Heartburn (Pyrosis, Reflux esophagitis, Gastroesophageal reflux, Hiatal hernia) refers to the burning pain in the center of the chest brought about by a backflow of stomach acid.
It is easily confused with heart disease.
Heartburn may be associated with a heavy, rich or spicy meal, or alcohol. It is often brought on by leaning forward or lying down.
Antacids may relieve the symptoms but are definitely not a cure. Prolonged usage can be problematical as well as covering up a more serious condition, like peptic ulcer.
Paradoxically, while it may seem that there is too much acid , or that the acid is too strong, the opposite may be true, so that low stomach acid levels contribute to the inability to digest large, or rich foods.
The term "hernia" may be the best description since many authorities believe this to be the root cause i.e. the sphincter is weak, or there is a nerve disorder associated with it; or, the stomach has become distorted (possibly extruding through the diaphragm). This may explain how some visceral manipulation procedures are effective.
About 40% of the population is thought to suffer such a hernia, although most are asymptomatic.
Symptoms may also be brought on by physical motionslike running, or riding a horse. However, upper gastrointestinal symptoms are not initiated, orcaused by, running alone.
Radiation exposure can damage the esophagus.
Signs & Symptoms
Basically, there is frequent distress associated with meals or drinks, especially at night, continuing into the night.
The sufferer may institute a selective diet, removing foods which appear to cause distress, avoiding large meals etc. On the other hand, in an effort to share regular meals with the family, the sufferer may, instead, resort to antacids, chronically.
Structure & Function: Intestinal Health
If the problem is low stomach acidity (hypoacidity), so that digestion is impaired, a supplement of betaine hydrochloride would be indicated.
Generally, the problem is hyperacidity, so dietary interventions to reduce gastric acidity should be instituted. Foods may also be selected to enhance digestion.
Aloe Vera Products*
* Please refer to the respective topic for specific nutrient amounts.
** HCl in cases of hypochlorhydria.
All amounts are in addition to those supplements having a Recommended Dietary Allowance (RDA). Due to individual needs, one must always be aware of a possible undetermined effect when taking nutritional supplements. If any disturbances from the use of a particular supplement should occur, stop its use immediately and seek the care of a qualified health care professional.
There are so many dietary restrictions that sufferers may wish to seek a physical cure, in the form of visceral manipulation first, as the easiest option.
tomato and tomato products.
Unfortunately, the explanations are not identical, relating to gastric acid, as one might expect; so we must treat each one separately.
Large meals, especially with fatty and spicy foods, inhibit the lower esophageal sphincter.
Early dinner has been shown to reduce nocturnal gastric acidity.
Alcohol, chocolate, coffee, peppermint and spearmint relax the lower esophageal sphincter.
Juices like orange and tomato, are acidic, which may irritate the esophageal mucosa.
Sugar and tea seem to increase gastric acid secretion. (If they help, the condition is hypacidity!)
Milk, like peppermint, is often used to calm the stomach. However, milk's neutralizing effect is only temporary, followed by a rise in acid secretion.
Description Remedy Chalky tongue Antimonium crudum Sweet craving Argentum nitricum tinct. Worse at night Arsenicum Album Aversion to fats Carbo vegetabilis Worse in morning Nux vomica Worse before menses Pulsatilla nigricans
Over-the-counter homeopathic remedies may be single strength (of fairly weak potency e.g. 6X ) or a blend of several weaker strengths (6X, 8X, 10X).
This may comprise a single remedy, or several remedies.
Doses are administered on a 3 times daily (tid), between meals,schedule and continued for 3 days.
Liquid preparations usually use 8-10 drops per dose.
Solid preparations are usually 2 or 3 pellets per dose.
Children use 1/2 dose i.e. 1 pellet.
If there is aggravation of the symptoms, stop taking the remedy and consult a homeopath.
Murphy, R. : Homeopathic Medical Repertory. Hahneman Academy, Pagosa Springs, Colorado. 1993.
Murphy, R. : Lotus Materia Medica. Hahneman Academy, Pagosa Springs, Colorado. 1995.
Pert, J.C.: Homeopathy for the Family. The Homoeopathic Development Foundation, London. 1985 edition.
Note: The misdirected use of an herb can produce severely adverse effects, especially in combination with prescription drugs. This Herbal information is for educational purposes and is not intended as a replacement for medical advice.
Hoffmann, D: The New Holistic Herbal. Element, 1983. Third edition 1990.
Aromatherapy - Essential Oils
Bergamot Essence, Chamomile Essence, Fennel Essence, Juniper Essence, Lavender Essence, Lemon Essence, Mandarin Essence, Orange Essence, Peppermint Essence, Rosemary Essence.
Related Health ConditionsAbstracts
Allen ML et al., Mechanisms of gastroesophageal acid reflux and esophageal acid clearance in heartburn patients. Am J Gastroenterol, 1996 Sep, 91:9, 1739-44.
Babka, J.C. & Castell, D.O.: On the genesis of heartburn. The effects of specific foods on the lower esophageal sphincter. Am. J. Dig. Dis. 1973, 18(5): 391-397.
Basilisco G et al., Oesophageal acid clearance in patients with systemic sclerosis: effect of body position. Eur J Gastroenterol Hepatol, 1996 Mar, 8:3, 205-9.
Boutsen Y et al., Antacid-induced osteomalacia. Clin Rheumatol, 1996 Jan, 15:1, 75-80.
Brazer SR et al., Effect of different coffees on esophageal acid contact time and symptoms in coffee-sensitive subjects. Physiol Behav, 1995 Mar, 57:3, 563-7.
Brown CM: Effect of topical oesophageal acidification on human salivary and oesophageal alkali secretion. Gut, 1995 May, 36:5, 649-53.
Bryner P & Staerker PG: Indigestion and heartburn: a descriptive study of prevalence in persons seeking care from chiropractors. J Manipulative Physiol Ther, 1996 Jun, 19:5, 317-23.
Camilleri M: Gastrointestinal problems in diabetes. Endocrinol Metab Clin North Am, 1996 Jun, 25:2, 361-78.
Castell, D.O.: Diet and the lower esophageal sphincter. Am. J. Clin. Nutr. 1975, 28: 1296-1298.
Chiba N et al., Speed of healing and symptom relief in grade II to IV gastroesophageal reflux disease: a meta-analysis. Gastroenterology, 1997 Jun, 112:6, 1798-810.
Corder AP et al., Heartburn, oesophagitis and Barrett's oesophagus in self-medicating patients in general practice. Br J Clin Pract, 1996 Jul-Aug, 50:5, 245-8.
Dennish, G.W. & Castell, D.O.: Caffeine and the lower esophageal pshincter. Am. J. Dig. Dis. 1972, 17: 993-996.
Dubey, P. et al: Effect of tea on gastric acid secretion. Dig. Dis. Sci. 1984, 29(3): 202-206.
Duroux, P. et al: Early dinner reduces nocturnal gastric acidity. Gut, 1989, 30(8).
Feldman M & Barnett C: Relationships between the acidity and osmolality of popular beverages and reported postprandial heartburn. Gastroenterology, 1995 Jan, 108:1, 125-31.
Field SK et al., Prevalence of gastroesophageal reflux symptoms in asthma. Chest, 1996 Feb, 109:2, 316-22.
Grande L et al., Effects of red wine on 24-hour esophageal pH and pressures in healthy volunteers. Dig Dis Sci, 1997 Jun, 42:6, 1189-93.
Havelund T et al., Efficacy of a pectin-based anti-reflux agent on acid reflux and recurrence of symptoms and oesophagitis in gastro-oesophageal reflux disease. Eur J Gastroenterol Hepatol, 1997 May, 9:5, 509-14.
Hogan, W.J. et al: Ethanol induced acute esophageal sphincter motor dysfunction. J. App. Physiol. 1972, 32: 755-760.
Ippoliti, A.F. et al: The effect of various forms of milk on gastric secretion. Ann. Intenr. Med. 1976, 84: 286-289.
Isolauri J & Laippala P: Prevalence of symptoms suggestive of gastro-oesophageal reflux disease in an adult population. Ann Med, 1995 Feb, 27:1, 67-70.
Isolauri J et l., Natural course of gastroesophageal reflux disease: 17-22 year follow-up of 60 patients. Am J Gastroenterol, 1997 Jan, 92:1, 37-41.
Johnston BT et al., Acid perception in gastro-oesophageal reflux disease is dependent on psychosocial factors. Scand J Gastroenterol, 1995 Jan, 30:1, 1-5.
Johnston BT et al., Stress, personality and social support in gastro-oesophageal reflux disease. J Psychosom Res, 1995 Feb, 39:2, 221-6.
Johnston BT et al., Twenty to 40 year follow up of infantile hiatal hernia. Gut, 1995 Jun, 36:6, 809-12.
Johnston BT et al., Health care seeking by heartburn sufferers is associated with psychosocial factors. Am J Gastroenterol, 1996 Dec, 91:12, 2500-4.
Kadakia SC et al., Effect of cigarette smoking on gastroesophageal reflux measured by 24-h ambulatory esophageal pH monitoring. Am J Gastroenterol, 1995 Oct, 90:10, 1785-90.
Kay L & Jorgensen T: Redefining abdominal syndromes. Results of a population-based study. Scand J Gastroenterol, 1996 May, 31:5, 469-75.
Labenz J et l., Curing Helicobacter pylori infection in patients with duodenal ulcer may provoke reflux esophagitis. Gastroenterology, 1997 May, 112:5, 1442-7.
Larsen RR: Gastroesophageal reflux disease: gaining control over heartburn. Postgrad Med, 1997 Feb, 101:2, 181-2, 185-7.
Lenz, H.J. et al: Wine and 5 percent ethanol are potent stimulants of gastric acid secretion in humans. Gastroenterology, 1983, 85(5): 1082-1087.
Lundell L et al., Does massive obesity promote abnormal gastroesophageal reflux? Dig Dis Sci, 1995 Aug, 40:8, 1632-5.
Mann-SG et al: Low dose famotidine in the prevention of sleep disturbance caused by heartburn after an evening meal. Aliment-Pharmacol-Ther. 1995 Aug; 9(4): 395-401.
McArthur, K. et al: Relative stimulatory effects of commonly ingested beverages on gastric acid secretion in humans. Gastroenterology, 1982, 83: 199-203.
Mehta AJ et al., Gastro-oesophageal reflux in patients with coronary artery disease: how common is it and does it matter? Eur J Gastroenterol Hepatol, 1996 Oct, 8:10, 973-8.
Nebel, O.T. & Castell, D.O. : Kinetics of fat inhibition of the lower esophageal sphincter. J. App. Physiol. 1973, 35: 6.
Price, S.F. et al: Food sensitivity in reflux esophagitis. Gastroenterology, 1978, 75(2): 240-243.
Raiha-I; Sourander-L: GI motility disorders: diagnostic workup and use of prokinetic therapy. Geriatrics. 1993 Nov; 48(11): 57-60, 65-6
Rosenstock S et al., Relation between Helicobacter pylori infection and gastrointestinal symptoms and syndromes. Gut, 1997 Aug, 41:2, 169-76.
Shay SS & Richter JE: Origin of atypical reflux symptoms. A case study showing the importance of reflux composition and posture. Dig Dis Sci, 1996 Mar, 41:3, 505-11.
Sigmund, C.J. & McNally, E.F.: The action of a carminative on the lower esophageal sphincter. Gastroenterology, 1969, 56: 13-18.
Sinclair-A: Remedies for common family ailments: 1. Indigestion and heartburn. Prof-Care-Mother-Child. 1994 Jan-Feb; 4(1): 23-4
Sullivan-SN et al: Does running cause gastrointestinal symptoms? A survey of 93 randomly selected runners compared with controls. N-Z-Med-J. 1994 Aug 24; 107(984): 328-31.
Soffer-EE et al: Morphology and pathology of radiation-induced esophagitis. Double-blind study of naproxen vs placebo for prevention of radiation injury. Dig-Dis-Sci. 1994 Mar; 39(3): 655-60.
Talley NJ et al., Nonsteroidal antiinflammatory drugs and dyspepsia in the elderly [see comments]. Dig Dis Sci, 1995 Jun, 40:6, 1345-50.
Thomas, F.B.: Inhibitory effect of coffee on lower esophageal sphincter pressure. Gastroenterology, 1980, 79(6): 1262-1266.
Velanovich V: The spectrum of Helicobacter pylori in upper gastrointestinal disease. Am Surg, 1996 Jan, 62:1, 60-3.
Vitale, G.C. et al: The effect of alcohol on nocturnal gastroesophageal reflux. JAMA. 1987, 258(15): 2077-2079.
Yudkin, J.: Eating and ulcers. BMJ, 1980:483-484. (Letter)
Wo-JM; Castell-DO: Exclusion of meal periods from ambulatory 24-hour pH monitoring may improve diagnosis of esophageal acid reflux. Dig-Dis-Sci. 1994 Aug; 39(8): 1601-7
Waring JP et al., Chronic cough and hoarseness in patients with severe gastroesophageal reflux disease. Diagnosis and response to therapy. Dig Dis Sci, 1995 May, 40:5, 1093-7.
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