www.englishmed.com - Home
Technical support forums

Start > Resource centre > Find the determiners > Heartburn Part 1

We have mixed up all the determiners (a, an, the, that, this) from the text, try and correctly place them.

Heartburn Part 1 (Teacher: Michael)

"I Keep getting chest pains, doctor!" is common enough complaint from my patients. pain they are most worried about is one strikes them in centre of chest underneath breastbone because they think they are having heart attack.

The good news is it is usually heartburn, which has nothing to do with heart itself. It is special type of indigestion where acid from stomach is regurgitated upwards into food pipe or oesophagus. environment in oesophagus is alkaline, so excess acid burns lining. As tube shares some of same nerves as heart, pain is often 'referred' to area around heart - hence name and fear it is more serious than indigestion.

Without doctor to advise you, it is very difficult to tell which is heart pain and which is heartburn. symptoms of heartburn are pain or burning sensation behind breastbone. may or may not be associated with regurgitation of food or liquid into back of throat or mouth. fluid may be acid to taste or watery and regurgitation is more likely to occur when you bend down. most common cause of is weak muscle at junction of gullet and stomach - normally, muscle stops reflux of acid from stomach.

Read the article

VLC ClozeMaker JavaScript Wizard.
All Rights Reserved.