What Triggers Heartburn and How You Can Ease It
Reading time: 10 minutes
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Key Takeaways
- Heartburn happens when stomach acid flows into the esophagus. This causes a burning feeling in the chest or throat. If it happens often, it may be a sign of GERD, a long-term digestive condition.
- Heartburn symptoms can be triggered by certain foods, daily habits, body position, or even some medications. Learning what causes your symptoms can help reduce how often they happen.
- Relief from heartburn often comes from a mix of healthy habits and medicine. If symptoms are strong or keep coming back, talking to a doctor can help you find the right treatment.
Heartburn is a hot, burning feeling that usually starts in the chest and can rise up toward the throat. It happens when stomach acid flows backward into the esophagus—the tube that carries food from your mouth to your stomach. This backward flow is called acid reflux.
At the bottom of the esophagus is a small muscle called the lower esophageal sphincter. This muscle acts like a gate. It opens to let food into the stomach and closes to keep the food and acid inside. If the muscle doesn’t close tightly, acid can move back up. That’s when the burning feeling of heartburn starts.
Stomach acid is useful for digesting food, but the esophagus is not built to handle acid. Even a small amount can cause pain or irritation. That’s why heartburn can feel sharp, hot, or uncomfortable.
Some people get heartburn after eating spicy foods, bending over, or lying down. Others notice it more after big meals or at night. If heartburn happens often, it may be a sign of a long-term condition called gastroesophageal reflux disease (GERD).
Is It Just Heartburn or Something More Serious?
Heartburn is something many people feel once in a while. It often shows up after eating a big meal, lying down too soon after eating, or eating certain foods. When heartburn only happens now and then, it usually does not point to a bigger health issue.
But if heartburn keeps coming back, it may be a sign of a long-term problem. When someone feels heartburn two or more times a week, they might have a condition called gastroesophageal reflux disease, or GERD.
GERD is a more serious form of acid reflux. With GERD, stomach acid often flows back into the esophagus and causes pain, burning, or discomfort. Over time, this acid can make the esophagus swollen or sore. Some people with GERD may have a hard time swallowing or feel like food is stuck in their throat.
When heartburn doesn’t get better with diet changes or over-the-counter medicine, it’s a good idea to talk to a doctor. A doctor can check for signs of GERD and may suggest tests to see how the esophagus is working. Sometimes, people are referred to a gastroenterologist, a doctor who treats problems with the stomach and digestive system.
Paying attention to how often heartburn happens—and how strong it feels—can help someone decide when to get help. Getting the right care early may prevent more serious problems later on.
What Can Trigger Heartburn Symptoms?
Heartburn symptoms can start after eating, drinking, moving in certain ways, or even taking certain medications. These symptoms often feel like burning in the chest or throat. Learning what causes heartburn helps people avoid the things that make it worse.
Many foods and drinks are known to trigger heartburn. Some of the most common ones include:
- Spicy foods
- Chocolate
- Citrus fruits like oranges and lemons
- Tomato-based foods like pasta sauce
- Drinks with caffeine, such as coffee or tea
- Carbonated drinks like soda
- Fatty or fried foods
- Alcohol
These foods can cause the stomach to make more acid. When there is too much acid, it can rise into the esophagus and lead to burning or pain.
Certain eating habits also affect heartburn. Eating too quickly, eating large meals, or lying down soon after eating can make acid reflux more likely. Eating right before bedtime may also lead to nighttime heartburn.
Body weight can play a role. Extra weight around the stomach puts pressure on the digestive system. This pressure can push acid back into the esophagus and trigger heartburn symptoms.
Some physical activities, like lifting heavy things or bending forward often, may also push stomach acid upward.
Even medications for other health problems can lead to heartburn. These include drugs used to treat:
- Asthma
- High blood pressure
- Depression or anxiety
- Pain or swelling
- Parkinson’s disease
- Heart conditions
In some cases ulcer reflux disease medications may help lower acid levels and reduce symptoms for people with frequent heartburn.
When people learn what causes their heartburn and make small changes, they often notice fewer symptoms and feel more comfortable each day.
What Does Heartburn Feel Like?
Heartburn feels like a burning pain in the chest, often just behind the breastbone. This feeling can move up toward the throat and may come on after eating, especially if someone lies down or bends forward soon after a meal.
The burning happens when stomach acid flows back into the esophagus, which is more sensitive than the stomach. Even a small amount of acid in the esophagus can cause discomfort or irritation.
In addition to chest pain, other common heartburn symptoms include:
- A sharp or hot feeling in the throat
- A bitter or sour taste in the mouth
- A feeling like food is stuck in the throat or chest
- Pain that spreads to the neck, jaw, or upper arms
- A dry cough or hoarse voice, especially during the night
Some people confuse heartburn with heart problems because the pain is in a similar area. But heartburn usually gets worse after eating certain foods, lying down, or bending over—while heart-related pain may not follow these patterns.
Recognizing how heartburn feels can help people tell the difference between mild symptoms and signs of something more serious, like gastroesophageal reflux disease (GERD).
How to Get Relief From Heartburn
Heartburn relief often begins with simple changes to daily habits. These changes can help stop stomach acid from rising into the esophagus, which is what causes the burning feeling in the chest and throat.
One helpful step is to look at the foods that may trigger heartburn. Some foods cause the stomach to make more acid, which can lead to symptoms. To feel better, try avoiding those foods.
Eating smaller meals during the day can also help. A very full stomach puts pressure on the valve that keeps acid in the stomach. When that valve is under pressure, acid is more likely to rise.
Meal timing and posture also make a difference. Eat slowly and sit up straight while eating. Try not to eat in the two to three hours before going to bed. Lying down too soon after eating can let acid move up into the esophagus.
The way you sleep matters, too. Raising the head of your bed by a few inches can reduce symptoms at night. Gravity helps keep acid down in the stomach while you sleep.
Body weight can affect heartburn as well. Extra weight around the belly puts pressure on the stomach, which can make symptoms worse. Even small weight loss may help reduce how often heartburn happens.
For people who smoke, quitting can improve symptoms over time. Smoking weakens the muscle that keeps acid in the stomach. When that muscle works better, heartburn happens less often.
By learning what causes heartburn and making small changes, many people feel relief. Paying attention to food, movement, and habits can lead to long-term comfort.
What Are the Medication Options for Acid Reflux?
Acid reflux happens when stomach acid moves back up into the esophagus, causing a burning feeling called heartburn. If changing food and habits doesn’t help enough, some people use medication to feel better. These medicines work by lowering acid in the stomach or protecting the esophagus from damage.
There are three main types of acid reflux medicines:
1. Antacids
Antacids work fast to calm heartburn. They do this by neutralizing the acid already in the stomach. People usually take antacids after meals or when symptoms start. Most antacids are sold without a prescription.
2. H2 Blockers
H2 blockers help by reducing how much acid the stomach makes. They don’t work as quickly as antacids, but they may give relief that lasts longer. Some are sold over the counter, while others need a prescription.
3. Proton Pump Inhibitors (PPIs)
3. Proton Pump Inhibitors (PPIs)
PPIs block acid production more strongly. They are often taken once a day and are helpful for people who get heartburn several times a week or have been diagnosed with GERD (gastroesophageal reflux disease). Dexilant, a commonly prescribed PPI, helps reduce acid and gives longer-lasting relief for some people with frequent symptoms.
In some cases, doctors may also prescribe medications used for Ulcer Reflux Disease to help manage acid reflux that keeps coming back. These treatments help the esophagus heal and keep acid levels lower over time.
Before starting any new medication, it’s a good idea to talk to a doctor or pharmacist. Some medicines can affect others you may already take. Also, taking reflux medicine too often without a plan can cause problems later.
When used along with healthy habits, the right medication can lower symptoms and help people feel more comfortable.
When Should You See a Doctor About Heartburn?
Heartburn is something many people deal with from time to time. It often goes away with small changes, like eating different foods or using over-the-counter medicine. But sometimes, heartburn may be a sign of a more serious health issue.
You should talk to a doctor if you have heartburn more than twice a week, even after trying to fix it with food changes or store-bought medicine. This kind of frequent heartburn may be caused by a long-term condition called GERD (gastroesophageal reflux disease).
There are also other warning signs to watch for:
- Trouble swallowing food or drinks
- Throwing up more than once or without a clear reason
- Losing weight without trying
- A feeling like food is stuck in your throat or chest
- A sore throat or cough that lasts a long time
- Chest pain that spreads to your arm, jaw, or neck
Chest pain should always be checked by a doctor. While heartburn can cause pain, chest pain could also be related to the heart. A doctor can look at your symptoms and do tests to find out what’s causing the problem.
If you use heartburn medicine often but still have pain, it may be time for stronger treatment or further testing. In some cases, your doctor may send you to a gastroenterologist, a doctor who treats stomach and digestion problems.
Getting help when heartburn doesn’t improve can lead to better care and fewer symptoms over time.
Living Well Without Heartburn
Heartburn can feel uncomfortable, but it doesn’t have to take over your life. Many people feel better by changing how they eat, move, and care for their health. With the right habits and support, heartburn can be managed.
The first step is to learn what triggers your heartburn. Some people notice symptoms after eating spicy foods. Others may feel discomfort after drinking coffee, soda, or eating large meals. Writing down what you eat and when symptoms happen can help you find patterns.
Making small changes to your daily routine can also help. Eating slower, choosing smaller portions, and sitting up while eating are simple ways to feel better. If you raise the head of your bed by a few inches, it can help reduce nighttime heartburn.
For many people, relief from heartburn comes from a mix of healthy habits and medication. Some may use antacids only once in a while. Others may need prescription medicine for longer periods of time.
Talking to a doctor or pharmacist can help you find a treatment plan that fits your needs. If heartburn happens often or doesn’t improve, getting medical advice can lead to better care.
Living without frequent heartburn is possible. With a few changes and the right support, many people enjoy food, sleep better, and feel more comfortable during the day.
Information provided on this website is for general purposes only. It is not intended to take the place of advice from your practitioner