Heartburn
Alternative names:
acid stomach; pyrosis; stomach acid
Home care:
Consult a health care provider about discontinuing medications that cause heartburn (such as sedatives, calcium channel blockers - oral, and anticholinergics). NEVER CHANGE MEDICATION WITHOUT CONSULTING YOUR HEALTH CARE PROVIDER.
Avoid coffee, alcohol, tobacco, large meals, and citrus fruits. Avoid eating 2 to 3 hours prior to bedtime. Avoid tight fitting clothing.
Elevate the head of the bed 4 to 6 inches. Lose weight if needed. (Talk with your health care provider before beginning an exercise program.)
Call your health care provider if:
- there is vomiting of black, coffee ground-like, or bloody material.
- the stools are black in color (like tar).
- the problem becomes frequent or is prolonged.
What to expect at your health care provider's office:
The medical history will be obtained and a physical examination performed.
Medical history questions documenting heartburn in detail may include: - time pattern
- When did it begin?
- How long did it last?
- Is this the first time you have had heartburn?
- diet information
- What is your usual diet like?
- Do you drink excessive amounts of coffee?
- Do you drink alcohol?
- Have you recently eaten a spicy meal?
- other aggravating factors
- Do you smoke?
- Do you wear clothing that is tight in the chest or abdomen?
- Are you overweight?
- radiation
- Does the pain also appear in the chest, jaw, arm, or elsewhere?
- other
Diagnostic tests that may be performed include: Intervention: Medications to reduce acid secretion may be prescribed. Any sign of bleeding will require a more involved approach to therapy.
After seeing your health care provider: You may want to add a diagnosis related to heartburn to your personal medical record.
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