Heartburn

Abstract

Heartburn generally results from reflux of acid gastric contents into the esophagus and is the most common symptom of hiatal hernia. Evaluation of patients with heartburn includes a detailed history to determine the relationship of pain to eating habits and postural changes, barium study and cine fluoroscopy, acid perfusion, and monitoring of pressure in the distal esophagus. Treatment comprises diet, weight reduction, use of antacids, anticholinergics and topical anesthetics, and elevation of the head of the bed.