight or obese may increase your risk of having heartburn. Losing weight may help reduce heartburn.
If you have heartburn more than twice a week or if it interferes with your life, talk to your doctor. You may have gastroesophageal reflux disease (GERD). Heartburn is a symptom of GERD.
Unlike occasional heartburn, GERD is defined by having heartburn or other reflux-related symptoms at least twice a week. It can range from mild to severe. In addition to heartburn, GERD symptoms can include:
•regurgitation of undigested food or sour liquid into your mouth or throat
•trouble swallowing
•the feeling of having a lump in your throat
Frequent heartburn may be a sign that there is constant irritation to the lining of the esophagus. Too much irritation to the esophagus for extended periods of time can lead to ulceration as well as to precancerous and cancerous changes to the esophagus.
Heartburn is a common occurrence during pregnancy. It can occur at any time, starting in the first trimester.
Episodes of heartburn during pregnancy may be longer in duration than heartburn caused by food alone. However, the amount of food and types of food you eat can make heartburn worse as can bending over or lying on your back too soon after eating.
Heartburn in pregnancy is also made worse by progesterone, a hormone which is necessary for maintaining a healthy pregnancy.
Progesterone relaxes a muscle called the lower esophageal sphincter, which acts like a valve, separating the stomach from the esophagus. When this muscle relaxes, it allows stomach acid to rise up out of the stomach and into the esophagus.
Because it isn’t made to handle stomach acid, the esophagus becomes irritated and causes the burning sensation we know as heartburn.
The size of the fetus also plays a role. Heartburn can worsen as pregnancy progresses and the fetus starts to fill out the entire uterus. This can cause the uterus to press up against the stomach, pushing its contents up into the esophagus.
Occasional heartburn is common and usually responds to at-home treatment, such as taking OTC medication. Lifestyle modifications, such as avoiding certain foods and losing weight, can also help.
Heartburn during pregnancy is very common. This type of heartburn may also respond to at-home treatment. If you’re pregnant, talk to your doctor before using any type of medication.
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