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Heartburn is a burning pain in your chest. This pain is caused by stomach acid rising from your stomach into your oesophagus (the pipe that takes food from your mouth to your stomach).
This can cause:
- Burning pain in the middle of your chest
- Pain which is worse when you bend over or lie down
- Burning pain that radiates into your back
By learning more about the causes of, tests for, and treatment for heartburn, you can understand it better and make informed decisions to get back on track.
There are several possible causes of heartburn, and it’s important to find out what’s causing yours.
Here are the main causes of heartburn:
Gastroesophageal reflux disease (GORD)
Hiatus hernia, when part of your stomach moves up into your chest
Surgery you’ve had in the past (especially bariatric surgery)
Certain foods and drinks, such as alcohol, coffee, chocolate, and fatty or spicy foods
Being overweight
Smoking
Pregnancy
Stress or anxiety
Medication, such as anti-inflammatory painkillers
Overgrowth of bacteria in your small intestine (this is called SIBO)
Diagnostic testing allows us to pinpoint the exact cause so we can recommend the right solution.
At the Functional Gut Clinic, we use the following highly accurate and trusted diagnostic tools, to identify the underlying cause of your heartburn:
Oesophageal manometry – which measures the function of your oesophagus (food pipe)
24-hour pH impedance monitoring – which looks at whether you have any reflux
Carbohydrate malabsorption breath test – which finds out if you have certain food intolerances (lactose or fructose)
Small intestinal bacterial overgrowth (SIBO) breath test – which finds out if you have an overgrowth of bacteria in your small intestine (called SIBO)
Gastric emptying test – which measures how quickly food leaves your stomach
In this post, we're going to explore the benefits of capsule endoscopy for complete GI tract imaging, aiding diagnosis with minimal discomfort. Read more. ...more
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In this article, we're going to learn about the lower esophageal sphincter’s role in preventing reflux and how to manage its weaknesses. Read more. ...more
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In this article, we're going to cover everything you need to know about silent reflux, from the symptoms to diagnosis and treatment. Read more. ...more
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"After stopping my lansoprazole, every time I had a warm drink, I could feel it burn all the way down to my stomach. Thank you to Sam for making me feel at ease." - Manchester Patient
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"It was also great to have time to talk to the clinicians – very important when you have problems. Reception staff also very kind and helpful." - Manchester Patient
Burning mid-chest, worse when bending or lying down
Difficulty going to the toilet, unusual stools, often with stomach ache or intestinal cramps, bloating, nausea or appetite loss
Feeling uncomfortably full and tight, excess belching/breaking wind, abdominal pain or gurgling
Bringing food or drink back up, difficulty swallowing, feeling that food or drink is stuck in your throat, horrible taste in your mouth
Dysphagia - difficulty swallowing, feeling that food or drink is stuck in your throat, horrible taste in your mouth
Loose or explosive stools, can’t get to a toilet in time
Cramps; sharp or dull pain, Bloating, Excessive belching, Nausea or vomiting
Stools leak unexpectedly, Can’t get to a toilet in time
Abdominal pain or cramping, bloating, changes in bowel habits and urgency, gas