5 Common Myths About Heartburn

Shawn Khodadadian Gastroenterologist New York, NY

Dr. Shawn Khodadadian, a best in class board certified gastroenterologist in NYC (GI doctor), is a specialist in the diagnosis and treatment of conditions of the gastrointestinal tract (the digestive tract from the mouth through anus, including the stomach and bowel), liver, pancreas and gall bladder. Dr. Khodadadian... more

Heartburn is a common symptom that affects many people worldwide. A burning sensation in the chest can be very uncomfortable and even painful, and most of us have experienced this feeling at least once in our lives. Although this condition is common, there are many myths and misconceptions surrounding it. Let's look at the five most popular myths about heartburn to understand the causes, treatment, and prevention of this unpleasant phenomenon.

Myth 1. Heartburn is always the result of overeating or spicy food

This is one of the most common misconceptions about heartburn. Of course, overeating and consuming spicy or fatty foods can cause heartburn because they increase pressure on the stomach and contribute to acid reflux in the esophagus. However, other factors can also cause this symptom:

  • Pregnancy: The growing uterus can put pressure on the stomach and cause acid to flow back into the esophagus.
  • Obesity: Extra pressure on the stomach can also lead to heartburn.
  • Stress: Emotional stress can affect stomach acid production and weaken the sphincter muscle that separates the stomach from the esophagus.
  • Certain medications: Antidepressants, pain relievers, and even aspirin can contribute to the development of heartburn.

Heartburn is not always associated with eating certain foods. It is important to consider the individual characteristics of the body and other provocative factors.

Myth 2. Heartburn is always the result of increased stomach acid

Many people think that heartburn is only caused by excess stomach acid. In fact, heartburn occurs when stomach contents enter the esophagus, where the mucosa is not adapted to the acid. The cause can be either an excess of acid or a lack of acid.

When there is a lack of acid, food can be digested slowly, causing retention in the stomach and contributing to the development of reflux. So, heartburn can occur with high or low acidity. Before starting treatment, it is best to consult a heartburn specialist to determine the cause of heartburn.

Myth 3. Antacids and other medications completely solve the problem of heartburn

Antacids, proton pump inhibitors, and H2 blockers are drugs commonly used to treat heartburn. Antacids help neutralize acid, while proton pump inhibitors and H2 blockers reduce acid production. However, these medications do not eliminate the cause of heartburn; they only temporarily relieve symptoms.

Heartburn is often related to lifestyle and habits. To prevent it, you should pay attention to diet, avoid overeating, limit alcohol consumption, and quit smoking. Losing weight and avoiding lying down immediately after eating can also reduce the risk of symptoms. Medicines are effective for temporary relief, but without lifestyle changes, heartburn can recur.

Myth 4. Heartburn is just an unpleasant symptom that does not require treatment.

Many people experience heartburn as a minor inconvenience, especially when it occurs infrequently. However, chronic heartburn can indicate a more serious problem, such as gastroesophageal reflux disease (GERD). The constant backflow of acid into the esophagus can damage the lining and cause inflammation, ulcers, and even precancerous tissue changes (such as Barrett's esophagus).

If heartburn occurs more than once or twice a week or is accompanied by other symptoms such as chest pain, difficulty swallowing, or weight loss, it is time to see a doctor. Untreated chronic heartburn can lead to serious complications that require more complex treatment.

Myth 5. Heartburn medicine is safe and can be used without restrictions.

Although antacids and proton pump inhibitors are available over the counter and are often considered safe, uncontrolled and prolonged use can cause unwanted effects. For example, long-term use of proton pump inhibitors can lead to deficiencies in certain vitamins and minerals such as vitamin B12, magnesium, and calcium. This, in turn, can increase the risk of osteoporosis, anemia, and other diseases.

Regular use of antacids can disrupt the body's mineral balance, which is particularly dangerous for people with kidney problems. It is, therefore, best to discuss with your doctor which medication you wish to take in the long term. A specialist can choose the most appropriate treatment and help you avoid side effects.