Does Smoking Tobacco Make Heartburn Worse?

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From what i am told by my doctor is that heartburn can be caused from excessive coughing. I know that i do cough alot and it has apparently caused a deformation of the flap that closes and opens the entrance to the stomach. This is making the acid come up because the flap is not closing properly. I am sure plenty of you guys, if you think about it, can probably feel this flap thing if u do have a problem with it. It makes alot of sense to me and im pretty sure thats the main reason why i get cronic heartburn, aswell as stress. Also when i stress i tend to suck my gut in without knowing which probably helps the heartburn.

Stomach abnormalities. One common cause of acid reflux disease is a stomach abnormality called a hiatal hernia , which can occur in people of any age. A hiatal hernia happens when the upper part of the stomach and LES (lower esophageal sphincter) move above the diaphragm. This is the muscle wall separating your stomach from your chest. When it works correctly, the diaphragm normally helps keep acid from rising into your esophagus. But if you have a hiatal hernia, it is easier for acid to move up into your esophagus.

There are many reasons to not smoke, and one of the reasons is that it can definitely cause or worsen symptoms of esophageal reflux disease First off, tobacco inhibits saliva, which is a significant buffer that the body has against acid. Secondly, studies have shown that tobacco can stimulate the production of stomach acid production. Lastly, and most significantly, tobacco causes a relaxation of the lower esophageal sphincter muscle, thereby allowing acid reflux from the stomach to the esophagus to occur.

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