Root causes of heartburn

Many a times people wonder, what causes heartburn, why is it so common and is it an indication of something serious. This article addresses these questions and many more related to this commonly occurring symptom.

Heartburn or pyrosis is an uneasy sensation – a warm, burning feeling in the chest, typically just behind the breastbone that usually comes in spurts. The pain generally starts in the chest and spreads to other areas like neck, throat and jaw. There is a chance the pain will get worse as the patient bends over or lies down, and is more common just after eating. The term heartburn is a common lay term that does not have much to do with the heart. Many a time heartburn is linked to gastric reflux. Heartburn can be an indication of ischemic heart disease too.

heartburn causes

You should not worry if you suffer from heartburn intermittently; nine times out of ten it is nothing to get anxious about. With a few lifestyle changes, and may be an OTC medication the distress can be overcome without having to ask for medical help.

Foods that may cause heartburn

If you are wondering what cause heartburn, then you need to know the various different foods that may cause heartburn. Some foods or ingredients affect the working of lower esophageal sphincter, which can be one among the common causes of heartburn. Caffeinated drinks may ease out the LES so it would not function as it should. Chocolate ingredients include theobromine; also present in cocoa, coffee plants and tea, this too can ease out the LES. Fried or fatty foods remain in the stomach longer as they are not easily digestible, again impacting the LES. Tomatoes or citrus fruits include an acid which can impact the lower esophageal sphincter. If people overeat, then they are straining not just their stomach but also laying pressure on the LES which cannot shut itself properly when under undue pressure. Out of this list of food stuff, some would be peculiar to the individual suffering from it. If eating a particular food leads to heartburn, it should be cut out of the diet permanently.

Causes of heartburn – An overview

The esophagus is a tube that links the stomach to the mouth. It pushes the food with the help of muscles toward the stomach in smooth waves. When in the stomach, the food is hampered from refluxing, by a characteristic area of round muscle positioned at the junction of the stomach and the esophagus, known as the lower esophageal sphincter. A pressure difference adjacent to the diaphragm, the flat muscle that divides the chest and the abdomen, also helps in keeping the contents of the stomach in the stomach. The enzymes, acids and foods are mixed with the stomach to start digesting. There are unique protective cells lining the stomach to avert the acid from triggering the inflammation. The esophagus does not have the same safeguard; if stomach contents reflux back into the esophagus, they can trigger inflammation of the lining. In short, the gastric acids get into the esophagus inducing heartburn. The lower esophageal sphincter relaxes when you swallow, allowing foods and drinks to reach to the stomach. After that the sphincter contracts again. The lower esophageal sphincter must close properly; otherwise the gastric acids may seep back into the esophagus, inducing heartburn.

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Causes of heartburn and their prevention

If you have been experiencing heartburn for some time, do not ignore it.  Do not just take antacids and continue with your daily routine. As a matter of fact, there can be several causes of heartburn, and one of these can be related to abnormalities in your heart.  There can also be severe abnormalities in your gastrointestinal system which can aggravate with time if not treated at the right time, because, as it is said – a stitch in time saves nine.

causes of heartburn

Heartburn

A sensation of burning in the area just behind the breastbone and the upper central abdomen.  The pain may arise in the chest and spread to the angle of the jaw, neck and throat.

What causes heartburn?

Gastrointestinal cause

Gastrointestinal reflux disease

The major chunk of patients who report with heartburn suffer from gastro-esophageal reflux disease.  Here acid from the stomach gets its way back into the esophagus, which is placed before the stomach in the gastrointestinal system, causing the burning sensation.

Causes of Gastrointestinal reflux disease

• The Sphincter or the valve acting as a gateway between the esophagus and the stomach may undergo some abnormal changes which make it more relaxed than is normal.  As a result it cannot prevent reflux of acid from the stomach into the esophagus.

• The mechanism that expels food refluxes into the esophagus back into the stomach may get impaired resulting in acid reflux staying put into the esophagus, damaging the mucous layer and thereby continuing the burning symptom.

• If you are suffering from a hiatal hernia you can also suffer from heartburn because a hernia is associated with gastro-esophageal reflux disease.

Some of these changes may be permanent whereas some may be temporary.

However, if your heartburn is associated with any of these, it is most likely that you will get positive results just by bringing changes in your daily routine.  If not, it can be treated with medications such as simple antacids or proton pump inhibitors or H2 receptor blockers.  However, if all these options do not alleviate the symptoms, you will need to undergo a surgery.

Cardiological causes

Heartburn can also be a symptom of angina pectoris or myocardial infarction.  An associated pain that is more suggestive of indigestion strongly indicates some abnormality in your cardiological system.  But, here is a word of comfort.  Instances of heartburn as a precursor to cardiological abnormality are very few and far between.

Functional Heartburn

If the heartburn is not due to gastro-esophageal reflux disease or heart abnormality then it is called functional heartburn.  This means that it is unknown what causes heartburn.  In such instance causes of heartburn may be some other gastrointestinal disorder such as irritable bowel syndrome.

Prevention

Abstain from excessive consumption of foods which act as causes of heartburn, such as

• Coffee, tea and other caffeinated drinks.

• Chocolate which contains theobromine which can cause the sphincter muscle to relax.

• Fatty foods and fried foods

• Tomato

• Alcohol

• Tobacco

• Heavy meals

• Citrus fruits and their juices

• Going to sleep just after eating

• Wearing tight fitting clothing

Along with this you have to maintain a healthy lifestyle and do regular exercises to keep the causes of heartburn at bay.

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