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Pertanyaan
Despite its name, heartburn has nothing to do with the heart. Some of the symptoms, however are similar to those of a heart attack or heart disease. Heartburn is an irritation of the esophagus that is caused by stomach acid, which causes discomfort in the upper abdomen or below the breast bone.
LES is located where the esophagus meets the stomach-below the rib cage and slightly left of center. Normally it opens to allow food into the stomach or to permit belching and then closes again. If however, the LES opens too often or does not close tight enough, stomach acid cant reflux or seep into the esophagus and cause the burning sensation.Occasional heartburn is not dangerous, but chronic heartburn or gastroesophageal reflux disease (GERD) can sometimes lead to serious problem
The basic cause of heartburn is a lower esophageal sphincte or LES that does not tighten as it should . Two excesses often contribute to this problem too much food in the stomach (overeating) or too much pressure on the stomach (frequently from obesity, pregancy, or constipation). Certain food commonly relax the LES, including tomatoes, citrus, fruits, garlic onions, chocolate, coffee, alcohol, caffeinated products, and peppermint. Meals high in fatc and oil (animal or vagetable) often lead to heartburn as do certain medication. Stress and lack of sleep can increase acid production and can cause heartburn. Smoking, which relaxes the LES and stimulates stomach acid, is a major contributor.
How is hearteam happen? When you eat food goes from your mouth down a tube caled the esophagus into your stomach. In between the esophagus and the stomach is an opening called the lower esophageal sphincter. This muscular valve acts like a door to let food into your stomach. It normally closes quickly behind the food to keep stomach acids which break down the food from backing up into your esophagus.
If that valve does not close all the way, stomach acid backs up or reffluxes, into the esophagus. Stomach acid irritates the lining of the esophagus and causes a painful burning sensation. The feeling may be worse after bending over or when you lie down.
Certain foods and drinks-like tomato products, alcohol, citrus, coffe and fatty or spicy foods-may be more likely to irritate the lower esophagus sphincter and make heartburn worse. Being ovrweight, eating big meals, wering clothes that are tight arround te waist and smoking also raise your risk for heartburn. Learning what triggers your heartburn can help you ease the burn.
The passage can be best summarized as follows...
certain food and behaviors can trigger reflux that is the main cause of heartburn
stress and lack of sleep can increase acid production and can cause heartburn
understanding cause, symptoms, and how heartburn occurs helps sufferes prepae for is attacks
the muscular valve in the abdomen works in a certain way that can leas to heartburn
the feeling of heartburn can go from bad to worse when doing some physical activities
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A. Setyawan
Master Teacher
Mahasiswa/Alumni Universitas Sebelas Maret
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