Heartburn vs. heart attack

The scientific evidence that fat causes indigestion is weak. Most of the support is anecdotal (not based on carefully done, scientific studies). Nevertheless, fat is one of the most potent influences on gastrointestinal function.

Instead, treatment is directed at the symptoms usually. For example, nausea is treated with medications that suppress nausea but do not affect the cause of the nausea. On the other hand, the psychotropic drugs (antidepressants) and psychological treatments (such as cognitive behavioral therapy) treat hypothetical causes of indigestion (for example, abnormal function of sensory nerves and the psyche) rather than causes or even the symptoms.

Even if I have an early dinner it doesn’t matter. I wake up coughing vomiting and choking.

“The measures that make a difference to dyspepsia are a very individual matter. Possible triggers include eating late and large meals, caffeine, alcohol, fatty meals, NSAIDs [non-steroidal anti-inflammatory drugs such as ibuprofen] and other medications.” Exercise, relaxation techniques, psychological therapies and acupuncture may help, but evidence is hard to come by because it hasn’t been a research priority, says Ford. Special diets, such as ones low in short-chain carbohydrate Fodmaps (fermentable, oligo-, di-, mono-saccharides and polyols) that can help people with irritable bowel syndrome, need further research to see whether they shall help those with dyspepsia.

You may regurgitate food – this is when food comes back up soon after you swallow it. It starts with food like meat and bread usually.

I grew up with two parents who had constant heartburn. Dad always had antacids in his mom and pocket kept them on her nightstand. I thought it was a thing that all adults suffered from just. So when I started to suffer from heartburn in college, I didn’t think of it as something I should seek treatment for.


You can get indigestion when acid from your stomach goes back up (refluxes) into the oesophagus. Or when the stomach is inflamed or irritated.

Patients’ fears should be identified and addressed. Modification of diet (such as avoiding foods that provoke symptoms and adopting a low fat diet because high fat foods may impair gastric emptying) and stopping medications can be helpful. Antacids are no better than placebo in functional dyspepsia, but notably the placebo response ranges between 20% and 60%. The pathogenesis of functional dyspepsia remains uncertain.

First, your doctor shall try to rule out other health conditions that could be causing your symptoms. She might do blood tests and X-rays of your stomach or small intestine. She might also use a thin, flexible tube with a light and a camera to look closely at the inside of your stomach, a procedure called an upper endoscopy.

Moreover, the results of treatment must be evaluated on the basis of subjective responses (such as improvement of pain). In addition to being more unreliable, subjective responses are more difficult to measure than objective responses (for example, healing of an ulcer). Other dietary factors, fructose, and other sugar-related foods (fermentable, oligo- di- and mono-saccharides and polyols or FODMAPs), have been suggested as a cause of indigestion since many people do not fully digest and absorb them before they reach the distal intestine.

The endoscope showed that I have no ulcers in the stomach, but I have esophagitis. In addition to continuing on the PPI he suggested I try to make some lifestyle changes. That right part of the plan is the most difficult. Being a mother of five young children and a working mother (I’m an RN) on shift work makes a routine lifestyle impossible.

What’s the best thing to do if you have chest pain and you’re not sure what’s causing it?

In addition, a subset of patients have altered intragastric distribution of food, which reflects abnormal proximal gastric relaxation (a “stiff” fundus). There is an increased probability of detecting gastric motor abnormalities in women and possibly in those with severe postprandial fullness or severe vomiting. A heart attack can cause symptoms that feel like indigestion. Get medical help right away if you have shortness of breath, sweating, or pain that spreads along your jaw, neck, or arm.

Moreover, recent trials suggest that “test and treat” is a safe and cost effective strategy that results in a long term outcome similar to that with a strategy of prompt endoscopy. Hence, treat” and “test has been gaining widespread acceptance. There is controversy as to whether functional dyspepsia is a “forme fruste” of the irritable bowel syndrome, and both conditions might overlap. About a third of patients with functional dyspepsia have an erratic disturbance of defecation closely linked to their pain, and probably truly have irritable bowel syndrome. There is also evidence of gut hypersensitivity in both functional dyspepsia and the irritable bowel syndrome.

Many drugs are associated with indigestion frequently, for example, nonsteroidal anti-inflammatory drugs (NSAIDs such as ibuprofen), antibiotics, and estrogens). In fact, most drugs are reported to cause indigestion in at least some people with functional symptoms. Indigestion is a chronic disease that usually lasts years, if not a lifetime.


Pain after eating is likely caused by referred pain Back. Pay attention to other symptoms that may help your doctor diagnose your condition. One of the most common causes of back pain is poor posture.

indigestion pain in back

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