This then leads to the fermentation of food and heartburn pains. GERD ( Gastroesophageal reflux disease ) can be considered a chronic and more serious form of reflux with heartburn as the major symptom; however, there may be other symptoms or no symptoms at all. Dr. Mammen is active in hospital and physician affairs and has served as Chief of Cardiology at Memorial Hermann Memorial City Hospital. He has also served as Medical Director of the ICU at Memorial Hermann Katy Hospital. He is currently President of Medical Staff at Methodist West Houston Hospital.
When the LES opens too often or isn’t tight enough, stomach acid can rise up into the esophagus and cause the burning feeling. Sharp chest pains are seldom cardiac in nature, as research tells us and personal experience with a lot of Cardiac Artery Disease tells me. Cardiac-related issues generally involves a heavy pressure or gripping sensation, often accompanied by breathlessness, anxiety and exhaustion. That said, EKG’s are basically used to diagnose an active heart attack or irregular heart beats, but aren’t the gold standard to diagnose valve or CAD issues.
The hiatus is an opening in the diaphragm – the muscular wall separating the chest cavity from the abdomen Normally, the esophagus (food pipe) goes through the hiatus and attaches to the stomach In a hiatal hernia (also called hiatus hernia) the stomach bulges up into the chest through that opening. In normal digestion, the lower esophageal sphincter (LES) opens to allow food to pass into the stomach and closes to prevent food and acidic stomach juices from flowing back into the esophagus. Gastroesophageal reflux occurs when the LES is weak or relaxes inappropriately, allowing the stomach’s contents to flow up into the esophagus.
They are making assumptions about the pain, rather than taking the time to think about the physiology of the body. Even if you had too much acid, it wouldn’t mean that you’d have reflux. H2 blockers help relieve and prevent occasional heartburn by lowering the amount of acid your stomach makes. Though they don’t work as fast as antacids, their effects last longer. Your doctor may tell you to take an antacid and an H2 blocker together. H2 blockers are for short-term use – less than 2 weeks. You can take them before your meals to prevent heartburn, or at bedtime They come in liquids and pills.
Fatty foods, fried foods, and some acidic foods (oranges, grapefruits, tomatoes) as well as spicy foods can cause heartburn. Ambulatory pH testing: This test measures the acidity in the esophagus via a small tube that goes through the nose into the stomach. Heartburn pain is sometimes mistaken for the pain associated with official source heart disease or a heart attack , but there are differences. Exercise may aggravate pain resulting from heart disease , and rest may relieve the pain. Heartburn pain is less likely to be associated with physical activity But you can’t tell the difference, so seek immediate medical help if you have any chest pain.