Is there a correlation between heartburn and gas?

Link between heartburn and gas production?

In the realm of digestive health, heartburn and gas are common issues affecting a significant number of people in the United States. Here's a guide on how to manage these symptoms effectively.

Heartburn, a symptom of acid reflux, is typically characterised by burning or pain in the chest, sharp pain in the chest, and pain behind the breastbone or higher in the throat. It can be triggered by various factors, including heavy, fatty foods, spicy foods, coffee, alcohol, acidic foods like tomatoes, smoking, obesity, pregnancy, certain medications, and lying down or bending over shortly after eating.

To combat heartburn, a diet focusing on reducing acid reflux triggers, promoting digestion, and minimising gas production is advisable. This diet includes limiting fried and fatty foods, emphasising high-fibre whole grains, including legumes, and avoiding acidic and carbonated foods.

Fried and fatty foods, such as fast food, relax the esophageal sphincter and slow digestion, increasing reflux and gas risk. Instead, choose lean proteins that are baked, broiled, grilled, or air-fried with minimal oil. High-fibre whole grains, like oatmeal, brown rice, quinoa, whole-wheat pasta, and whole-grain bread, can help absorb excess stomach acid and improve esophageal sphincter function, reducing reflux symptoms.

Legumes, such as beans, lentils, and chickpeas, are low-fat, protein-rich alternatives that support digestion and reduce reflux risk. Prepare them with mild seasonings rather than spicy or tomato-based sauces to avoid irritation. Acidic foods like citrus fruits, tomatoes, and their products should be avoided as they can trigger reflux by relaxing the esophageal sphincter and increasing acidity.

To further manage heartburn, it's recommended to reduce or eliminate spicy foods, carbonated beverages, and other common reflux triggers such as chocolate, caffeine, peppermint, garlic, onion, and alcohol. Including non-acidic, minimally processed fruits and fermented foods like yogurt or kimchi can promote gut health without worsening reflux.

In addition to diet, certain lifestyle tips can help manage heartburn and gas. Eating smaller meals, maintaining a moderate weight, avoiding late meals or lying down soon after eating, and managing stress are all beneficial.

Gas, a natural part of the digestive process, is often passed several times per day through either the rectum or mouth. However, when gas becomes trapped in the digestive tract, it can cause discomfort. This can occur due to swallowing or the breakdown of food as it passes through the large intestine.

To alleviate gas, over-the-counter (OTC) antacids are available for quick relief. Simethicone, commonly known as Gas-X or Mylanta, helps break down gas in the digestive tract. Lactase supplements, such as Lactaid, and alpha-galactosidase products, such as Beano, can aid in digesting milk-based products and the carbohydrates in vegetables and beans, respectively.

In April 2020, the U.S. Food and Drug Administration (FDA) recommended the removal of all forms of prescription and OTC ranitidine (Zantac) from the U.S. market due to unacceptable levels of NDMA, a probable carcinogen. If you are taking OTC ranitidine, it's advisable to stop taking the drug and consult your healthcare provider about alternative options. For those on prescription ranitidine, it's crucial to consult your doctor about safe alternative options before stopping the drug.

In summary, a diet rich in lean proteins, fibre-dense whole grains, legumes, and non-acidic fruits while avoiding fried, fatty, spicy, acidic, and carbonated foods is most suitable for relieving frequent heartburn and gas symptoms. By adopting this diet and incorporating lifestyle changes, you can effectively manage these common digestive issues.

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