Heart Burn



  • Burning feeling in the chest, just behind the breastbone, that occurs after eating and lasts a few minutes to several hours
  • Chest pain, especially after bending over, lying down or eating
  • Burning in the throat — or hot, sour, acidic or salty-tasting fluid at the back of the throat
  • Difficulty swallowing
  • Feeling of food “sticking” in the middle of the chest or throat
  • Heartburn may cause chronic cough, sore throat, or chronic hoarseness

Common Causes:

  • Foods and beverages which may trigger your symptoms, including:
    • Alcohol
    • Caffeine
    • Carbonated beverages
    • Chocolate
    • Citrus fruits and juices
    • Tomatoes and tomato products
    • Spicy or fatty foods
    • Full-fat dairy products
    • Peppermint, Spearmint
  • Obesity
  • Cigarettes
  • Medications


  • Medical history review and review of symptoms
  • Physical examination
  • Upper endoscopy, or EGD
  • Barium swallow
  • Continuous esophageal pH monitoring
  • Esophageal manometry
  • Stool occult blood test

Common Treatments:

  • Avoid foods and beverages that may trigger your symptoms
  • Avoid bending over or exercising just after eating
  • Avoid garments or belts that fit tightly around your waist
  • Do not lie down with a full stomach
  • Do not smoke
  • Eat smaller meals
  • Lose weight if you are overweight
  • Reduce stress