Is there heartburn without acid?

click fraud protection

It happens. And this is not necessarily the throwing of bile from the stomach into the esophagus. Bile is rarely thrown in. More often, there will be a reflux of normal gastric contents, but with a pH above 4. This is such a limit. That is, everything with a pH above 4 is called not acid reflux.

Now about heartburn

Traditionally, heartburn is considered a burning sensation from stomach acid, which enters the esophagus and scalds it. In fact, heartburn also occurs from non-acid reflux. And there is no need to remember the bile, which should be poured into the esophagus and eat away at it. No. This is a rarity that you can forget about. Rather, gastric contents with very little acid are poured into the esophagus.

Maybe this person ate omeprazole, or maybe just after eating, all the acid was neutralized by the food. It does not matter. What matters is that heartburn appears from scratch. That is, where there is no acid. It hurts.

It is believed that stretching of the esophagus also affects the sensation of heartburn. They say that even burping a bubble of gas can cause exactly the same heartburn.

instagram viewer

Opponents of bubbles argue that it is not just gas, but rather acidic vapor that can burn too. But all these fantasies have not yet been confirmed in either direction.

That is, in humans, gastric contents can be thrown into the esophagus and cause heartburn even in the absence of acid.

For some reason, it seemed to me that people believe either in acid or in bile. So, brothers, it's better to forget about bile. It's not about her. The point is the open gate between the stomach and the esophagus. Say hello to the surgeon!

Read my other articles about heartburn here at these links below:

Will lemon juice help with heartburn? No, it won't help. Because it's acid
For patientsDecember 10
Why heartburn increases without helicobacters
For patientsApril 2
How to deal with heartburn without medication: an update
For patientsJune 21, 2020
Instagram story viewer