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Pyrosis

Heartburn


Presentation

  • A 46-year-old man presented to the Center for Voice and Swallowing with symptoms of globus, pyrosis, and solid-food dysphagia. ***[finedictionary.com]
  • Antibiotics are used if H. pylori is present. About 42% of the United States population has had heartburn at some point.[en.wikipedia.org]
  • The manometric abnormalities may be present when the symptom is not, and the symptom may be present without the manometric abnormality.).[web.archive.org]
  • Most data are obtained from selected samples derived from patients presenting to health care providers. As part of a larger international effort (The DIGEST study), we...[connection.ebscohost.com]
  • We aimed to determine the predisposition effect of heartburn during pregnancy for presenting with GERD in the future.[fmcdinan.org]
Chest Discomfort
  • In a group of people presenting to a hospital with GERD symptoms, 0.6% may be due to ischemic heart disease.As many as 30% of chest pain patients undergoing cardiac catheterization have findings which do not account for their chest discomfort, and are[en.wikipedia.org]
  • As many as 30% of chest pain patients undergoing cardiac catheterization have findings which do not account for their chest discomfort (21), and are often defined as having "atypical chest pain" or chest pain of undetermined origin.[web.archive.org]
  • A clinically relevant classification of chest discomfort. J Am Coll Cardiol . 1983;1:574-5756826969 Google Scholar Crossref 50. Diercks DB, Boghos E, Guzman H. et al.[doi.org]
Congestive Heart Failure
  • heart failure, high blood pressure, or kidney problems.[heartburn.com]
  • Sodium bicarbonate has high sodium content and is not appropriate for people who are on salt restricted diets or have congestive heart failure, high blood pressure, or kidney problems.[web.archive.org]
Waterbrash
  • […] sensation, usually associated with regurgitation of gastric juice into the esophagus 787.1 Excludes dyspepsia or indigestion ( 536.8 ) ICD-9-CM Volume 2 Index entries containing back-references to 787.1 : Brash (water) 787.1 Heartburn 787.1 Pyrosis 787.1 Waterbrash[icd9data.com]
  • Functional dyspepsia 2016 2017 2018 2019 Billable/Specific Code Type 1 Excludes dyspepsia NOS ( R10.13 ) heartburn ( R12 ) nervous dyspepsia ( F45.8 ) neurotic dyspepsia ( F45.8 ) psychogenic dyspepsia ( F45.8 ) Brash R12 (water) Heartburn R12 Pyrosis R12 Waterbrash[icd10data.com]
Heart Failure
  • failure, high blood pressure, or kidney problems.[heartburn.com]
  • Sodium bicarbonate has high sodium content and is not appropriate for people who are on salt restricted diets or have congestive heart failure, high blood pressure, or kidney problems.[web.archive.org]

Workup

Esophageal Motility Disorder
  • The diagnosis is one of elimination, based upon the Rome III criteria: 1) burning retrosternal discomfort; 2) elimination of heart attack and GERD as the cause; and 3) no esophageal motility disorders.[en.wikipedia.org]
  • Although a high percentage of patients with noncardiac chest pain will have esophageal manometric abnormalities (such as "nutcracker esophagus", nonspecific esophageal motility disorders, or diffuse esophageal spasm) (41), these findings are usually not[web.archive.org]

Treatment

  • This review focuses on the role of the primary care provider in the diagnosis and treatment of heartburn.[ncbi.nlm.nih.gov]
  • Scope: This review focuses on the role of the primary care provider in the diagnosis and treatment of heartburn.[doi.org]
  • Treatment is still a challenge, and patients should be started with PPI treatment. In non-responders, escalation of the PPI dose could be attempted and, if unsuccessful, pain modulators should be prescribed.[ncbi.nlm.nih.gov]
  • Overall tolerance was excellent and side effects (diarrhoea 7 cases, nauseas 5 cases and constipation 1 case) were few and transient and 84.2% of the patients expressed a clear preference for Almax over their previous antacid treatment.[ncbi.nlm.nih.gov]
  • […] delayed gastric emptying) · Effect of sleep on gastric and esophageal function · Conventional and novel treatments of IBS including behavioral treatments · Diagnosing causes and treating constipation and uncontrollable sphincter dysfunction · Diagnosing[ram-dickman.info]

Prognosis

  • Long-term prognosis of patients with anginalike chest pain and normal coronary angiographic findings. J Am Coll Cardiol . 1995; 25 :1013-1018. 19. Pope JH , Ruthazer R, Beshansky JR, Griffith JL, Selker HP.[doi.org]
  • Incidence and prognosis of unrecognized myocardial infarction: an update on the Framingham study. N Engl J Med . 1984;311:1144-11476482932 Google Scholar Crossref 18. Gupta M, Tabas JA, Kohn MA.[doi.org]

Etiology

  • The etiology of functional heartburn remains unknown. Most patients, however, demonstrate esophageal hypersensitivity. Functional heartburn has been identified as the main cause for proton pump inhibitor (PPI) failure in patients with heartburn.[ncbi.nlm.nih.gov]
  • Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'.[icd10data.com]
  • Although chest-wall tenderness is technically part of the physical examination, not the medical history, several studies have demonstrated that it suggests a non-ACS etiology. 2, 3, 14, 25 Exercise.[doi.org]
  • Patients with otolaryngologic symptoms must undergo an examination of the larynx and pharynx to exclude infectious or neoplastic etiology before referral for evaluation of possible GERD.[web.archive.org]

Epidemiology

  • Epidemiology Heartburn and regurgitation clearly are exceedingly common symptoms. Approximately 7-10% of Americans experience heartburn every day and 40% every month (9, 10).[web.archive.org]
Sex distribution
Age distribution

Pathophysiology

  • Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2006:115. Lee RA. Anxiety. In: Rakel D. Integrative Medicine. 2nd ed.[web.archive.org]
  • As heartburn and regurgitation rarely cause hospital admission or death, most epidemiologic data concerning these symptoms are obtained by questionnaire studies with their inherent inaccuracies. 3.0 Pathophysiology The pathophysiology of GERD is complex[web.archive.org]
  • Definition, classification, and pathophysiology of acute coronary ischemic syndromes. Emerg Med Clin North Am . 2001; 19 :259-267. 21. Liuzzo JP , Ambrose JA, Diggs P.[doi.org]

Prevention

  • Tips for Preventing Pyrosis After an overview of treatment options for pyrosis, here are some tips that can help you prevent the condition from recurring: As much as possible, avoid the consumption or excessive intake of foods that can trigger pyrosis[medlicker.com]
  • Several preventive measures can be adopted to help an individual reduce pyrosis attacks.[heartburnbay.com]
  • Sleeping with the head higher than the stomach helps prevent digested food from backing up into the esophagus. Place books, bricks, or blocks under the legs at the head of your bed. You can also use a wedge-shaped pillow under your mattress.[nlm.nih.gov]
  • If this does not help your doctor may prescribe some medicine to prevent pyrosis, such as antacids or proton pump inhibitors (e.g. medication lowering stomach acid).[medlicker.com]
  • This barrier helps prevent stomach acid from moving up into your esophagus. The calcium carbonate works to neutralize the stomach acid that pushes through the barrier and into your esophagus.[web.archive.org]

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