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 can create a burning discomfort in the upper abdomen or below the breast bone.
With gravity’s help, a muscular valve called the lower esophageal sphincter, or LES, keeps stomach acid in the stomach. The 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 the closes again. If, however, the LES opens too often or does not close tight enough, stomach acid can 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 problems.
The basic cause of heartburn is a lower esophageal sphincter, or LES, that does not tighten as it should. Two excesses often contribute to this problem: to o much food in the stomach (overeating) or too much pressure on the stomach (frequently from obesity, pregnancy, or constipation). Certain foods commonly relax the LES, including tomatoes, citrus fruits, garlic, onions, chocolate, coffe, alcohol, caffeinated products, and peppermint. Meals high in fats and oils (animal or vegetable) often lead to heartburn, as di certain medications. 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 does heartburn happen? When you eat, food goes from your mouth down a tube called 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 refluxes, 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, cofe, and fatty or spicy foods – may be more likely to irritate the lower esophageal sphincter and make heartburn worse. Being overweight, eating big meals, wearing clothes that are tight around the waist, and smoking also raise your risk for heartburn. Learning what triggers your heartburn can help you ease the burn.
(Diadaptasi dari http://www.gghospital.in/blog/heartburn-cause-and-cure/)
The passage can be best summarize as follows ....
certain food and behaviors can trigger reflux that is the main cause heartburn
stress and lack of sleep can increase acid production and can cause heartburn
understanding causes, symptoms, and how heartburn occurs helps sufferers prepare for its attacks
the muscular valve in the abdomen works in a certain way that can lead to heartburn
the feeling of heartburn can go from bad to worse when doing some physical activities
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