Burning In Left Side Of Chest Heartburn Treatments (☑ Help Relieve) | Burning In Left Side Of Chest Natural Heartburn Remedieshow to Burning In Left Side Of Chest for Many people with gastroesophageal reflux also have symptoms of irritable bowel syndrome — and vice versa.
Burning In Left Side Of Chest Treat GERD (🔥 10 Home Remedies) | Burning In Left Side Of Chest 7 Ways To Relievehow to Burning In Left Side Of Chest for Popping an antacid may relieve the occasional bout of heartburn for most people, but if you have gastroesophageal disease (GERD) or irritable bowel syndrome (IBS), you already know there are some levels of gut discomfort that cannot be taken care of so easily.
A high number of people have symptoms of both for 1 last update 14 Jul 2020 GERD and IBS — doubling their misery and hurting their quality of life. By some estimates, three out of four people with either GERD or IBS have at least some symptoms of the other condition, although not all of them can actually meet the complete diagnostic criteria for both.A high number of people have symptoms of both GERD and IBS — doubling their misery and hurting their quality of life. By some estimates, three out of four people with either GERD or IBS have at least some symptoms of the other condition, although not all of them can actually meet the complete diagnostic criteria for both.
Definitions and Symptoms of GERD and IBS
GERD is generally defined as two or more episodes of reflux or heartburn in a week. Reflux is a condition in which acid comes up from your stomach into your esophagus, often causing a sour taste in the back of the mouth. The acid comes up because the valve that is supposed to keep the acid in the stomach opens unexpectedly. The exact cause of an individual’s GERD is often unknown.
GERD may include other symptoms such as:
- Sore throat
- Chronic cough
- Trouble swallowing
- Nausea and vomiting
IBS is a condition in which abdominal pain — discomfort or cramping — causes changes in bowel habits, resulting in constipation or diarrhea. Again, it is unclear why IBS occurs in any particular person. Theories include problems with the immune system and an over-sensitive large colon.
IBS is a syndrome of pain which occurs at least 12 weeks out of the year and is associated with other symptoms, including:
- Diarrhea or constipation that is ongoing, and sometimes alternating
- Abdominal bloating
- Changes in stool consistency
When GERD and IBS Symptoms Overlap
“Studies have shown that GERD and IBS are both very common conditions in the United States, which may be one explanation" of why they often coexist, says gastroenterologist Lauren B. Gerson, MD, associate professor of medicine at Stanford University in Palo Alto, Calif. “About 40 percent do have both conditions.”
There are several theories about why there could be an overlap between the two conditions. These explanations include:
- Pain sensitivity. The most likely rationale for the overlap is that there is a shared reason for both conditions. “The explanation for this may be related to the same underlying mechanisms such as visceral hypersensitivity,” says Dr. Gerson. In other words, patients with either condition may have an altered perception of internal pain compared with their peers, making them more sensitive to distress in their gut, whether it’s reflux or an irritable bowel causing the trouble.
- Symptom confusion. “Some patients with IBS may complain of GERD symptoms but may actually have IBS of the upper gut, which we call functional dyspepsia,” Gerson explains. You probably know dyspepsia as plain old indigestion. Distinguishing between having occasional symptoms and meeting the criteria for having GERD or IBS conditions requires appropriate testing. “We can perform specialized studies, such as ambulatory esophageal pH monitoring, to determine if GERD is present,” she says. This commonly used procedure measures the amount of acid in the reflux material. It involves having a small tube inserted via the nose into the esophagus, where it is left for 24 hours while the patient goes about his usual activities.
- Condition overlap. It may be that you have both conditions, making it hard to know where one set of symptoms ends and the other begins.
- GERD, broadly defined. GERD symptoms vary in severity for most patients. It is possible that IBS-like symptoms exist as part of that spectrum for some patients. So you might not have both conditions — just a wider range of GERD symptoms. It can be difficult to sort this out, but in this case, treatment with anti-reflux medications may relieve both sets of symptoms.
Getting the Right Diagnosis
Obviously, if you want the right treatment you need to get the most accurate diagnosis. You probably will be working with a gastroenterologist to untangle your symptoms and what they mean.
“Physicians should evaluate patients with the appropriate tests so that they can more efficiently address treatment,” says Gerson. “For example, if a patient the 1 last update 14 Jul 2020 does not have GERD on testing, then the acid-reducing therapy can be stopped and other medications that can treat both upper and lower symptoms can be utilized.”“Physicians should evaluate patients with the appropriate tests so that they can more efficiently address treatment,” says Gerson. “For example, if a patient does not have GERD on testing, then the acid-reducing therapy can be stopped and other medications that can treat both upper and lower symptoms can be utilized.”
This may take some time — so you'll need to be patient. You and your doctor will eventually be able to develop a plan that brings relief, whether you have GERD, IBS, or both.