SYMPTOMS – SYMPTOMS OF HEARTBURN
By : Ririn Sholiha
Heartburn is generally a thing that is common in people of different ages, professions and walks of life. Most people have heard and know a trigger heartburn such as eating late, irregular meals, food or drink that stimulates the production of stomach acid, and stress.
However, probably many of us who do not fully understand the symptoms – symptoms of heartburn. Perih taste in the stomach or in the gut is often referred to as heartburn. In fact, heartburn symptoms are not to be stung first. discomfort in the stomach or heartburn is accompanied by nausea or bloating and frequent belching or feeling full quickly also a symptom of heartburn.
Heartburn is commonly called dyspepsia symptoms – symptoms of excess stomach acid. When stomach acid levels rise, then the stomach will have symptoms of bloating and belching. Symptoms that occur because of the essence of heartburn is an increase in excessive stomach acid producing bubbles – bubbles of gas in the stomach so that a person feel bloated.
Full feeling in the stomach or commonly called obstruction or fullness are also symptoms of heartburn are often not realized. It can be felt in the moments before and after a meal, also cause excessive stomach acid.
In addition to bloating, nausea, full in the stomach or obstruction and fullness, there are also other symptoms that are often not recognized as symptoms of heartburn. The symptoms are perceived bitter taste in the mouth. This bitter taste arising from excessive stomach acid pushing up into the esophagus so that sometimes arise sour or bitter taste in the throat and mouth.
Thus, when you feel the symptoms – symptoms such as nausea, bloating, obstruction or fullness, or a bitter taste in the tongue, even though you do not feel the pain in the stomach, so you can experience heartburn symptoms due to excess stomach acid. Therefore, regular meals and avoid heartburn a trigger factor is very important to prevent an ulcer. Following in-depth explanation of the symptoms – symptoms of heartburn are :
Belching (burping or belching) is the release of gas from the gastrointestinal tract (esophagus and stomach) into the mouth, accompanied their voices and sometimes – sometimes smell.
The emergence of the noise caused by the vibration of air or gas in the esophagus when a gas discharge valve. This is a very common thing that could happen to anyone, and is an attempt to release the trapped air in the stomach is usually cause discomfort in the gastrointestinal tract.
Cause saltpeter :
– Eating or drinking too fast
– Swallowing air
– Drinking carbonated beverages
– Medications – Certain drugs such as metformin
– People who are anxious
– If accompanied by symptoms – dyspeptic symptoms is one of the signs of ulcer disease
In addition to the amount of gas trapped in the stomach belching can also be caused because of sheer habit. For some people burp considered as a way to relieve discomfort in the stomach even if it were not for the increase in gas levels.
Belching is not as simple as people think, but is closely related to the coordination of several activities. The larynx should always be closed so that fluids or food rises from the stomach does not get into the lungs – lungs. Larynx during swallowing lifted automatically and in line with the upper esophageal valve open making it easier for gas out of the esophagus to the throat. Lower esophageal valve open so gas can also go up from the stomach into the esophagus. When it all happened diaphragm down when breathed. There is increasing pressure in the abdominal cavity and decrease the pressure in the chest cavity that cause the release of air from the stomach (in the abdominal cavity) into the esophagus (in the chest cavity).
If discomfort in the stomach is not due to an increase in gas, belching does not solve the problem. This would mean that there are other things that need to be administered in the stomach and had to look for the cause. Belching is a symptom that can be caused by an intestinal illness and conditions that cause discomfort in the abdominal cavity.
To understand bloating there are 2 things to note :
1. Symptoms or bloating : a feeling (subjective) of the abdomen such as greater than normal, so is a sign or symptom of discomfort, it is lighter than distention.
2. Signs or distention : is the result of physical examination (objective) which found that the stomach is larger than normal, can be obtained from the observation while using clothes so narrowness and stomach obviously bigger than usual.
There are three things that can cause enlargement of the size of the stomach and should be distinguished, namely water, air, and tissue in the stomach.
Bloating can be divided into two parts :
1. Sustainable, usually as a result of a mass or organ enlargement in the stomach such as tumors, fluid (ascites), or fatty tissue (obesity)
2. Temporary or intermittent, which is associated with an increase in gas or fluid in the stomach, small intestine or large intestine.
The cause bloating :
1. Excessive production of gas
Excessive gas production is usually caused by bacteria, through three mechanisms. First, the amount of gas produced by each individual are not the same because there are certain bacteria that produce a lot of gas while others do not. Second, the food is poorly digested and absorbed in the small intestine caused many food up in the large intestine so that food must be ingested bacteria will grow and multiply the resulting gas. An example is the lactose intolerance disorder, blockage of the pancreas and bile ducts. Third, due to certain circumstances the bacteria grow and develop in the small intestine where it is usually supposed to be in the large intestine. Usually this will potentially increase flatus (waste angina or fart)
2. mechanical blockage
Blockages can occur along the stomach to rectum, if temporary may cause temporary bloating. An example is scarring in the stomach valve that can disrupt the flow of the stomach to the intestine. After eating meals together swallowed air, then after 1-2 hours secrete gastric acid and liquid and mixed with food to aid digestion. If there is a blockage of incomplete digestion eat food and the results can be entered into the intestine and can cope with bloating. In addition, conditions were too hard stool can also be a blockage that can aggravate bloating.
3. Functional Occlusion
The definition of the functional blockage is a result of weakness that occurs in the muscles of the stomach and intestines so that the movement of the gastrointestinal tract is not good that causes the movement of food to be slow, causing bloating. It can occur in diseases gastroparesis, irritable bowel syndrome (IBS) and Hirschsprung’s. In addition to dietary factors such as fat also slows the movement of food, gas, and liquid to the lower gastrointestinal tract which also result in bloating. The fiber is used to treat constipation can also cause bloating without an increase in gas, but the bloating is caused by slowing the flow of gas into the small intestine due to the fiber.
4. Hypersensitivity Gastrointestinal
Some people who are hypersensitive to bloating, they feel bloated when the amount of food, gas and fluids in the gastrointestinal tract in the normal range, usually when you consume foods that contain fat.
3. Flatus / Fart
Flatus is the release of gas in the gastrointestinal tract through the anus that comes from swallowed air or the production of bacteria. However, the occurrence of flatus is more often caused by the production of bacteria in the gastrointestinal tract or large intestine or in the form of hydrogen and methane in the state consume more sugars and polysaccharides. Examples of such sugars are lactose (milk sugar), as a low-calorie sweetener sorbitol and fructose sweetener commonly used in sweets and drinks.
Starch is also often a source of gas, the polysaccharide content of wheat, potatoes, corn and rice. Rice generate relatively less gas than others. I pad starch from grains that have not been processed to cause more gas than the seeds – seeds that have undergone a process because the fiber content is still intact, where the fiber is a material that can not be digested by digestive enzymes, but it will be metabolized by bacteria to produce gas.
Many consume vegetables and fruit – fruit that contain cellulose does not produce a lot of gas because cellulose is little metabolized by bacteria, unless the fruit or vegetable that contains more sugar than cellulose or polysaccharides. Gas ingested in a reasonable amount of unavoidable and gas production will also continue bacteria are physiologically gas but it will be excluded from the gastrointestinal tract through the flatus with intestinal muscle contraction mechanism to avoid a buildup of gas in the gastrointestinal tract. Gas can also be absorbed into the bloodstream and excreted through respiration.
Gas ingested in a reasonable amount of unavoidable and gas production will also continue bacteria are physiologically gas but it will be excluded from the gastrointestinal tract through the flatus with intestinal muscle contraction mechanism to avoid a buildup of gas in the gastrointestinal tract. Gas can also be absorbed into the bloodstream and excreted through respiration.
Here is a diagnosis Belching Bloating, and Flatus
To overcome belching, bloating and flatus some things that should be examined are:
• History of disease
If bloating continuous enlargement of organs in the abdomen, abdominal fluid, tumor, or obesity may be the cause. If the bloating occurs simultaneously with increased flatus it is usually caused by bacterial activity. History diet such as milk or dairy products, sorbitol, lactose, Insoluble possibility – its sugar properly can also cause bloating.
• X-ray Inspection
• Examination of gastric emptying
• ultrasound, CT scan, and MRI
• Disturbance Test impaired digestion and absorption
• Test the breath hydrogen and methane
After diagnosing the following several ways to overcome Belching Bloating, and Flatus
To cope with the increase in gas in the gastrointestinal tract depends on the cause. If the gas increases caused by heartburn, the illness itself must be addressed first. Besides giving simeticone also able to cope with gas.
If the result of excessive consumption of sugar such as lactose, sorbitol, and fructose can be overcome by avoiding the material than a day diet – day. If the result of lactose intolerance can be added so that the enzyme lactose can be metabolized properly.
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