{"id":73549,"date":"2021-09-13T16:36:37","date_gmt":"2021-09-13T16:36:37","guid":{"rendered":"https:\/\/websitedesigns.com.au\/elankanew\/?p=73549"},"modified":"2023-06-28T17:18:44","modified_gmt":"2023-06-28T17:18:44","slug":"heartburn-why-you-should-know-about-it-by-dr-harold-gunatillake","status":"publish","type":"post","link":"https:\/\/websitedesigns.com.au\/elankanew\/heartburn-why-you-should-know-about-it-by-dr-harold-gunatillake\/","title":{"rendered":"Heartburn- Why you should know about it?-By Dr Harold Gunatillake"},"content":{"rendered":"<h1 style=\"text-align: center;\"><span style=\"font-size: 24px; color: #000000;\">Heartburn- Why you should know about it?-<span style=\"color: #003366;\">By Dr Harold Gunatillake<\/span><\/span><\/h1>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-77916 aligncenter\" src=\"https:\/\/websitedesigns.com.au\/elankanew\/wp-content\/uploads\/2021\/11\/Harold-Gunethilake.jpg\" alt=\"Harold-Gunethilake\" width=\"160\" height=\"160\" \/><\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/RRkyGJGZpOw\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Transcript:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">25 million adults experience heartburn daily- so says the stats.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">About one third of them experience heartburn at least once a month in the US.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">It is a feeling of burning sensation behind your heart in the gullet, food related and due to a weak gastroesophageal sphincter muscles mechanism, resulting in acid reflux into your gullet.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">It is not a life-threatening disease, but annoying and can lead to sleepless nights, and cause complications, such as inflammation of the lower third of the gullet, referred to as esophagitis, progressing to ulcers and narrowing of the esophagus called a stricture.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Even babies are born with this weak valve mechanism. Therefore, all babies are held vertically and given a pat on the upper back after a feed by the mother.<\/span><\/p>\n<p><!--more--><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">It is very common among the Indians and Sri Lankans due to eating spicy food.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Heartburn is only a symptom, but the disease is called Gastro-esophageal reflux disease or GERD.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">The lower esophageal inner lining is more alkaline and cannot stand any acid fluid. Any reflux of acid juice from the stomach due to a weak sphincter mechanism causes inflammation resulting in that burning feeling. This causes the symptom of heartburn.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">How does the valve system work at the gastro-esophageal junction to form a anti-reflux barrier, preventing acid gastric juice and food regurgitation?<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">The gullet goes through an opening in the diaphragm. This opening is called the hiatus.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">The smooth muscles at lower end of the gullet entering the stomach are more thickened and contracts to help prevent reflux of food just eaten. This is referred to as the lower esophageal sphincter (LES).<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">The diaphragm also has an external sphincter-like mechanism that works as an acid reflux barrier<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">In addition, there is a valve mechanism at the junction of the lower end of the esophagus and the entrance to the stomach, that relaxes for food to enter but prevents regurgitation into the esophagus.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">So, the weakening of this sphincter system, and sometimes due to widening of the hiatus of the diaphragm mainly due to obesity, part of the stomach can get displaced into the chest. This is referred to as a hiatus hernia. Hiatus hernia is common but not all people with a hiatal hernia have reflux.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Obesity seems to be major cause of hiatal hernias due to widening of the hiatus in the diaphragm.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Other causes of GERD are pregnancy, smoking, excess alcohol use and consumption of a variety of foods such as coffee, citrus drinks, tomato-based products, chocolate, peppermint, chewing gum and fatty and spicy foods.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">When you feel heart burn for the first time, you may think that it is anginal pain from the heart.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">A few years ago we returned from a dinner party, about midnight. After about half an hour later my wife complained of severe chest pain. She has stents put in her main coronary arteries.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">She does not drink alcohol, but that night she has had two glasses of white wine with dinner.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Obviously, one would think that she was having heart pain and rush to the closest hospital.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">I always carry a small cardiac monitor with me wherever I go. It is a simple device to get a ECG tracing by pressing this devise against the left side of the chest, about the apex beat of the heart, and it gives a tracing with recording. The record will say whether the wave form is normal or not. If it reveals abnormal tracing one must think of heart problem.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">When I checked with this devise, I found that the reading was normal wave form.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">So, the obvious diagnosis is acid reflux.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">I asked her to drink some cool milk from the refrigerator. She did and burped and she was feeling better.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">I think, every one of us must carry this device in the pocket for an emergency. It costs you about $ 400.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Another irritating symptom with acid reflux is a chronic cough, sore throat, or chronic hoarseness due to regurgitation of the acid gastric juice.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">This may be mistaken for a throat inflammation and may miss the diagnosis.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Precaution to minimize heart burn.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Over-eating especially the night meal may cause heartburn in bed. Have a light meal early and retire to bed late. Eat small meals more frequently like the Chinese to neutralise the gastric juice.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Eating certain foods, including onions, chocolate, peppermint, high-fat or spicy foods, citrus fruits, garlic, and tomatoes or tomato-based products may cause heartburn.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Drinking certain beverages, including citrus juices, alcohol, caffeinated drinks, and carbonated drinks may cause heartburn.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Acidic and Alkaline Foods<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">There are acidic foods, there are alkaline foods. It may be necessary to focus on balancing acid and alkaline in the diet, mostly by eating more vegetables and certain fruits and fever meats and processed foods. The focus is on low acid food eating to minimize the symptoms caused by acid reflux. Now it seems becoming clear that the Western diet is more acidic and may be responsible for the increased risks of diabetes and heart disease.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Getting slim is important. The valve mechanism at the junction of oesophagus and stomach referred to as the cardia may not function efficiently in obese subjects.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Smoking increases acid secretion, and it is better to give up totally.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Wearing tight cloths, tightening with a waist belt may exacerbate episodes.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Always rest your head on at least three pillows. Sitting up position relieves the condition. Sleeping by turning onto your left side helps in preventing acid juice eructing into the lower gullet.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">In a study in The Journal of Clinical Gastroenterology, scientists recruited a group of healthy subjects and fed them high-fat meals on different days to induce heartburn. Immediately after the meals, the subjects spent four hours lying on one side or the other as devices measured their esophageal acidity. Ultimately, the researchers found that \u201cthe total amount of reflux time was significantly greater\u201d when the subjects lay on their right side.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Alcohol and certain medications like anti-inflammatories, and aspirin can bring about heartburn.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Avoid constipation and straining in the toilet. Eating high fibre diet and fruits may help.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Most people can control their GERD taking the necessary precautions and change in lifestyles. A few may need surgery, if the antacid medication does not give relief.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Hope this video talk was useful,<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Stay at home, stay safe and goodbye for now.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\"><strong>Safe Foods for Heart Burn patients<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Food Group\u00a0\u00a0\u00a0\u00a0 Foods With Little Potential to Cause Heartburn<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Fruit\u00a0\u00a0\u00a0 \u2022 Apple, fresh; Apple, dried; Apple juice; Banana<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\"><strong>Vegetables\u00a0\u00a0\u00a0\u00a0 <\/strong>\u2022 Baked potatoes; Broccoli; Cabbage; Carrots<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"font-size: 16px; color: #000000;\">Green beans; Peas<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\"><strong>Meat<\/strong>\u00a0\u00a0 \u2022 Ground beef, extra-lean; Steak, London Broil; Chicken breast, skinless; Egg whites<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"font-size: 16px; color: #000000;\"><strong>Fish, no added fat<\/strong><\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Dairy\u00a0\u00a0 \u2022 Cheese, feta or goat; Cream cheese, fat-free;Sour cream, fat-free; Soy cheese, low-fat<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\"><strong>Grains<\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\">Bread, mult-grain or white; Cereal, bran or oatmeal<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"font-size: 16px; color: #000000;\">Corn bread<\/span><\/li>\n<li><span style=\"font-size: 16px; color: #000000;\"><strong>Rice,<\/strong> brown or white; Rice cakes<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\"><strong>Beverages<\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2022 Mineral water<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\"><strong>Fats \/ Oils<\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0 \u2022 Salad dressing, low-fat<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\"><strong>Sweets \/ Desserts<\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u2022 Cookie, fat-free; Jelly beans; Red licorice Potato chips, baked<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px;\">Disclaimer:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px;\">The information contained in this article is for general information purposes only, and whilst the author will endeavour to keep the information up to date and correct, eLanka makes no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the eLanka website or the information, products, services, or related graphics contained in this article for any purpose. Any reliance you place on such information is therefore strictly at your own risk. In otherwords, eLanka In no event will we be liable for any loss or damage including without limitation, indirect or consequential loss or damage, or any loss or damage whatsoever arising from loss of data or profits arising out of, or in connection with, the use of this website \/ article. Also please note that through this website \/ web page articles you are able to link to other websites which are not under the control of eLanka and therefore we have no control over the nature, content and availability of those sites. The inclusion of any links does not necessarily imply a recommendation or endorse the views expressed within them<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Heartburn- Why you should know about it?-By Dr Harold Gunatillake &nbsp; Transcript: 25 million adults experience heartburn daily- so says the stats. About one third of them experience heartburn at least once a month in the US. It is a feeling of burning sensation behind your heart in the gullet, food related and due to [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":116942,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"aside","meta":{"footnotes":""},"categories":[20,1103],"tags":[872,37236],"class_list":{"0":"post-73549","1":"post","2":"type-post","3":"status-publish","4":"format-aside","5":"has-post-thumbnail","7":"category-articles","8":"category-dr-harold-gunatillake","9":"tag-dr-harold-gunatillake","10":"tag-heartburn","11":"post_format-post-format-aside"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.7.1 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Heartburn- Why you should know about it?-By Dr Harold Gunatillake<\/title>\n<meta name=\"description\" content=\"Transcript:25 million adults experience heartburn daily- so says the stats.About one third of them experience heartburn at 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