You've likely felt a burning sensation in your chest at some point, perhaps after eating too quickly or consuming something acidic. While heartburn can be a nuisance, it's usually harmless.
However, there are times when it could signal something more serious. Heartburn, or acid reflux, occurs when stomach acid and sometimes partially digested food flow back up into the oesophagus.
Your stomach is built to handle acid, but your oesophagus isn't, resulting in a burning and irritating sensation. Large, fatty or spicy meals can trigger heartburn, as can caffeine, alcohol, smoking, certain medications, and lying down shortly after eating.
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Obesity also increases the likelihood of experiencing heartburn. While over-the-counter medication and lifestyle changes can typically alleviate heartburn, there are instances when you should seek medical advice.
According to NHS guidelines, you should consult a GP if lifestyle adjustments and medicines aren't helping, if you experience heartburn most days, or if you have other symptoms such as food getting stuck in your throat, frequent vomiting, or unexplained weight loss.
In some cases, heartburn can be a symptom of oesophageal cancer, with other warning signs including difficulty swallowing, nausea or vomiting, and excessive burping.
If you're experiencing difficulty swallowing, noticeable weight loss, persistent heartburn lasting for three weeks or more, worsening symptoms of oesophageal cancer, or if your usual treatments aren't improving your digestion symptoms, it's crucial to see a GP.
Should you be vomiting for over two days, notice black or dark red faeces, or have concerns about potential symptoms of oesophageal cancer but are unsure where to seek help, it's vital to arrange an urgent GP appointment.
These symptoms are common and can be attributed to various conditions, and don't necessarily mean you have oesophageal cancer. However, it's essential to get them checked by a GP.
This is because early detection of cancer, if it is the cause, significantly improves the chances of successful treatment.
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