Dr Ian Berkowitz

GASTROENTEROLOGIST

Heartburn

Heartburn is a burning pain in your chest, just behind your breastbone. The pain is often worse when lying down or bending over. Occasional heartburn is common and no cause for alarm. Most people can manage the discomfort of heartburn on their own with lifestyle changes and over-the-counter medications. Heartburn that is more frequent or interferes with your daily routine may be a symptom of a more serious condition that requires medical care.

Symptoms

Symptoms of heartburn include:

A burning pain in the chest that usually occurs after eating and may occur at night

Pain that worsens when lying down or bending over

When to see a doctor

Seek immediate help if you experience severe chest pain or pressure, especially when combined with other signs and symptoms such as pain in the arm or jaw or difficulty breathing. Chest pain may be a symptom of a heart attack.

Make an appointment with your doctor if:

Heartburn occurs more than twice a week

Symptoms persist despite use of over-the-counter medications

You have difficulty swallowing

You have persistent nausea or vomiting

You have weight loss because of poor appetite or difficulty eating

Symptoms

Symptoms of heartburn include:

A burning pain in the chest that usually occurs after eating and may occur at night

Pain that worsens when lying down or bending over

When to see a doctor

Seek immediate help if you experience severe chest pain or pressure, especially when combined with other signs and symptoms such as pain in the arm or jaw or difficulty breathing. Chest pain may be a symptom of a heart attack.

Make an appointment with your doctor if:

Heartburn occurs more than twice a week

Symptoms persist despite use of over-the-counter medications

You have difficulty swallowing

You have persistent nausea or vomiting

You have weight loss because of poor appetite or difficulty eating

Causes

How heartburn and GERD occur:

Heartburn occurs when stomach acid backs up into the tube that carries food from your mouth to your stomach (esophagus). Normally when you swallow, a band of muscle around the bottom of your esophagus (lower esophageal sphincter) relaxes to allow food and liquid to flow down into your stomach. Then the muscle tightens again. If the lower esophageal sphincter relaxes abnormally or weakens, stomach acid can flow back up into your esophagus (acid reflux) and cause heartburn. The acid backup may be worse when you're bent over or lying down.

Tests and diagnosis

Multimedia

Endoscopy

To determine if your heartburn is a symptom of GERD, your doctor may recommend:

X-ray, to view the shape and condition of your esophagus and stomach.

Endoscopy, to check for abnormalities in your esophagus. A tissue sample (biopsy) may be taken for analysis.

Ambulatory acid probe tests, to identify when, and for how long, stomach acid backs up into your esophagus. An acid monitor that is placed in your esophagus connects to a small computer that you wear around your waist or on a strap over your shoulder.

Esophageal motility testing, to measure movement and pressure in your esophagus.

Phone for appointment

Mon - Friday: 

08:30 - 16:30 

Tel: +27(0)11 482 8556/7