Treatment

Causes of heartburn and how to treat it

Heartburn is a problem that must have been experienced by everyone. However, if you often experience heartburn, you should be careful, because it could be a sign of inflammation of the gallbladder.
Abdominal pain in the pit of the stomach does not always originate from the stomach or stomach, because it can also come from other body parts such as the pancreas, gall bladder , liver, duodenum and even heart attack.
Data shows that about 20 percent of patients with complaints of heartburn or abdominal pain are caused by a gallbladder disorder either due to stones or inflammation itself. While this sick stomach is almost 80 percent of sufferers aged over 40 years and no one is under 30 years old.
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A more accurate diagnosis of the causes of heartburn can be done with abdominal ultrasound. This method can find out whether there is inflammation both acute and chronic. In addition, this method can also identify the presence of stones in the gallbladder.
Heartburn due to gallbladder occurs due to inflammation of the gallbladder, both acute and chronic. But this pain can also occur due to the presence of stones in the gallbladder. If further analyzed, this stone consists of cholesterol stones and pigment stones.
Heartburn that occurs due to a problem in the gallbladder lasts for a while and recurs (biliary colic), and usually heartburn can radiate to the back of the back.
Meanwhile, inflammation of the gallbladder (cholecystitis) that takes place suddenly or acutely, can be mild to severe. In severe conditions, infections can affect other parts of the body besides the gallbladder such as the pancreas. If the infection is extensive and systemic, it can endanger the life.
Patients with acute gallbladder inflammation need to be hospitalized and get systemic antibiotics. If the condition is mild and gallstones do not cause any complaints at all, usually no surgical procedure is needed.
Treatment of single and small gallbladder stones (diameter less than 1.5 cm) is enough with diet and drugs that work to dissolve cholesterol stones such as ursodeoxycholic acid(UDCA). This drug is usually given for 3 months.
But if the gallbladder is problematic there is a stone in it with a large size, this gallbladder must be removed (cholecystectomy). At present most hospitals have applied laparoscopic techniques, so that complications after surgery can be minimized.
Even so, surgery is not always needed in dealing with gallstones, while drug therapy can still treat it.

Causes of heartburn

Here are the causes of heartburn that you need to know.

1. Pancreatitis

The pancreas is an enzyme producing organ that helps the digestive process and hormones in regulating the body to process sugar. Pancreatitis occurs when the pancreas is inflamed.
Acute pain can be felt up to the back which is usually accompanied by vomiting. Other symptoms are discoloration of the skin around the navel or waist, stiff stomach, and severe abdominal pain after eating. Chronic pancreatitis can cause weight loss and stools that are unusual, greasy.
Gallstones that block the gallbladder duct can cause pain in the pit of the stomach. Other symptoms include loss of appetite, nausea and vomiting, flatulence, high fever, yellow skin (jaundice), clay-colored faeces, and severe pain near the right side of the abdomen after eating.

2. Irritable bowel syndrome

The condition that attacks the large intestine also causes cramps, flatulence, flue gas, and changes in the frequency of bowel movements, which may occur because the intestinal wall is covered with muscles, moves stronger.
The cause is not certain, but there are some things that are thought to trigger irritable bowel syndrome. Those who are at high risk of developing this syndrome include women, people aged 45 years and under, hereditary factors from the family are also at risk.

3. Gastric cancer

Gastric cancer arises when malignant cancer cells are formed in the stomach. Among those at high risk for gastric cancer are men, smokers, aged 55 years and over, a history of H. pylori bacterial infection in the stomach. Many eat foods that contain high salt, and have family members with a history of this disease. Gastric cancer will also make sufferers unable to eat a lot, vomiting and losing weight.

4. Inflammatory bowel disease

Inflammatory bowel disease (IBD) or inflammation of the intestine is inflammation in the small or large intestine. This includes Crohn’s disease and ulcerative colitis.
Inflammation of IBD can cause scarring and blockages, which can cause abdominal pain along with diarrhea and rectal bleeding. The symptoms are chronic, but can flare up and subside in the cycle, so sometimes it is difficult to diagnose. IBD needs to be closely monitored because it can cause more serious problems, even cancer, later on.

5. Stress

Stress can cause headaches, high blood pressure, and insomnia, which are related to heartburn. Depression has been linked to digestive problems (including loss of appetite and weight loss) and irritable bowel syndrome. The relationship seems to go both ways, according to a study published in 2012 in the journal Gut.
In other words, depression can cause abdominal pain but constant abdominal pain can easily lead to depression and anxiety.

6. Pelvic inflammatory disease

Pelvic inflammatory disease, bacterial infection in the fallopian tubes, uterus, or ovary, can cause low pain below your navel. Hip inflammation can cause scarring of the fallopian canal and the risk of possible pregnancy, so if you experience other symptoms such as fever, vomiting, or signs of fainting, you should immediately see a doctor.
Sexually transmitted diseases such as gonorrhea and chlamydia can cause hip inflammation and can be prevented by practicing unprotected sex with condoms. Other causes that are less likely but may be from hip inflammation and gastric discomfort that are produced include IUDs (contraception), births, or abortions, because these things can disrupt the cervix and cause bacteria to form.

7. Constipation

Constipation causes abdominal pain because of a blocked stool problem that stretches the large intestine in a way you don’t want to stretch. If you experience abdominal pain and feel hard to defecate or your schedule to the bathroom is irregular, constipation is a possible cause of heartburn.
To facilitate the digestive system, drink more water and consume more fiber. However, if you experience constipation for more than a few days or often experience constipation, take milk with magnesia or magnesium milk. This milk is relatively soft and helps when consuming fiber.

8. Preeclampsia

Preeclampsia is a problem of pregnancy with characteristics of high blood pressure in pregnant women, swollen legs and arms, and the presence of protein in urine. This condition can damage organs, one of them is the kidney. If the condition is severe, pain in the pit of the stomach will feel very significant, accompanied by vomiting.

9. Gallstones

Gallstones are stones that form in the gallbladder, small sacs that hang under the liver, paralyzing the bile needed to digest fat.
These stones cause swelling and can block the channel to the intestine, which results in pain. Gallstone pain tends to attack the right side of the upper abdomen, especially after eating fatty foods.
Such foods trigger the gallbladder to contract. If the gallbladder is inflamed, any contractions will be strengthened and will usually cause pain.

10. GERD

Gastroesophageal reflux disease  (GERD) can cause pain in the upper abdomen and lower chest, aka heartburn.
What causes pain in the pit of the stomach? Valves that separate the stomach from the esophagus are weak, allowing food and acid from the stomach to flow upward.
Eating too much or the wrong type of food (fatty, for example) can make it worse. Losing weight, what foods you eat, and medications such as antacids, H2 blockers, and proton pump inhibitors can also help.

How to treat heartburn

Many over-the-counter drugs can help relieve heartburn, including:
  • Antacids, which help neutralize stomach acid. Antacids can provide quick assistance. But they cannot cure the esophagus damaged by stomach acid.
  • H-2 receptor antagonists (H2RAs), which can reduce stomach acid. H2RA does not act as fast as antacids, but can provide longer assistance.
  • Proton pump inhibitors, such as lansoprazole (Prevacid 24HR) and omeprazole (Nexium 24HR, Prilosec OTC), which can also reduce stomach acid.
If treatment with over-the-counter medications does not work or become dependent, see a doctor immediately. You may need prescription drugs and further testing from a doctor.

Lifestyle and Home Medicine

Lifestyle changes can help relieve heartburn:
  • Maintain a healthy weight. Excessive weight puts pressure on the stomach, pushes the stomach and causes acid to rise to the esophagus.
  • Avoid tight clothing, which puts pressure on the abdomen and lower esophageal sphincter.
  • Avoid foods that trigger heat in the chest.
  • Avoid lying down after eating. Wait for at least three hours.
  • Avoid eating late.
  • Elevate your head during sleep if you regularly experience heat at night or when trying to sleep. The way to prop your pillow with bolsters or pillows.
  • Avoid smoking and alcohol. Both smoking and drinking alcohol reduce the ability of the lower esophageal sphincter to function properly.
  • Avoid large snacks. Instead of eating lots of snacks throughout the day.

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