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Heartburn
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Heartburn and chest pain are manifestations of visceral pain. Visceral pain by definition means that it originates from the organs of the thorax, abdomen, and pelvis. Visceral pain is distinguished from somatic pain in that it is often diffuse and poorly localized.27 Visceral pain is typically accompanied by motor and autonomic reflexes such as nausea and vomiting, but somatic pain is not. Visceral pain may occur in the absence of actual injury or trauma. In addition, visceral pain is often referred to areas other than the location of viscera from which it originates; for example, biliary pain may be referred to the right shoulder and renal colic to the groin area. Visceral pain tends to be poorly localized because unlike somatic afferents, visceral afferents exhibit extensive divergence within the central nervous system (Figure 3).27 Visceral afferents often travel with somatic afferents from the body wall, which explains why esophageal pain may be referred to the chest wall.
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Heartburn is a burning sensation that's usually located in the chest. A lot of patients will say, "I feel it behind the breastbone. It's just a burning discomfort." Some people don't even call it a pain. They just say it's a sensation or an uncomfortable feeling.
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Heartburn has varying degrees to it. There is episodic heartburn which is generally experienced. There is the more serious GERD disease. Then there is frequent heartburn. This is the type of heartburn that occurs two or more days a week. Frequent heartburn affects people who may be using medication for heartburn symptoms at least two or more days of the week.
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Heartburn is rarely serious, but it can be extremely uncomfortable and even painful at times. If you suffer from chronic heartburn, the ongoing discomfort can be very difficult to cope with. That is why heartburn remedies are so actively sought by heartburn sufferers. The good news is that there is a long list of potential remedies you can try if you suffer from this problem, and chances are that you will eventually find a therapy that will work on your heartburn.
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Heartburn usually starts during the first trimester and tends to worsen during the second and third trimesters. Abstinence from alcohol and smoking can help reduce reflux symptoms and avoid fetal exposure to potentially harmful substances. Antacids are one of the most common over the counter Marisa ross to treat heartburn.
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Heartburn is often an unwelcome guest at the holiday table. Binging on sumptuous feasts provokes heartburn symptoms, including burning behind the breastbone, difficulty swallowing, sore throat, chest pain and nausea. In fact heartburn is very common; nearly 40 percent of Americans experience it at least once a month. Some people are particularly prone to heartburn. For example, nearly half of pregnant women complain of heartburn in the later stages of pregnancy, according to the American College of Gastroenterology.
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