Dr Fahmina Ashfaq

Causes of Frequent Heartburn

causes of frequent heartburn

Experiencing heartburn occasionally is common, but frequent heartburn can be concerning. Heartburn, often described as a burning sensation in the chest or throat, happens when stomach acid flows back into the esophagus.

It’s essential to understand the causes of frequent heartburn to manage symptoms and avoid further complications effectively. In this post, we’ll explore the primary causes of frequent heartburn and offer insights on how to reduce its impact on your health.

What Happens in Your Body During Heartburn?

Heartburn occurs when the lower esophageal sphincter (LES), a ring of muscle that acts as a valve between the esophagus and stomach, doesn’t close properly. This malfunction allows stomach acid to escape into the esophagus, leading to a burning sensation. While your stomach is designed to handle acid, your esophagus isn’t, causing irritation and discomfort.

During acid reflux, the contents of the stomach push upwards, and if it happens regularly, it’s classified as Gastroesophageal Reflux Disease (GERD). GERD is a common cause of frequent heartburn and can lead to long-term damage if not managed properly.

Common Causes of Frequent Heartburn

common causes of frequent heartburn

Frequent heartburn can be triggered by various factors, many of which are related to dietary habits and lifestyle choices. Let’s break down some of the most common causes:

1. Overeating and Large Meals

Eating large meals can put pressure on the LES, making it easier for acid to escape into the esophagus. To prevent frequent heartburn, aim to eat smaller, more frequent meals throughout the day.

2. Consuming Fatty or Spicy Foods

High-fat foods, such as fried foods, and spicy dishes are known to slow down digestion and relax the LES, leading to acid reflux. This can increase the likelihood of experiencing frequent heartburn.

3. Caffeine and Carbonated Drinks

Caffeine, found in coffee, tea, and some sodas, can relax the LES and contribute to frequent heartburn. Carbonated drinks also increase the production of stomach acid, aggravating reflux symptoms.

Also Read: Best 13 Methods to Improve Digestion Naturally at Home

Lifestyle Factors Contributing to Heartburn

Apart from food choices, certain lifestyle habits can make heartburn more frequent and severe. Here are a few that are closely linked with recurring episodes of frequent heartburn:

1. Smoking and Alcohol Consumption

Smoking weakens the LES and promotes acid reflux. Likewise, alcohol consumption can irritate the lining of the esophagus and stomach, exacerbating heartburn. Reducing or eliminating these habits may significantly improve symptoms.

2. Stress and Its Impact on Digestive Health

Stress doesn’t directly cause heartburn, but it can worsen symptoms by affecting your digestion. When stressed, the body produces more stomach acid, which can increase the chances of acid reflux and frequent heartburn.

3. Lack of Physical Activity

Living a sedentary lifestyle can lead to weight gain, which places additional pressure on the abdomen. This pressure can push stomach contents upwards, causing heartburn. Engaging in regular physical activity, even light exercise like walking, can help prevent symptoms.

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Medical Conditions That Cause Frequent Heartburn

Some medical conditions directly contribute to frequent heartburn. These conditions need to be managed carefully, often with the help of a healthcare professional.

1. Gastroesophageal Reflux Disease (GERD)

GERD is the most common cause of frequent heartburn. It’s a chronic condition where acid from the stomach frequently flows back into the esophagus. If left untreated, GERD can lead to complications such as esophagitis, ulcers, or even Barrett’s esophagus.

2. Hiatal Hernia

A hiatal hernia occurs when the upper part of the stomach pushes through the diaphragm into the chest cavity. This can disrupt the normal functioning of the LES, leading to more frequent and severe episodes of heartburn.

Pregnancy increases pressure on the stomach, especially in the later stages, which often causes heartburn. Hormonal changes during pregnancy can also relax the LES, making acid reflux more likely.

4. Obesity and Its Effect on Digestion

Carrying excess weight increases pressure on the abdomen, pushing stomach contents up into the esophagus. This is a significant risk factor for frequent heartburn. Managing weight through diet and exercise can alleviate symptoms.

Also, read about these Worst Foods for Your Digestion

Medications That Can Trigger Heartburn

Certain medications may cause heartburn as a side effect by irritating the stomach lining or relaxing the LES. Common medications include:

  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): These can irritate the stomach and esophagus.
  • Antidepressants: Some types may relax the LES, leading to acid reflux.
  • Blood Pressure Medications: Beta-blockers and calcium channel blockers may trigger heartburn by weakening the LES.

If you suspect your medications are causing frequent heartburn, consult your doctor for alternative treatments.

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Foods That Can Worsen Heartburn Symptoms

The foods you eat play a major role in whether you experience frequent heartburn. While trigger foods vary from person to person, the following are commonly associated with worsening heartburn symptoms:

  • Spicy Foods: Spicy foods are notorious for causing heartburn, especially in individuals sensitive to acid reflux.
  • Acidic Foods: Foods like citrus fruits and tomatoes are high in acid and can irritate the esophagus, contributing to heartburn. Avoiding these foods can help reduce the frequency of symptoms.
  • Fatty Foods: Fatty foods slow digestion and can increase pressure on the LES, making heartburn more likely. Reducing fatty foods, like fried items, can improve symptoms.

Lifestyle Tips to Prevent Frequent Heartburn

Lifestyle Tips to Prevent Frequent Heartburn

Preventing frequent heartburn often involves making changes to your diet and lifestyle. Here are some tips to consider:

1. Eating Smaller Meals

Large meals put more pressure on the stomach, leading to reflux. Opting for smaller, more frequent meals can help reduce the likelihood of heartburn.

2. Avoiding Trigger Foods

Knowing and avoiding foods that trigger your heartburn is essential for managing symptoms. Keep a food diary to identify your triggers.

3. Elevating the Head While Sleeping

Gravity plays a role in preventing acid from flowing back into the esophagus. Elevating the head of your bed by 6-8 inches can help keep acid in the stomach where it belongs.

When to See a Doctor for Frequent Heartburn

While occasional heartburn is generally not cause for concern, frequent or severe heartburn can indicate more serious conditions that require medical attention. You should consult a doctor if:

  • You experience heartburn more than twice a week.
  • Over-the-counter treatments do not relieve your symptoms.
  • You have difficulty swallowing.
  • You notice unexplained weight loss.

Complications such as esophagitis or Barrett’s esophagus can develop if frequent heartburn is left untreated. A healthcare professional can provide treatment options to prevent further damage.

Conclusion

Frequent heartburn is more than just an annoyance; it can affect your quality of life and lead to more serious health issues. Understanding the causes, from dietary choices to medical conditions, is the first step in managing symptoms. By making lifestyle adjustments and avoiding trigger foods, you can reduce the frequency of heartburn and improve your overall digestive health. However, if symptoms persist, seek medical advice to prevent complications.

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