Doctor's Notes on Heartburn (GERD)
- Burning feeling in chest (often after eating)
- Chest pain (especially after eating, bending over or lying down)
- Burning in throat
- Hot and acidic fluid at the back of the throat (sometimes including a sour and/or salty taste)
- Difficulty swallowing (due to scar formation from repeated heartburn attacks)
- Feeling of food stuck in the throat or chest
The cause of heartburn is the upward or reverse movement (reflux) of stomach acid into the esophagus. The esophagus is not protected from acid, unlike the stomach. There are many risk factors and/or causes of heartburn including
- eating habits (for example, large portions, spicy foods, acidic drinks, eating before bedtime);
- lifestyle (for example, obesity, smoking, stress, wearing tight belts, and/or clothes); and
- medical (for example, medicines like aspirin, and medical problems like hiatal hernia, pregnancy, and gastroesophageal reflux disease).
Heartburn pain/discomfort may mimic the chest pain that can occur with a heart attack. If you are not sure if the discomfort/pain in the chest is due to heartburn, call 911. If the "heartburn" is associated with other symptoms like shortness of breath, weakness, pale skin, sweating, nausea/vomiting, and is not similar to previous heartburn symptoms, call 911.
GERD : Test Your Digestive Diseases IQ QuizQuestion
GERD is the back up of stomach acid into the esophagus.See Answer
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Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.