Heartburn history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: José Eduardo Riceto Loyola Junior, M.D.[2] Ahmed Elsaiey, MBBCH [3]
Overview
Heartburn per se is a symptom. It may be accompanied by other symptoms such as: regurgitation, and dysphagia. A positive history of nausea, vomiting, and regurgitation is suggestive of gastroesophageal reflux disease (GERD). Other symptoms of GERD include chest pain, cough, and odynophagia.
History and Symptoms
- Heartburn is a burning pain in the chest which may radiate toward the mouth. It usually occurs behind the breastbone and it is often associated with a sour taste in the back of the mouth with or without regurgitation.[1]
- History taking in patients with suspected GERD is important in diagnostic approach.[1]
- Important history points that increase suspicion towards delayed gastric emptying and GERD include the following:
Common symptoms
Common symptoms that may happen along heartburn in patients with typical GERD include the following:[2]
Less common symptoms
Less common symptoms of GERD (atypical GERD) include the following:[3]
- Chest pain that may look like the angina pectoris pain
- Cough
- Nausea
- Odynophagia
- Hypersalivation
Symptoms accompanying heartburn in other diseases
- When not due to GERD, heartburn that presents with paleness, sudoresis, chest pain that radiates to the left shoulder raises suspicion for acute coronary syndrome, especially in high risk patients (those with hypertension, diabetes, smokers, dyslipidemia).
- CREST syndrome presents with calcinosis, dysphagia, exhaustion, weakness, dyspnea and dizziness.[4]
- Esophageal cancer patients may also lose weight dramatically and present with progressive dysphagia, first to solid food, and then liquids.
References
- ↑ 1.0 1.1 Clarrett DM, Hachem C (2018). "Gastroesophageal Reflux Disease (GERD)". Mo Med. 115 (3): 214–218. PMC 6140167. PMID 30228725.
- ↑ Chang P, Friedenberg F (2014). "Obesity and GERD". Gastroenterol Clin North Am. 43 (1): 161–73. doi:10.1016/j.gtc.2013.11.009. PMC 3920303. PMID 24503366.
- ↑ Hom C, Vaezi MF (2013). "Extraesophageal manifestations of gastroesophageal reflux disease". Gastroenterol Clin North Am. 42 (1): 71–91. doi:10.1016/j.gtc.2012.11.004. PMID 23452632.
- ↑ "StatPearls". 2020. PMID 28613625.