The question of whether it is merely a harmless for the heartburn discomfort, or a troubling symptom, in need of further clarification, has recently moved increasingly into the public debate. The fear of cancer as a result of heartburn is central. The irritation of this discussion in the lay press (and because a large proportion of pregnant women under temporary heartburn) are suffering from a medical point of view cause for clarifications.
Definition and incidence
Heartburn is defined as a localized burning sensation behind the breastbone and the heat rising from the middle upper abdomen into the throat pit. This is sometimes painful, sometimes spasmodic complaints arise from varying intensity and duration and can interact spontaneously or in connection with the food. Accompanying symptoms are often the rising of air and acid gastric juice, pressure and fullness in the upper abdomen, feeling of a lump in the throat and increased salivation.
The symptom of heartburn does not allow definitive conclusions about mucosal pathological changes in the lower esophagus. Heartburn may also occur in healthy individuals. Some patients have predominantly heartburn associated with regurgitation during the day, other patients, particularly at night and morning due to complaints of a burning feeling behind the breastbone.
More frequently and more intensely acid regurgitation and burning sensation, occurs, more often you will find in one at the esophagus gastroenterology reflux. The inflammatory mucosa changes in the lower esophagus may be associated with ulceration that may heal with scar formation of the stricture.
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