5 Unexpected Causes of Heartburn

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Esophageal Conditions

GERD is a well known, chronic cause of heartburn, but there are other esophageal ailments that can cause serious and ongoing acid reflux. Scleroderma, for instance, is a group of diseases that most often affect the skin. However, it sometimes leads to problems with more internal structures, like the esophagus. The affected tissues get harder and tighter, including those in the gastrointestinal tract. Acid reflux is a common symptom of gastrointestinal scleroderma, which can lead to damage of the esophagus.

Sarcoidosis is an overgrowth of inflammatory cells believed to be caused by an immune system response. Very rarely, this inflammation can invade the esophageal walls. Additionally, abdominal swelling may be a concurrent symptom—the additional pressure can be sufficient to cause heartburn on its own. 

A relaxed esophageal sphincter (RES) can occur from a variety of things as well. For those prone to heartburn, certain foods like peppermint, alcohol, caffeine, and possibly sodium contribute to heartburn through RES. Peppermint lets the esophageal sphincter muscle relax, making heartburn worse. So, while it might freshen your breath, it’s only going to make the condition worse worse. 

Even your bad habits may be relaxing your esophageal sphincter. The nicotine in cigarettes not only relaxes your mind, it relaxes the sphincter as well, letting stomach acid back up. Drinking frequently or in large quantities can also trigger RES. While one beer might not trigger it, you also have to consider what you’re mixing the alcohol with. If you’re out for a fancy dinner and load up on fatty and/or spicy foods, it might not be a great idea to top it off with a cocktail. 

Did you know...

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