Heartburn


Heartburn

Description heartburn

The heartburn is a daily basis up to a tenth of the adult population. Over the life of this complication meets up to 40% of adults and commonly occurs in mid-pregnant women. For pregnant women is considered normal and often symptoms of pyrosis spontaneously leave with childbirth.

This is a re-entry of gastric juice into the esophagus. Strongly acidic gastric juice irritates the lining of the esophagus and this leads to discomfort, “heartburn”. It’s practically a similar mechanism as with vomiting, but the plot does not occur reflexively, not accompanied by vomiting or convulsions.

The word “reflux” indicates that part of the stomach contents back into the esophagus and then spontaneously back into the stomach. This phenomenon occurs due to the lack of a functional sphincter between the esophagus and the stomach – rakes. Heartburn, unfortunately, is often accompanied by other unpleasant symptoms such as bad breath or stomach pain.

 

Risk factors for heartburn

Most often heartburn occurs in pregnant women, it is noted that in the last trimester of pregnancy suffer only half of the women. If the problem resolves after delivery, it is necessary to treat pyresis and is considered normal.

Overall, of the difficulty, if they are occurring infrequently, it is not necessary any more detail. But if reflux occurs repeatedly, it is important not to neglect treatment.

One reason for heartburn can be called. Hiatal hernia. It is a disorder where part of the stomach herniates opening for the esophagus above the diaphragm into the mediastinum, and therefore facilitates unwanted return gastric juices back into the esophagus. Hernia but in many cases Loop absolutely no symptoms and does not cause any problems if it is not necessary to solve it. Hiatal hernia can be detected by X-ray.

Other reasons for heartburn related to diet and lifestyle. The cause pyrosis generally can be unhealthy lifestyles including irregular meals, large portions of food at irregular intervals throughout the day. Furthermore, the consumption of foods rich in the evening, when the metabolism slows down and is not ready to digest complex and fatty foods.

Foods that commonly cause heartburn, are fatty foods such as mayonnaise or frying and deep frying food, very spicy or too hot and cold food, strong coffee, acidic drinks such as red and white wine. It also harder to digest foods such as beans, onions, hard-boiled eggs, cabbage or fresh bread.

A major cause of heartburn can also be alcohol or tobacco, both substances because they can reduce the tension of the lower esophageal sphincter and the overhead reflux of gastric juices support.

The lifestyle is also related to one of the frequent reasons for heartburn, not overweight. Greater pressure on the stomach are logically causes greater pressure on the esophageal sphincter (a mechanism similar to that for pregnant women), and therefore overweight persons arises heartburn more often.

Another cause may be a long unresolved stress. Prolonged stress occurs download stomach and therefore possible leakage of gastric juice into the esophagus.

Heartburn may also occur as a side effect of some drugs, there is a need to discuss their potential compensation doctor.

 

Preventing heartburn

Preventing heartburn resides mainly in eliminating the risk factors causing reflux from the stomach.

So avoid these difficulties associated with modifying diet and lifestyle. Recommended are smaller portions of food more frequently and regularly throughout the day. Further limiting fatty foods and too poorly digestible foods, especially in the evening. Other restrictions should apply to foods that promote the formation of gastric juices, especially spicy foods and beverages such as coffee or alcohol.

With the improvement of lifestyle is also related to obesity prevention. People suffering from overweight should try to lose excess kilos and adjust your diet. The diet is recommended to includefruits and vegetables, or other foods with a high content of fiber, which has a known beneficial effects on our digestion.

Finally, it is mentioned as a precaution to prevent long-term stress, which can heartburn easily lead.

 

Treatment of heartburn

Although most patients resolves heartburn rather as an unpleasant nuisance, it is necessary to remember that the lining of the esophagus is not prepared for frequent encounters with the acid contents of the stomach, which can be seriously damaged. Damage to the inner lining of the esophagus may occur ulcer and there is a greater risk of developing cancer. Therefore, in the frequent occurrence of the disease pyrosis definitely not neglect.

The doctor will first learn about the lifestyle changes of measures (see preventing heartburn).

If prescribe drugs, you may encounter the following terms: Antacids reduce acidity (acidity) of the stomach contents. Further, so-called. Antiulcer drugs reduce the production of stomach acids.Other drugs promote peristalsis (digestive) motion in the right direction and would therefore be to prevent back again reflux.
The most effective include just proton pump inhibitors (enzyme forming hydrochloric acid in the stomach), to avoid an excess of gastric acid.

With heartburn, also related to two investigations, which we believe could be recommended by a doctor. The first of these, gastroscopy, aims to detect possible distortions of the mucosa of the lower esophageal sphincter. The test is uncomfortable because the esophagus is a need to establish long cable with a tiny camera and a light source. This way, then watching investigating possible changes in the mucosa. This way it is also possible to remove a small sample of tissue for further, histological examination. This subscription is not painful. For the diagnosis of certain disorders of the esophagus and stomach, such examination is irreplaceable.

Another method is known to all X-rays when observed proper function of the esophagus and sphincter but peristaltic movements and may be detected and the above hiatal hernia. Examination is not painful, it is only associated with swallowing large quantities of contrast barium meal látky- frequently.

 

How can I help myself

Self-medication is partially derived from the prevention of heartburn. Although it sounds unpopular, it is recommended to reduce heavy and fatty foods and overeating as such.

The diet should receive a greater number of small portions, any overweight is good throw. For the short term relieve to drink a glass of clean water, sleep with your head elevated position and recommended to “relax” lying down after a meal. As mentioned earlier, non smoking and alcohol.

If the reason for heartburn hiatal hernia, hardly a “babskými advice” and will hold out here need to consult a doctor and whether drugs or surgery.

 

You need surgery?

If the problems do not stop even after medical treatment, applicable and operational solutions.The operation consists in surgical reinforcement of the lower esophageal sphincter, so it no longer does such re-digested stomach contents and esophageal mucosa is not further irritated.

In reality, the operation is such that the upper portion of the stomach is pulled through the esophagus, where it forms a sort of valve replacement. The operation can normally be performedlaparoscopically, which represents a minimal surgical wound, only example. Three incisions into the abdominal cavity for instruments and Cameras, which the surgeon watches the whole event. In this way we are obviously maximally reduced postoperative complications and pain.

 

Complications Heartburn

As already mentioned above, in addition to heartburn may be uncomfortable burning sensation behind the breastbone or halitosis also bring serious complications. These are based on the long-term damage to the lining of the esophagus acidic gastric contents.

Gastric mucosa against its own acids protected by a layer of protective mucus, esophagus but this irritation is not ready and therefore need not to delay the timely treatment of this problem.

For example, may cause ulcers but there is also a greater risk of cancer of the esophagus. Of course this does not mean that every heartburn is equal to esophageal cancer. It should be emphasized that if the difficulty repeats, can have serious consequences and therefore it is necessary to pay attention to it and not be afraid to ask your doctor.

Other names: heartburn, gastroesophageal reflux

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