Should I see a doctor: Heartburn

Many of us love an extra-spicy meal from time to time … but maybe not the feeling after. As the heartburn hits, so does the regret of upping that spice level.

But when does heartburn change from a temporary annoyance over one meal to something more serious?

What’s ‘normal’

Almost everyone will experience heartburn at least once in their lifetimes, although it’s most common in people over the age of 40.

Heartburn is caused by acidic fluid moving up from the stomach into the esophagus instead of down through the body as it should. Things like a full stomach, acidic food or drink, lying down after eating, pregnancy, weight gain or certain medications could cause short-term heartburn.

For most people, avoiding triggers or neutralizing acid with antacids should prevent or quickly relieve heartburn when it can’t be avoided. Experiencing heartburn once or twice a week is OK to treat at home and shouldn’t raise any red flags.

What’s ‘not normal’

If your heartburn continues even with lifestyle changes, including diet and exercise, or acid-reducing medication, consult your doctor or other health care provider. Anything more than twice a week — but especially if you experience heartburn after meals — should be a sign to see your provider.

Some people may discover that their heartburn has an anatomical cause, such as a hiatal hernia — where the opening through the diaphragm is too loose.

How to care for your condition

• Know your triggers. Track when your heartburn occurs and potential causes to reduce/eliminate.
• Try oral antacids if you’re experiencing occasional heartburn. They should not be used daily, though, because of their calcium levels.
• Chew food slowly and thoroughly and drink plenty of water.
• Wait at least two hours after eating before lying down.
• Set supportive goals around your stress or weight.

When in doubt, don’t ignore symptoms. Long-term symptoms can do permanent damage to the esophagus and increase the risk for cancer.

Medical review provided for this piece by David Cline, MD, internal medicine provider at MultiCare Maple Valley Clinic.