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Heartburn

Heartburn (sensation of heat, burning in the chest or in the epigastric region) occurs most often as a result of throwing acidic gastric contents into the esophagus, where the reaction of the medium is slightly alkaline.

Heartburn is one of the most common manifestations of diseases of the digestive system: the esophagus, stomach, duodenum. In 60-80% of cases, it accompanies gastric ulcer and duodenal ulcer, chronic gastritis with increased secretory function.

Heartburn can also be a consequence of dysfunction of the lower esophageal sphincter (sphincter) located at the site of the esophagus passing into the stomach. In such cases, it increases when the patient lies in bed or works for a long time in an inclined position, for example, in a vegetable garden.

But heartburn is also observed in patients with achilic gastritis, when the acidity of the gastric juice is not only not increased, but sharply reduced. In such patients, digestion of food is impaired, fermentation processes prevail in the stomach, and because of this, the formation of organic acids (butyric, lactic) increases, which cause heartburn.

Frequent and prolonged use of alcoholic beverages causes chronic inflammatory changes in the mucous membrane of the esophagus and stomach, accompanied by persistent, painful heartburn.

It occurs in about half of women during pregnancy, most often in the second and third trimesters. This is largely due to the fact that the enlarged uterus raises the diaphragm and stomach, which contributes to the throwing of its contents into the esophagus.

It happens that a person who does not suffer from diseases of the digestive system, heartburn occurs after a heavy meal. Most often it is caused by hot, sweet and fried foods: sweet jelly, hot sweet tea, freshly baked bread, hot cakes and pies, fatty fried foods.

As you can see, the causes of heartburn are many. And if you often suffer from recurring heartburn, be sure to consult a doctor. This must be done also because the burning sensation in the chest. resembling heartburn, may be due to an attack of angina.

It is widely believed that for heartburn, sodium bicarbonate (baking soda) should be taken. Soda really relieves heartburn, but has a short-term effect. Therefore, soda (1 teaspoon to 1/3 cup of water) can be drunk only to those. who has heartburn occurs sporadically. It was established that after a short time after taking soda, the acidity of the gastric juice becomes even higher than. before taking soda. And in patients after gastric resection, heartburn associated with the reflux of the alkaline contents of the duodenum into the esophagus cannot be extinguished by soda even for a short time, since they need not alkaline preparations, but small doses of acid. Therefore, do not treat yourself, let the doctor do it!

Patients who continuously remove heartburn with soda become its slaves, because some time after taking soda, heartburn reappears. But long-term treatment of soda is not safe: it can lead to alkalosis (alkalization of the blood) with all the attendant adverse effects. As a result, in patients, for example, with a predisposition to edema or with edema, they appear or increase, the activity of the diuretic drugs prescribed by them decreases.

In addition to medication, those who often have heartburn need a gentle diet. It is necessary to eat often — 5-6 times a day and gradually, slowly and chewing food well. When eating, it is better not to talk, so that the air does not get into the stomach.

Avoid fatty meats and fish, fried foods, as well as spicy, salty, pickled, spices, horseradish and mustard, sauerkraut, raw vegetables containing coarse fiber, sour varieties of berries and fruits, sour juices, ice cream, coffee, aerated and alcoholic beverages, including champagne.

The second dishes of meat, fish. Cook vegetables boiled in water or steamed, in the form of soufflé, mashed potatoes, and dumplings. It is advisable to include in the diet milk, cream, kefir, sour cream, cottage cheese. You can eat dishes from potatoes, zucchini, pumpkins, carrots, beets, cooked in boiled form.

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