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Heartburn

Heartburn (sensation of heat, burning behind the sternum 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: esophagus, stomach, and duodenum. In 60-80% of cases, it accompanies peptic ulcer of the stomach and duodenum, chronic gastritis with increased secretory function.

May be heartburn and a consequence of dysfunction of the lower esophageal sphincter (pulp), located at the junction of the esophagus into the stomach. In such cases, it intensifies when the patient lies in bed or for a long time works in an inclined position, for example, in a 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, the digestion of food is disturbed, 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 becomes the cause of 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, more often in the II and III trimesters. This is largely due to the fact that the enlarged uterus lifts the diaphragm and stomach, which contributes to the casting of its contents into the esophagus.

It happens that in a person who does not suffer from diseases of the digestive system, heartburn appears after a hearty 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, there are many causes of heartburn. And if you are often tormented by repeated heartburn, be sure to consult a doctor. This is also necessary because there is a burning sensation behind the sternum. reminiscent of heartburn, may be due to an attack of angina pectoris.

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

Patients who continuously remove heartburn from soda become their slaves, because some time after taking soda, heartburn reappears. But long-term treatment with soda is unsafe: this can lead to alkalosis (alkalization of blood) with all the ensuing adverse consequences. As a result of this, in patients, for example, with a predisposition to edema or with edema, they appear or increase, the activity of the diuretics prescribed for them decreases.

In addition to medicine, those who often have heartburn also need a sparing diet. You should eat often — 5-6 times a day, and little by little, without rushing and chewing food well. When eating, it is better not to talk so that air does not enter the stomach.

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

Second courses of meat, fish. cook vegetables boiled in water or steamed, in the form of soufflé, mashed potatoes, knel. It is advisable to include milk, cream, kefir, sour cream, cottage cheese in the diet. You can eat dishes of potatoes, zucchini, pumpkins, carrots, beets, cooked in boiled form.

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