What Causes Heartburn?

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Various lifestyle and dietary factors can contribute to heartburn by: increasing the relaxation of the lower esophageal sphincter, allowing it to open; increasing the amount of acid in the stomach; increasing stomach pressure; or by making the esophagus more sensitive to harsh acids. These factors include the following:

Eating and dietary habits

  • Eating large portions
  • Eating certain foods such as onions, chocolate, peppermint, high-fat foods, citrus fruits, garlic, spicy foods, and tomatoes or tomato-based products
  • Drinking things such as alcohol, citrus juices, caffeinated beverages, and carbonated beverages
  • Eating shortly before bedtime

Lifestyle habits

  • Being overweight
  • Smoking
  • Wearing tight-fitting clothing or tight belts
  • Certain positions, such as lying down or bending over, especially after eating
  • Stress

Medical reasons

  • Pregnancy
  • Bulging of the stomach into the chest, also called hiatal hernia
  • Gastroesophageal reflux disease (GERD)
  • Taking certain medications, especially some anti-inflammatory drugs and aspirin

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Last Updated: 11/12/2007

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