A special diet and increased use of PPIs took care of these issues, but the hernia remained. The hernia did not cause my reflux, according to my doctors. Excess acid was the problem.

Gastro-oesophageal reflux disease (GORD) is a common condition and one of the main causes of recurring indigestion. It’s caused by acid reflux, which occurs when the oesophageal sphincter fails to prevent stomach acid from moving back up into your oesophagus. The main symptom of indigestion is pain or a feeling of discomfort in your upper abdomen (dyspepsia).

Abdominal discomfort and excessive air in the stomach

You can use our food and symptoms diary below. Your GP may also feel your tummy and ask about your medical history. You don’t usually need to see a doctor about occasional indigestion.

This section of the gut is called the upper gastrointestinal tract or UGI. Inflammation there might be due to acid reflux (gastrooesophageal reflux disease, or Gord), ulcers, the effects of drugs (such as ibuprofen), bacterial infection (by HP, for example) or, rarely, a cancer. The tests will include a blood test for anaemia, stool test for HP and referral for endoscopy for a direct view. You’re more likely to have them if you’re over 50, or have developed persistent indigestion recently that is getting worse. A specific cause is rarely found, even if you have a tube threaded down your throat and into your stomach (an endoscopy) to have a good look around.

can heartburn and indigestion give pain in the ribs

I had yoghurt every day for years but just didn’t fancy eating it any more. If I did eat it, it made me feel sick. And then one day I had a really excruciating pain in my left shoulder, which I couldn’t think of anything that … well obviously it wasn’t in the shoulder. You could, I could move the shoulder. I could prod the shoulder about.

When patients are treated with antibiotics, the H. pylori and symptoms disappear. Thus, recognition of infections with Helicobacter pylori has removed some patients’ symptoms from the functional disease category. Many people are able to identify specific foods that provoke their indigestion. Despite this fact, there are few foods whose avoidance can be universally recommended since not all people with indigestion have trouble with the same foods.

There is an increased probability of detecting gastric motor abnormalities in women and possibly in those with severe postprandial fullness or severe vomiting. Many textbooks continue to propagate the myth that symptoms can accurately identify peptic ulcer disease.

can heartburn and indigestion give pain in the ribs

They’ll usually get better with lifestyle changes and antacids and alginate medicines from a pharmacy. If you have indigestion or heartburn symptoms in pregnancy, speak to your midwife, pharmacist or GP. See our FAQ on Pregnancy for more information. You may have a peptic ulcer, which is a break in the lining of your stomach or duodenum (part of your small bowel). You can get a peptic ulcer if stomach acid, which helps to digest your food, damages your stomach lining.

I have been having shortness of breath for some time. Lately I started feeling weak and faint whenever I took a deep breath. Thinking I was having a heart attack I tried to get to a doctor with no luck so my friend took me to her chiropractor. It’s difficult to pinpoint what foods bother my hernia because it seems that any food I eat brings on chest pain and/or GERD. I am living a life of agony at the moment.

An endoscopy uses a long flexible tube with a camera at the end to see inside your oesophagus and stomach. Not everyone with indigestion or heartburn needs an endoscopy. But if you’re finding it hard to swallow, or if you’re over 55 and are losing weight for no reason, your GP may refer you for an urgent endoscopy.

can heartburn and indigestion give pain in the ribs

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