Heed the symptoms of common heartburn
That burning sensation behind the breast bone may be acid indigestion.
Acid indigestion is a condition so common that about 15 percent of people experience it once a week according to Ernest Ribera, M.D., a Mills-Peninsula gastroenterologist.
Yet, heartburn is not always something to swallow lightly, the doctor said.
"Before, people tended to reach for an antacid and dismiss the problem," he said. "But, we've learned that frequent heartburn with gastroesophageal reflux - when stomach acid or food backs up into the esophagus - can lead to inflammation and scarring of the esophagus - and sometimes even esophageal cancer."
Anyone who typically experiences heartburn twice a week or more should see their doctor about the problem, Dr. Ribera said.
"When there's evidence of esophageal irritation or inflammation, you may have gastroesophageal reflux disease (GERD), which merits daily therapy."
The good news is that today's medications are very effective in treating the condition and can be taken safely over an extended period of time, he said.
Most can be found over the counter, including H-2-receptor blockers, such as Tagamet, Pepcid and others, that reduce the production of stomach acid. Proton pump inhibitors, such as Prilosec, actually block acid production.
"That doesn't mean you should take these medications without seeing a doctor first," he advises.
A combination of medication and lifestyle changes is highly effective in treating GERD, the doctor said.
"Your doctor will advise you on lifestyle changes including limiting late-night meals and cutting back on certain foods and beverages such as coffee, alcohol, spicy foods, chocolate or peppermint.
"For people who don't respond to medications - less than 5 percent - laparoscopic surgery can be an option."
One procedure corrects a hiatal hernia in which a portion of the stomach rides above the diaphragm, Dr. Ribera said.
"Surgery will tighten the esophageal sphincter, which often is weak or overly relaxed in people with GERD."
Dr. Ribera will discuss the latest treatments for heartburn and other upper gastrointestinal troubles during "Extinguish the Fire of Heartburn and Ulcers" at the Wellness Center Oct. 26, 6:30 - 8 p.m. Admission is $12/$8 age 62+.