What is a Heartburn?Heartburn is a burning sensation and pain behind the sternum, which can be spread in the epigastrium and the throat. The main symptom of a heartburn is the reflux (return) of gastric acid from the stomach into the esophagus. It occurs in 20-40% of people and 7% of adults have daily heartburn problems. Reflux occurs because of the lower esophageal sphincter function weakening. Esophageal sphincter is a muscle that acts as a valve, located between the esophagus and stomach.
Causes of a HeartburnHeartburn may be caused by diseases, dysfunction of the esophageal sphincter or the impact of external factors. These factors can be emotional stress, smoking, alcoholic beverages, certain foods, high pressure in the abdominal cavity as a result of wearing tight clothing, obesity or pregnancy. Improper eating, which include lavish meals, rapid swallowing and poor mastication of food may also be the cause of heartburn. The heartburn mostly occurs after eating greasy and fried foods, usually an hour after meals. Besides that, heartburn can also be provoked by physical effort immediately after eating, and resting after a meal, which is closely connected to the existence of hernia hiatus. Very often, use of some medications such as anti-rheumatics, painkillers, some antidepressants, narcotics, estrogens, and drugs for asthma may be the cause of heartburn. The appearance of heartburn symptoms twice a week considers a significant change of life quality.
What is a Indigestion?An indigestion or dyspepsia is described as a pain or discomfort in the epigastrium, which may be episodic or constant. These symptoms are often accompanied with bloating, early feeling of satiety, heartburn, nausea and vomiting.
Causes of a IndigestionBasically, dyspepsia may be a consequence of some organic disease such as ulcer, gastroesophageal reflux disease, stomach or pancreas cancer, etc. In this case, it is about organic dyspepsia. But, if organic disease cannot be identified then it is called functional dyspepsia. The most common causes of dyspepsia are:
- functional dyspepsia in 60% of cases.
- peptic ulcer 15-25%
- reflux esophagitis 5-15%
- stomach and esophagus cancer <2%.
- biliary disease
- taking some drugs
- ischemic bowel disease
- carbohydrate malabsorption
- systemic disease
- pancreatic cancer
- other abdominal tumors