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Heartburn Part 1 (Teacher: Michael)

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

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

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

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