Author Topic: The Many Causes Of Heartburn Disease  (Read 10081 times)

Offline edrixpure

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The Many Causes Of Heartburn Disease
« on: January 23, 2014, 10:08:19 AM »
 More often, we experience a recurrent sensation of chest pain manifesting as a burning sensation in the central portion of the chest and the throat, usually starting from the uppermost and left-central part of the abdomen from where the burning sensation radiates upward into the central as part of the chest wall behind the --- bone. The combination of heartburn and acid regurgitation is the key towards medically diagnosing an individual as suffering from Heartburn Disease or what is also called Gastroesophagus Reflux Disease (GERD).

 “Heartburn” can also be accompanied by a regurgitation of the acid produced inside the stomach back into the oesophagus, which is the food pipe that connects the mouth to the stomach. It is the irritating and corrosive effect of the acid (regurgitated into the esophagus from the stomach) that is experienced as heartburn and sometimes as an intense and very discomforting pain in the chest that can sometimes be confused as a heart attack.

Causes

 One should however note that mild temporary heartburn caused by overeating acidic foods can happen to anyone, particularly when bending over, taking a nap, or engaging in lifting after a large meal high in fatty, acidic foods. Persistent gastroesophageal reflux disease however, may be due to abnormal biologic or structural factors, which include malfunction of the lower esophageal muscles, defects or injuries in the lining of the esophagus, peristalsis problems, over-acidic stomach contents, and other problems.
 Malfunction of the lower esophageal opening (LES) muscles
 The band of muscle tissue called lower esophageal sphincter/opening (LES) is responsible for closing and opening the lower end of the esophagus and is essential for maintaining a pressure barrier against contents from the stomach. If it gets weakened and loses tone, the LES cannot close up completely after food empties into the stomach; in such cases, acid from the stomach backs up into the esophagus. The LES is a complex area of smooth muscles and various hormones; dietary substances, drugs, and nervous system factors can affect its function.
 Impaired Stomach Function
 In one research study, over half of patients with heartburn disease showed abnormal nerve or muscle function in the stomach, which caused impaired motility, an inability of the muscles to contract normally. This causes delays in stomach emptying, increasing the risk for acid back-up.
 Asthma
 About half of asthmatic patients also have GERD. It is not entirely clear however whether asthma is a cause or effect of the heartburn disease. Some experts speculate that the coughing and sneezing accompanying asthmatic attacks cause changes in pressure in the chest that can trigger reflux.  Similarly, certain asthmatic drugs that dilate the airways may relax the lower esophageal sphincter and contribute to the heartburn disease.

Genetic Factors
 It appears that genetic factors play a role in susceptibility to Barrett's esophagus, a condition that precedes the formation of cancer of the oesophagus, caused by very severe gastroesophageal reflux. It is also inferable that an inherited risk exists in most cases of heartburn diseases.

Foods
 Foods that can weaken lower esophageal sphincter tone, hence predisposes one to develop heartburn disease, include garlic, onions, chocolate, fat, peppermint, spearmint, and coffee. Caffeinated drinks and decaffeinated coffee increase acid content in the stomach. Other acidic foods include citrus and tomato products. All carbonated beverages increase the risk for symptoms of heartburn disease by bloating the abdomen and causing pressure that forces acid to back up into the esophagus.

Alcohol and Smoking
 Alcohol relaxes the LES muscles and also may irritate the mucous membrane of the esophagus. On the other hand, some studies have shown that small amounts of alcohol may actually protect the mucosal layer. Smoking can also reduce muscle function, increase acid secretion, reduce prostaglandins and bicarbonate production, and decrease mucosal blood flow.

Obesity
 Some studies have suggested that obesity increases acid in the esophagus, thereby significantly increasing the risk of heartburn disease. On the other hand however, in severely obese individuals, gastric bypass surgery, which shrinks the stomach, not only produces weight loss but also reduces the amount of acid and protects against heartburn disease.

Drugs that Increase the Risk for Heartburn disease
 A number of drugs can cause the Lower Esophageal Sphincter to relax and function poorly. The chief culprit here are the common pain relievers known as Nonsteroidal anti-inflammatory drugs (NSAIDs) i.e. aspirin and aspirin-like drugs. However, such symptoms may not become evident until after about six months of regular use.

 NSAIDs include the likes of aspirin, ibuprofen, naproxen, piroxicam, diflunisal, indomethacin, ketorolac, ketoprofen, diclofenac etc. Paracetamol (acetaminophen) is usually a good alternative for those who want to relieve mild pain and avoid NSAIDs.

 At any rate, the aforementioned NSAID medications must not be taken in an empty stomach – they are best taken just after meal or during meal.

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The Many Causes Of Heartburn Disease
« on: January 23, 2014, 10:08:19 AM »

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Offline hasseb432

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Re: The Many Causes Of Heartburn Disease
« Reply #1 on: November 18, 2014, 11:52:45 AM »
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Re: The Many Causes Of Heartburn Disease
« Reply #2 on: January 14, 2015, 12:28:07 PM »
I like the information

Heartburn is a symptom created by acid reflux, which results in the diagnosis of gastroesophageal reflux disease (GERD) if it persists and happens more than twice a week. 

It is a very common symptom described by an internal burning pain felt around the lower chest area.

Offline packers100

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Re: The Many Causes Of Heartburn Disease
« Reply #3 on: March 29, 2016, 11:05:44 AM »
The esophagus is a tube that connects the mouth to the stomach.  It is made of muscles that work to push food toward the stomach in rhythmic waves.  Once in the stomach, food is prevented from refluxing (moving back into the esophagus), by a special area of circular muscle located at the junction of the esophagus and stomach, called the lower esophageal sphincter (LES).  A pressure difference across the diaphragm, the flat muscle that separates the chest from the abdomen, also tends to keep stomach contents in the stomach.

The stomach combines food, acids, and enzymes together to begin digestion.  There are special protective cells that line the stomach to prevent the acid from causing inflammation.  The esophagus does not have this same protection, and if stomach acid and digestive juices reflux back into the esophagus, they can cause inflammation and damage to its unprotected lining.


Heartburn Causes
Heartburn is actually a symptom of GERD (gastroesophageal reflux disease), and is caused by acid refluxing back into the esophagus.  Risk factors include those that increase the production of acid in the stomach, as well as structural problems that allow acid reflux into the esophagus.

Some common foods that we eat and drink, stimulate increased stomach acid secretion setting the stage for heartburn.  Over-the-counter medications also may precipitate heartburn.  Examples of these irritants include:
alcohol,
caffeine,
aspirin (Bayer, etc. ),
buprofen (Motrin, Advil, Nuprin, etc. )
Naproxen (Naprosyn, Aleve)
carbonated beverages,
acidic juices (grapefruit, orange, pineapple)
acidic foods (tomatoes, grapefruit, and oranges), and
chocolate.
Smoking and the consumption of high-fat content foods tend to affect function of the lower esophageal sphincter (LES), causing it to relax from the stomach and allow acid to reflux into the esophagus.
A hiatal hernia where a portion of the stomach lies within the chest instead of the in abdomen, can affect the way the LES works and is a risk factor for reflux.  Hiatal hernias by themselves cause no symptoms.  It is only when the LES fails that heartburn occurs.
Pregnancy can cause increased pressure within theabdominal cavity and affect LES function and predispose it to reflux.
Obesity may also cause increased pressure in the abdomen, and thus reflux in the same way.
Primary diseases of the esophagus can also present with heartburn as a symptom.  These include, among others, scleroderma and sarcoidosis.

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Re: The Many Causes Of Heartburn Disease
« Reply #4 on: April 26, 2016, 01:07:30 PM »
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Re: The Many Causes Of Heartburn Disease
« Reply #5 on: June 20, 2016, 07:54:25 AM »
Certain foods and drinks can trigger heartburn in some people, including:

1.  Spicy foods
2.  Onions
3.  Citrus products
4.  Tomato products, such as ketchup
5.  Fatty or fried foods
6.  Peppermint
7.  Chocolate
8.  Alcohol, carbonated beverages, coffee or other caffeinated beverages
9.  Large or fatty meals

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