Heartburn
Heartburn is a sharp painful sensation behind the breastbone, often felt to be arising in the stomach and coming up to the throat. It is caused by the acid contents of the stomach entering the oesophagus. It is made worse by bending or stooping, lying flat, hot or spicy foods, alcohol and smoking, and being overweight. It may be associated with infection by a bacterium called Helicobacter pylori. Persistent reflux can result in an oesophageal ulcer and stricture formation, causing difficulty with swallowing (see dysphagia). It may also cause the cells lining the oesophagus to change (producing a condition called Barrett's oesophagus) and this may predispose to the development of oesophageal Cancer. While we all suffer heartburn on occasion, persistent symptoms should be investigated. Relief can be obtained by using antacids, or medications that reduce acid production. Changes in lifestyle including eating smaller meals and losing weight may help, as may increasing the number of pillows that we sleep on at night.
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