Symptom >> Internal Medicine >> Gastroenterology

Heartburn

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Heartburn is the burning sensation produced by the sphincter's inability to close, causing food and stomach acid to flow back into the esophagus or mouth. Chronic superficial gastritis, mainly showing the burning sensation of the stomach.

Cause

Cause

What is the cause of heartburn?

First, overeating is too much to eat too much, making food easily flow back to the esophagus through the cardia sphincter.

Second, after a meal, intense activities, bending, lying down or doing intense exercise after meals, it is easy to make food back to the esophagus.

Third, the waistband of the underwear is too tight to wear tight clothing, pressing to the stomach, may cause food to flow back.

Fourth, diseases such as stomach ulcers, gallbladder diseases, or gastrointestinal diseases may cause problems like heartburn.

Examine

an examination

Related inspection

Basal gastric secretion

How should heartburn be diagnosed?

Symptoms of chronic superficial gastritis:

1, upper abdominal pain: pain is more irregular, and has nothing to do with diet, generally diffuse upper abdominal burning, pain, pain, etc., a very small number of patients with colic and radiation to the back, easily misdiagnosed as angina.

2, hernia: due to lack of stomach acid, intragastric fermentation and gas production and other factors make the gas in the stomach, resulting in hernia.

3, abdominal distension: due to food retention, delayed emptying, indigestion, eating foods that are not easy to digest, leading to abdominal distension.

4, loss of appetite: chronic superficial gastritis has more loss of appetite or good or bad.

5, nausea and vomiting: inflammatory gastric mucosa acceptance, biological factors, as well as gastric motility disorders, stomach reverse peristalsis, nausea, vomiting.

6. Constipation and diarrhea: Most patients have constipation symptoms and relatively few diarrhea.

Diagnosis

Differential diagnosis

What are the symptoms of heartburn that are easily confused?

Heartburn symptoms need to be identified as follows.

(1) Gastric and duodenal ulcer: The upper abdominal pain has certain seasonality, rhythm and periodicity. Pain is often associated with eating. Gastric ulcer pain usually occurs half an hour after a meal, and gradually relieves after 1 to 2 hours. The pain during hunger and the relief after eating are mostly duodenal ulcers. Often accompanied by acid reflux, belching and other symptoms of dyspepsia. (2) Gastric cancer: Abdominal pain is irregular, and it may be persistent with the development of the disease, which is difficult to relieve. At the same time, the patient may have symptoms such as loss of appetite, weight loss, anemia, vomiting, melena, upper abdominal mass, and even dyscrasia. The age of onset is more than 40 years old.

(3) pancreatic diseases: chronic pancreatitis may have pain or dull pain in the upper abdomen, sometimes radiated to the lower back, but also acute pain of acute attack, abdominal pain may gradually increase with the progress of the disease; in addition, chronic pancreatitis may have digestion Impaired, steatorrhea, diabetes and other manifestations of impaired internal and external secretion. Pancreatic cancer abdominal pain is a paroxysmal or persistent, progressively worsening colic or dull pain in the upper abdomen, umbilical or upper right abdomen, mostly radiated to the lower back, and the pain is relieved in the supine or anteversion position. Pancreatic head cancer is more common in jaundice, but also has weight loss, ascites, thrombophlebitis and so on. B-ultrasound, retrograde cholangiopancreatography and CT examination can confirm the diagnosis.

(4) Liver disease: The abdominal pain of hepatitis may be dull pain, tingling, pain and pain in the right upper quadrant or right flank, mostly intermittent. There is no obvious relationship between pain and eating. It is easy to appear after fatigue. The abdomen palpates the liver and has tenderness. The pain of liver cancer is often progressively aggravated, starting with intermittent, then transitioning to persistent, often fixed in a certain part, sometimes localized and swollen, hard liver or lumps. Liver abscess often presents persistent pain, which can be limited to a certain part, and the tender point is obvious, which may be accompanied by systemic symptoms such as fever and elevated white blood cells. B-ultrasound and liver puncture can confirm the diagnosis.

(5) Biliary disorders: patients with cholecystitis and cholelithiasis often have chronic right upper abdomen pain or pain, belching, etc., more than fat after meal induction or exacerbation, some patients have localized tenderness in the gallbladder area, or may be swollen and swollen Large gallbladder, or accompanied by jaundice. B-ultrasound and cholangiography can be helpful in diagnosis.

(6) Others: Acute appendicitis may cause upper abdominal pain in the early stage, and turn to lower right abdominal pain in a few hours. Older people with atypical angina and myocardial infarction can sometimes have upper abdominal pain, which is easily misdiagnosed.