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cover of episode Heartburn: why it happens and what you can do

Heartburn: why it happens and what you can do

2022/12/1
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ZOE Science & Nutrition
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Dr. Will Bulsiewicz
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Jonathan Wolff和Dr. Will Bulsiewicz讨论了烧心（胃酸反流）的起因、症状和治疗方法。他们指出，烧心并非由胃酸过多引起，而是由于食道和胃之间的阀门（下食道括约肌）功能受损或胃肠蠕动异常导致胃酸逆流。症状包括胸部灼烧感、反胃、酸味、吞咽困难等。他们还讨论了质子泵抑制剂等药物的疗效和长期使用风险，强调改变饮食和生活方式（如避免辛辣食物、高脂肪食物、睡前避免进食等）对改善烧心症状的重要性。他们建议，应尽量减少对药物的依赖，并通过改善饮食和生活方式来解决根本问题，从而改善整体健康状况。 Dr. Will Bulsiewicz详细解释了烧心的生理机制，包括食道的结构和功能、下食道括约肌的作用、胃肠蠕动的协调性以及胃酸在消化过程中的作用。他强调，长期服用质子泵抑制剂等药物会降低胃酸，从而改变肠道菌群平衡，增加感染风险，并影响营养吸收。他建议，应根据自身症状调整饮食和生活方式，并结合药物治疗，以达到最佳的治疗效果。

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Heartburn, a common condition affecting nearly two in every 10 people globally, occurs when stomach acid travels back up into the esophagus, causing a burning sensation. The esophagus, a tube connecting the throat to the stomach, is not designed to handle acid, leading to irritation and potential ulcers.

Shownotes Transcript

The acid in your stomach is so powerful it can dissolve metal. Luckily, your stomach is fine-tuned to deal with its acidic fluid, but the rest of your body isn’t quite as hardy.

So, if acid escapes from your stomach and reaches your esophagus, it can cause a painful sensation in the chest — this is heartburn. It isn’t rare, with more than 1 billion people suffering from it globally. 

In today’s short episode of ZOE Science & Nutrition, Jonathan and Will ask: Why do we get heartburn, and what’s the best way to deal with it?

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Download our FREE guide — Top 10 Tips to Live Healthier: https://zoe.com/freeguide)

Studies referenced in the episode:

  • ‘Prevalence and clinical spectrum of gastroesophageal reflux: a population-based study in Olmsted County, Minnesota’ from Gastroenterology here)

  • ‘Proton-pump inhibitors and risk of fractures: an update meta-analysis’ from Osteoporos Int. here)

  • ‘Proton pump inhibitors alter the composition of the gut microbiota’ from BMJ  here)

This podcast was produced by Fascinate Productions).