[40F] Experiencing heartburn and upper stomach pain

What might be happening

Based on the information you've provided, possible diagnoses include:

• Gastroesophageal Reflux Disease (GERD): This is a condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing heartburn.

  • Treatment typically involves lifestyle modifications such as avoiding foods that trigger symptoms, eating smaller meals, not lying down for at least three hours after eating, and losing weight if you're overweight or obese. Over-the-counter or prescription medications may also be recommended.

• Gastritis: This is an inflammation of the stomach lining. The inflammation can be caused by certain medications, drinking too much alcohol, long-term stress, or an infection with bacteria such as Helicobacter pylori.

  • Treatment usually involves taking antacids and other drugs to reduce stomach acid, which can help speed the healing of the stomach lining.

• Peptic Ulcer: These are sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is stomach pain, but they can also cause heartburn.

  • Treatment typically involves medications to decrease stomach acid. If an H. pylori infection is present, antibiotics will also be necessary.

What you can do

1. Try to identify and avoid foods that trigger your heartburn. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
2. Eat smaller meals. Avoid overeating by eating smaller meals.
3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
4. Elevate the head of your bed. If you regularly experience heartburn while trying to sleep, put gravity to work for you. Place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches.

What you should look out for

If your heartburn symptoms persist despite lifestyle changes and over-the-counter medications, it's time to see a doctor. Also, seek immediate help if you experience chest pain, especially if you also have shortness of breath, or jaw or arm pain. These may be signs and symptoms of a heart attack.

Remember, the information provided here is not a substitute for professional medical advice. Please consult with a healthcare provider for a formal diagnosis and treatment.