Heartburn is a painful, burning sensation in the chest or throat, typically caused by stomach acid backing up into the esophagus. This "deep" dive into the condition covers its physiological mechanisms, variations, and critical distinctions from more serious health issues. Physiological Mechanisms
: Patients have typical symptoms but no visible esophageal damage during an endoscopy. HEART BURN
The primary cause is gastroesophageal reflux (GER), where stomach contents regurgitate into the esophagus. Heartburn is a painful, burning sensation in the
: Brain imaging shows that perceived heartburn involves activated cortical regions in the sensory, motor, and prefrontal areas, with GERD patients showing more rapid and intense brain activity than healthy individuals. Functional vs. Erosive Heartburn Not all heartburn is caused by visible physical damage. The primary cause is gastroesophageal reflux (GER), where
: Unlike the stomach, the esophagus lacks a protective lining against acid and pepsin. Chronic exposure damages the mucosa and submucosa, triggering pain through deep-seated sensory nerves.
: Normally, the lower esophageal sphincter (LES) acts as a seal. If this muscle becomes loose or relaxes inappropriately, acid can leak through.