One of the problems with chronic heartburn or GERD (gastroesophageal reflux disease) is that you may not know you have it. Many people aren't completely woken up by GERD symptoms at night. In some cases of GERD, there may be no symptoms at all, even when you're awake. However, there are a number of things you should look for.
Despite its name, heartburn has nothing to do with the heart. Some of the symptoms, however, are similar to those of a heart attack or heart disease.
Heartburn is an irritation of the esophagus that is caused by stomach acid. This can create a burning discomfort in the upper abdomen or below the breast bone.
With gravity's help, a muscular valve called the lower esophageal sphincter, or LES, keeps stomach acid in the stomach. The LES is located where the esophagus meets the stomach -- below...
Keep in mind, the symptoms of heartburn are similar in some ways to the symptoms of heart trouble. If you're experiencing pain that feels different from your usual heartburn, get it checked out immediately. Pain after physical activity -- as opposed to after a spicy meal -- is also a worrisome sign. If you have even the slightest doubt about your chest pain, err on the side of caution. Treat it as a medical emergency and go to the nearest emergency room.
SOURCES: Lawrence J. Cheskin, MD, FACP, co-author of Healing Heartburn (2002); director and founder, Johns Hopkins Weight Management Center; and associate professor of international health and human nutrition; and associate professor of medicine, Johns Hopkins School of Medicine. Stuart Spechler, MD, spokesman, American Gastroenterological Association; and chief, division of gastroenterology, Dallas VA Medical Center; and professor of medicine, University of Texas Southwestern Medical Center at Dallas. David White, Easthampton, Mass. The American Gastroenterological Association web site. The National Heartburn alliance web site. The National Institute of Diabetes and Digestive and Kidney Disorders web site.