What causes heartburn?
Patient: for the past week and a half i have started to get heartburn everyday for no reason i will wake up with it or be sleeping and it wakes me up or anytime during the day and i never get heaartburn ever. i am healthy active 27 year old femail i go to the gym and i dont eat fried food or food that is spicey. what can be the cause of my heartburn? Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern. You should not worry about. I will try to explain you something and give you my opinion. There are some reasons that might be responsible for hearburn.First, you should know that typical heart pains have some characteristics.They usaly are retro-sternal pains like squizzing , tightness or heaviness. They may irradiate to both arms , neck and jaw. They last from 5 to 20 minutes. Long lastig pains are not typocal heart pains, and in your age ischemic heart disease is rare.To exclude ischemic heart disease  I would recommend a cardiac echo, a full blood analyze and a strees test. Another reason of heartburn migh be a gastrointestinal problem. So you should consult a gastrohepatologyst and maybe a fibrogastroscopi.Also you have to exclude a skelectic problem doing a toracal xray.After all this we can better judge what we are dealling whith and how to treat it. Hope I was helpfull .Best regards, Dr.Ervina.