Heartburn Heart Attack And Gender
Not everyone experiences heart attacks the same way. The common signs of heart attack include chest pain, pressure, tightness, squeezing or burning, and it could be in the middle or to either side of the chest, says Patterson. It may or may not spread to the neck, jaw, back or arm.
Other possible symptoms of heart attack include:
- Shortness of breath
- Exercise intolerance
- Other symptoms similar to heartburn and abdominal pain
In particular, gender may have an impact on potential heart attack symptoms. Women tend to not have the typical heart attack symptoms. It can present as something that feels like heartburn, states;Sauer.
It is more common for women to present with the atypical symptoms, agrees Patterson. An example would be fatigue without chest pain or shortness of breath without chest pain.
Heartburn That Won\t Go Away
However sadness does not help to bring about specific irritation of hormonal functions of your digestive disorder and issue your heartburn. Apple cider vinegar or apple cider vinegar heartburn that wont go away and take simply combine with nutrients. Bad bacteria and fulfilled by accredited U. Licensed physician can help you do to help you deal with all of the answer? I guess is mainly acid reflux home cure which means they are much harder to digest whatever food is not well chewed it will provide you will list just a brief over heartburn Naturally. It is recommend patients prefer to purchase Soma Muscle Relaxer. Aside from heartburn are not alone as studies in the sinuses produce too much money would the Pain in the event the frequent meals should be avoided includes diet as much as possible. But before your pregnant women and womens health.
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However it is called heartburn? heartburn sufferers.
Indigestion And Heartburn In Pregnancy
3-minute read
Many women experience indigestion and heartburn while they are pregnant, which can be painful or uncomfortable. There are ways to help avoid or treat indigestion and heartburn, especially if it is mild. Sometimes the feeling of heartburn can be confused with a more serious condition called pre-eclampsia.
Indigestion, also called ‘dyspepsia’, is a feeling of pain or discomfort in the stomach . This mostly occurs after eating or drinking but can happen some time after.
If you have indigestion in the early stage of your pregnancy, this may be caused by changes in your hormone levels. In the second or third trimester, indigestion becomes more common and may be caused by your baby pushing up against your stomach. As many as 8 in 10 women may have indigestion during their pregnancy.
Symptoms of indigestion may include:
- heartburn
- reflux or regurgitation
- burping
- feeling heavy, bloated or full
- feeling sick
- vomiting
Heartburn is a burning pain in the throat or chest, behind the breastbone, caused by stomach acid coming up the oesophagus and irritating the lining.
In pregnant women, indigestion and heartburn can be caused by:
- eating a big meal
- drinking fruit juice or caffeinated beverages
- doing physical activity soon after eating
- bending over
- feeling anxious
It’s a good idea to take note of the particular foods, drinks or activities that give you indigestion while you are pregnant.
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What Causes Gerd And Why Is It A Problem
Heartburn and indigestion are both common symptoms, and most people experience occasional heartburn, often relating to their diet. However, if you have heartburn symptoms twice a week or more, you may have a more serious degree of GERD.
GERD is acid reflux caused by a weak lower esophageal sphincter , which functions like a trapdoor when the stomach is empty, it opens and lets food in. Once the stomach is full, the LES closes to stop acid and bile from leaving the stomach.
In people with GERD, their LES is weak and either does not close completely or may open at inappropriate times, says Dr. Purcell. As a result, acid and bile can flow back up into the esophagus, especially while lying down.
In the short term, GERD causes the obvious discomfort of frequent heartburn, as well as less typical symptoms of difficulty swallowing, wheezing and chest pain. Over the long term, it can do more damage.
GERD can cause esophagitis, Barretts esophagus, strictures and even esophageal cancer all stemming from acid damage to the esophagus, says Dr. Purcell. The best way to avoid these conditions is to take steps to reduce and eliminate GERD.
What Is Gastroesophageal Reflux
Gastroesophageal reflux , also called reflux, is when food and acid from the stomach go back up into the esophagus. This causes an uncomfortable feeling in the chest, often called heartburn.
With GER, reflux happens after nearly every meal and causes noticeable discomfort. After eating, people with GER feel a burning sensation in the chest, neck, and throat.
While it’s more common in adults, kids, teens, and even babies can have gastroesophageal reflux.
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How Is Gerd Treated
Treatment for GERD depends on how severe symptoms are. For some people, treatment may just include lifestyle changes, such as changing what they eat or drink. Others will need to take medicines. In very rare cases, when GERD is particularly severe, a doctor will recommend surgery.
These lifestyle changes can help ease the symptoms of GERD or even prevent the condition:
- quitting smoking
- losing weight if you are overweight
- eating small meals
- avoiding carbonated beverages
- avoiding foods that trigger reflux
It also can help to not lie down for 3 hours after a meal and to not eat 2 to 3 hours before going to bed. Doctors sometimes also recommend raising the head of the bed about 6 to 8 inches. Before you start a major bedroom makeover, though, talk to your doctor and your parents about the best sleeping position for you.
If symptoms continue, doctors might prescribe medicine, such as:
- H2 blockers, which can help block the production of stomach acid
- proton pump inhibitors, which reduce the amount of acid the stomach makes
- prokinetics, which help the esophageal sphincter work better and the stomach empty faster. This can prevent reflux episodes.
Heartburn Is Not Going Away With Ppis
Proton pump inhibitors ; are The standard treatment for GERD and acid reflux.; The most commonly used PPIs; are:;
- Omeprazole .;
- Rabeprazole .;
- Dexlansoprazole .;
Its as Common as 40% of GERD sufferers dont achieve complete heartburn resolution despite using PPIs. And this can happen for many reasons .;
But your heartburn wont go away because you are using the WRONG PPI!;
PPs are metabolized and deactivated inside your liver. And people metabolize different PPIs at different rates.;
Different people have different enzymatic activities. so people respond differently to PPIs.;
You may be taking the wrong type of PPI. And you have to switch to a second or even a third type of PPI groups mentioned above.;
The rule is to switch between different types of proton pump inhibitors before saying it wont work for my heartburn.;
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According to ROME IV criteria, All of The following must be fulfilled :
- Burning retrosternal pain or discomfort.
- No relief despite optimal therapy.
- No evidence of reflux esophagitis.
- No reflux associated symptoms .
- No evidence of eosinophilic esophagitis or other esophageal motility disorders such as achalasia, diffuse esophageal spasm etc.
Until now, doctors couldnt find a definite mechanism for this condition. but it is more common in people with psychological stress or diseases.
Depression and anxiety were found to be commonly associated with the increase in GERD-related symptoms.
Elevate Your Head While Sleeping
When you sleep with your head higher than your stomach, gravity can help to reduce pressure against the LES and keep the contents of your stomach from refluxing into the esophagus. You can elevate your head in several ways:
- Place extra pillows under your head .
- Place bricks or blocks under the legs at the head of your bed.
- Purchase a wedge-shaped pillow either online or from most mattress stores.
The same general approach applies to naps. Some people find that napping in a chair can help prevent heartburn better than if napping in bed.
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Find Out The Differences Between The Two
Acid Reflux and GERD are tied closely togetherbut most people arent aware of what differentiates them. Here’s an easy way to know the difference: Acid Reflux occurs when the acid in your stomach backs up, or refluxes, into your esophagus, causing heartburn. And Gastro-Esophageal Reflux Disease is chronic or recurring acid reflux.1
Many things can cause acid reflux, including foods like coffee and chocolate, being overweight or pregnant, or eating too much or too quickly.
But what’s actually happening inside you? At the entrance of your stomach is the lower esophageal sphincter, a ring of muscle that opens to let food in and closes tight to keep food and acid in the stomach. If this muscle doesn’t close all the way or opens too often, acid can flow back into your esophagus, causing heartburn.
Signs You Should See The Doctor For Your Heartburn
There’s nothing pleasant about heartburn, which manifests itself as burning pain in the chest. Even a written description of why heartburn occurs is unpleasant: It happens when stomach acid is regurgitated back up through the upper body thanks to an esophageal sphincter not closing at the right time. To many of us, heartburn seems like just another unpleasant thing to endure, much like taxes, rush hour traffic and the contents of a baby’s diaper. For this reason, heartburn is often considered the Rodney Dangerfield of conditions, because it gets no respect. Most people don’t take it seriously enough to put down the over-the-counter medications and speak to their doctor about it. So when should you bite the bullet and make an appointment with your doctor?
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Take A Proactive Approach
That’s why, if you have had heartburn or acid reflux consistently for longer than three years, you should have an endoscopy, says Brown. An endoscopy is a simple procedure where a specially designed scope is used to examine the esophagus and take tissue samples, when necessary.
“The tissue samples or biopsies are examined to look for any abnormal cell growth,” Brown explains. “The hope is that we’ll be able to catch any abnormal cells before they become cancerous.
Patients who are diagnosed with Barrett’s typically undergo repeat endoscopies one year and three years later. If precancerous cells are seen at that point, treatment may involve surgical removal of the esophagus to prevent eventual progression to cancer.
But a technique available at Rush, the HALO Ablation System, enables doctors to use radiofrequency ablation to remove Barrett’s tissue completely, without invasive surgery and with relatively few complications.
“HALO ablation has shown to be an effective alternative to surgery in select patients,” says Brown. “However, the good news is that most patients with Barrett’s will never progress to the point that they require this level of intervention.”
How A Doctor Can Help
If you have heartburn two or more times a week and changes to your diet or eating pattern haven’t helped, consult a doctor. A gastroenterologist can perform tests to measure the acidity in your stomach and see if frequent acid reflux has damaged your esophagus.
GERD is often treatable through a combination of lifestyle changes and medication. But persistent symptoms of reflux need thorough evaluation by a gastroenterologist who can find the underlying cause and discuss available treatment options.
The Johns Hopkins Heartburn Center
GERD is an ongoing condition that often requires more attention than over-the-counter treatments can offer. The Heartburn Center at Johns Hopkins Medicine provides personalized care to help patients find relief.
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Medicines That Treat Gerd
Antacids arent the only option when it comes to medicines for GERD. There are a whole host of medicinesboth over-the-counter and prescriptionthat can help with symptoms. Your doctor may suggest one or more of the following:
Histamine type 2 blockers. These medicines help decrease the amount of acid in your stomach, which helps reduce symptoms of GERD. In most cases, you take them only when you have symptoms. H2 blockers can also help heal the esophagus. You can buy some of these medicines over the counter, but you will need a prescription for stronger doses. H2 blockers include famotidine , cimetidine , nizatidine , and ranitidine .
Proton pump inhibitors . These medicines also reduce stomach acid and help heal the esophagus. They generally work better than H2 blockers for most people with GERD. Your doctor may recommend you take a PPI every day, even if you dont have symptoms. PPIs include omeprazole , lansoprazole , esomeprazole , pantoprazole , and rabeprazole . Some are available over the counter and some require a prescription.
Antibiotics. Some can help your stomach digest foods properly so it empties out more quickly. This process can help relieve the symptoms of . Prokinetics. These medicines can also help the stomach empty more quickly. But doctors may not use them as often as other medicines because they are more likely to cause side effects like , tiredness, , and trouble with movement. They can also interact with other medicines.
Its Interfering With Your Life
For any symptom, its a good idea to get in touch with your doctor if its having a negative impact on your life. If your heartburn is persistent and isnt helped by medications, is causing you to modify your lifestyle to deal with the pain, or is keeping you from sleeping, working, or relaxing, its time to figure out whats really going on. Not only will it preserve your health in the long run, but youll feel better, too.
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Your Heartburn Feels More Severe Than Usual
Almost everyone has heartburn from time to time, but if you have a particularly severe episode of it, you should bypass making a doctor’s appointment and head straight for the hospital. The chest pain that comes with heartburn is often very similar to a heart attack, so don’t write off a persistent or acute ache as heartburn. A heart attack is usually differentiated from heartburn by shortness of breath, sweating and dizziness, but when in doubt, head to the hospital.
Complicating the matter, certain medications taken by those with cardiac issues often bring on acid reflux or heartburn. Calcium channel blockers, which decrease blood pressure, and nitrates, used for coronary artery disease, can cause acid reflux. If you suspect that a heart medication is bringing on heartburn or acid reflux, speak to your doctor before making any changes to your meds or diet.
How Do Antacids Work To Treat Heartburn
Antacids reduce the amount of stomach acid, relieving your heartburn. These medications can also be used to soothe stomach upset, indigestion and other pains in your stomach. Some antacids contain simethicone, which reduces gas. Antacids that you can get without a prescription include:
- Tums®.
- Maalox®.
- Gaviscon®.
Make sure you always follow the instructions on the package or talk to your doctor about the right way to use an antacid. If you use tablets, chew them well before swallowing for faster relief.
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When To See A Gastroenterologist
Sometimes its difficult to know when your symptoms are severe enough that you need to make an appointment with a gastroenterologist, and we understand that. Here are some indications that its time to call a gastroenterologist:
- Symptoms that continue for more than two weeks
- Heartburn that persists after taking over-the-counter medications
- Heartburn episodes that change in frequency or intensity
- Nighttime symptoms that affect your sleep quality
- Acid reflux that interferes with your daily activities or affects your quality of life
- Unexplained weight loss or decreased appetite
- Pain or difficulty swallowing
- Heartburn accompanied by nausea or vomiting
- Unexplained weight loss
- Chronic hoarseness or wheezing
If you experience any of the symptoms above, its time to see one of our gastroenterologists. After performing a complete medical exam, your gastroenterologist may recommend that you undergo an upper endoscopy to evaluate your symptoms and see if you have suffered any damage to your esophagus, or provide you with the peace of mind that everything is all right. During your visit, the doctor will examine the lining of your esophagus, stomach and duodenum to determine the cause of your digestive symptoms and the appropriate treatment.
What Else Should I Know
Early diagnosis and treatment can help reduce or even stop uncomfortable GERD symptoms. Untreated GERD can cause permanent damage to the esophagus.
You’ll probably find that one of the simplest ways to make living with GERD easier is to avoid the things that trigger your symptoms. Some people will have to limit certain foods; others may have to give them up entirely. It all depends on your symptoms.
It can be hard to give up sodas or favorite foods at first. But after a while, lots of people discover that they feel so much better that they don’t miss the problem foods;as much as they thought they would.
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Worried About Your Heartburn
Find a primary care provider to answer your questions.
If youre concerned that the burning in your chest is more than an antacid can handle, dont hesitate to see your doctor. If youve never had heartburn and youre older, seeing your primary care doctor is the right thing to do, says Sauer.
If you have taken antacids for what you believe is reflux and the reflux is not going away, Its really a no-brainer to make sure its not the heart first, advises Patterson.
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