Heartburn Diagnosis And Treatment

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Heartburn Diagnosis and Treatment


Overview


Heartburn, also known as pyrosis, is a burning sensation in the esophagus located just below the breastbone. It's caused by the regurgitation of stomach acid, with pain often rising in the chest and possibly radiating to the neck, throat, or jaw. Heartburn can also contribute to asthma and chronic cough.

Diagnosing Heartburn


Doctors typically diagnose gastroesophageal reflux disease (GERD) based on symptoms. If there's uncertainty, additional tests may be required, including:

- Upper Gastrointestinal (GI) Series: X-rays are taken of the upper digestive system after consuming a barium solution to indicate reflux.

- Ambulatory pH Monitoring: A probe inserted through the nose records acidity levels in the lower esophagus over 24 hours to link symptoms with increased acidity.

- Endoscopy: A thin tube with a camera is passed through the mouth to examine the esophagus and stomach, detecting inflammation and allowing for biopsy if needed.

- Manometry: A sensor measures the pressure in the lower esophageal sphincter to assess its function.

- Biopsy: A tissue sample from the esophagus is examined for inflammation, cancer, or other issues.

Treating Heartburn


Prevention


- Elevate the head with pillows or sit up when heartburn occurs while lying down. Avoid straining the neck.
- Refrain from consuming certain foods before bedtime to prevent attacks.

Medications


- Antacids: Effective for 25-30% of GERD patients, providing relief for mild forms.

- H2-Receptor Antagonists: Less commonly used due to the effectiveness of proton pump inhibitors.

- Proton Pump Inhibitors: Useful for those unresponsive to other treatments, these medications block acid production in the stomach for better relief.

Dietary Management


Diet plays a critical role, as 90-95% of heartburn sufferers can trace their symptoms to specific foods. It's essential for patients to:

- Choose foods and drinks less likely to cause acid reflux.
- Avoid known triggers to manage and treat heartburn effectively.

By understanding the symptoms, diagnosis, and treatments available, individuals can manage heartburn effectively and improve their quality of life.

You can find the original non-AI version of this article here: Heartburn Diagnosis And Treatment.

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