WHAT YOU SHOULD
KNOW
Heartburn, known medically as reflux esophagitis
(e-sof-uh-JIE-tis), occurs when stomach acid flows back into
the esophagus (e-SOF-uh-gus), the tube connecting the mouth to
the stomach. With time, the stomach acid can irritate your
esophagus and cause problems, such as
ulcers.
Causes
In most patients, no specific
cause is discovered. A hiatal hernia is one possible cause.
Others are taking certain medicines, coughing too hard, or a
stomach that empties too slowly. Esophagitis may also occur
when you are pregnant.
Signs/Symptoms
You may feel burning in your
chest, especially at night. Other signs of esophagitis may be
burping, trouble swallowing, a sour or acid taste in your
mouth, or a sore throat.
WHAT YOU SHOULD DO
-
You may use an over-the-counter antacid. Follow the
directions on the label. Check with your doctor first if
you are pregnant.
-
Eat 6 small meals instead of 3 big ones. This keeps
your stomach from getting too full. Eat slowly. Don't lie
down for 2 or 3 hours after eating. Don't eat or drink
anything 1 to 2 hours before going to
bed.
-
Avoid alcohol, caffeine beverages (colas, coffee,
cocoa, tea), fatty foods, citrus fruits, and other foods
and drinks that seem to increase
heartburn.
-
To help prevent heartburn at night, place 4- to
6-inch blocks under the head of your bed. This will keep
your head and esophagus higher than your stomach. If you
can't use blocks, sleep with several pillows under your
head and shoulders.
-
Avoid bending over, especially after eating. Also
avoid straining during bowel movements, or when you're
urinating or lifting things.
-
Don't wear clothing that constricts your chest or
stomach.
-
Don't smoke. Smoking often causes the stomach to make
more acid.
-
If you are overweight, lose weight. Ask your doctor
for a weight loss plan.
Call Your Doctor If...
-
Your symptoms don't improve in a few days or they get
worse.
-
You develop a high temperature.
Seek Care Immediately If...
-
You vomit blood or have recurrent
vomiting.
-
You develop severe chest pain along with nausea,
sweating, or shortness of breath.
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