Talk:Heartburn

message: This whole article is full of inaccuracies and references that do not support the claims made, notably that 'heartburn' is a symptom of IHD and that it is synonymous with GERD. It really needs to be totally rewritten — Preceding unsigned comment added by 130.56.76.63 (talk) 14:22, 16 July 2012 (UTC)
thread_title: Generally inaccurate and misleading

message: "It however may also be a symptom of ischemic heart disease so concluding that it is heartburn prematurely may lead to misdiagnosis."
This suggests that "It" i.e., heartburn, may be a symptom of something else. This, however, is probably not the intended meaning of this sentence. The intended meaning is probably that heartburn and ischemic heart disease share a common set of symptoms and hence there is risk of misdiagnosis. The current text suggests: heartburn is a symptom of ischemic heart disease.
In any case, this should be reworded to avoid such ambiguity and so that it reads better ("It however may ..." bad form, no commas.)  —Preceding unsigned comment added by 108.7.10.101 (talk) 02:34, 28 December 2010 (UTC)
thread_title: Ambiguous sentence

message: k  —Preceding unsigned comment added by 69.50.81.21 (talk) 07:06, 4 October 2007 (UTC)
thread_title: More info added

message: I'm a wikinewbie.  Maybe someone could add pregnancy as a cause of hearburn? Reference http://www.babycenter.com/refcap/pregnancy/prenatalhealth/242.html googhie 02:58, 17 October 2006 (UTC)
replies: text: Pregnancy can indeed be a cause, but let's leave that site out, it's not a reputable medical source.--Steven Fruitsmaak (Reply) 16:36, 9 November 2006 (UTC)
thread_title:  Pregnancy 

message: This article is about heartburn, which is a symptom of gastroesophageal reflux disease. Some content needs to be moved there: e.g. the disease is treated, not the symptom: treatment involves making a diagnosis and then treating the cause.--Steven Fruitsmaak (Reply) 16:40, 9 November 2006 (UTC)
thread_title:  Merge? 

message: I agree with all,Heartburn MUST not be confused with GERD,as GERD is a serious medical problem which can lead to choking and death,along with the usual sysmtoms of repeated burning of the esophagus,which if nor treated over time may cause Barrets esophagus and/or cancer.
Heartburn is usaually a sympton of over indulgence of rich food etc,and happens to a person on a realatively occasions basis,not constantly everyday.
NO it should not be merged with the trifling but annoying heartburn with the serious condition of reflux disease,S.W.R 
Heartburn should not be merged with GERD as GERD is a more serious condition that generally requires some form of medical treatment or the condition will worsen and can cause permanent damage to the esophogus. Although Heart burn is a sign and/or symptom of GERD, people with heartburn may not always have GERD; and thus do not need to be overconcerned they have some serious medical condition.
Bellamorbida 20:08, 16 November 2006 (UTC)
replies: text: Heartburn is actually a sufficient symptom to diagnose GERD.--Doc James (talk · contribs · email) 18:03, 20 January 2009 (UTC)
replies: text: "Heartburn" is not. Many people that are nowhere near consideration for GERD experience heartburn. A certain degree of frequency would be necessary (ie. "often" is sufficient). Maybe I'm just being picky with your language, but it is definitely very important to note that one case of heartburn is not sufficient. By the way, I agree that a merge is a bad idea, it would be like merging "headache" with "brain tumor." Perhaps "frequent headaches" is not sufficient to diagnose a brain tumor, but I'm sure you can understand where I'm coming from. Anonabyss [ Talk ][ Contribs ]  19:58, 19 February 2009 (UTC)
thread_title:  Merge? 

message: Please consider adding the National Heartburn Alliance (www.heartburnalliance.org) to your content references and/or the list of resources linked.  The site contains a wealth of information written and edited by published academics who are leaders in the GI field (see "about the Board" for information). The site is referenced by the National Institutes of Health online. The site does not link to product sites, but does contain online screener tools that can direct sufferers to the appropriate lifestyle changes and medication options based on the frequency and severity of their symptoms. The site does not contain information on GERD. While I know Wikipedia isn't meant to be a clearinghouse for web links, I believe readers will find the information listed on the site to be helpful. Thank you for considering this information source.  Feel free to e-mail us at nhbainformation@heartburnalliance.org for more info or to speak with any of the Board members. —The preceding unsigned comment was added by 63.115.255.28 (talk • contribs).
==== Diagnosis ====
Because the symptoms of angina might mimic those of indigestion,PubMed abstract from Snape, WJ Jr., “Managing the patient with atypical chest pain” (cited in http://www.epage.ch/Chest_pain.html) perhaps the focus of diagnosis should be to rule out cardiac causes of the symptoms, rather than to confirm heartburn?
____________________________________
69.140.152.55 (talk) 14:12, 31 May 2008 (UTC)
thread_title:  Information resource 

message: Because the symptoms of angina might mimic those of indigestion,PubMed abstract from Snape, WJ Jr., “Managing the patient with atypical chest pain” (cited in http://www.epage.ch/Chest_pain.html) perhaps the focus of diagnosis should be to rule out cardiac causes of the symptoms, rather than to confirm heartburn?
____________________________________
69.140.152.55 (talk) 14:12, 31 May 2008 (UTC)
thread_title:  Diagnosis 

message: This article desperately needs:
* a diagram showing where heartburn typically and atypically occurs, superposed on a male and female chest
* a clearer description of what heartburn feels like -- and entire section dedicated to describing it and showing what's going on from an anatomical point of view with pictures  —Preceding unsigned comment added by 18.187.0.86 (talk) 21:51, 4 July 2008 (UTC)
thread_title:  Please improve article! 

message: Have suggested we merge this article with GERD. --Doc James (talk · contribs · email) 18:21, 20 January 2009 (UTC)
replies: text: Have realized that merging is a bad idea.  Heartburn is a symptom,  GERD is a disease.  Page needs to be written to reflect this.Doc James (talk · contribs · email) 23:05, 20 April 2010 (UTC)
thread_title:  Merge 

message: The following (almost verbatim) has been inserted into the article a total of seven times over the past three months:
Popular natural remedies include aloe vera juice, apple cider vinegar, and marshmallow root tea.
Sometimes the text is sourced to altmedicine.about.com (not a good source for a medical article, per WP:MEDRS), and sometimes it is completely unsourced. Each addition has been made by the same editor - User:Sdm9093. I have reverted these additions, with my edit summaries indicating the lack of reliable (or, in some cases, any) sources. The edits adding the text back have generally been without edit summaries. Since the pace of these additions has now stepped up (there have been two today), I thought it best to discuss here. 
Unsourced or poorly sourced claims should not be added to this (or any) article. If there's a reason why this text is repeatedly added back with no commentary or discussion, now would be a good time to discuss.
So, what's the rationale for why this should be included? Is the only source altmedicine.about.com? If so, why do you feel that is a reliable source for a medical article, given both the policies at WP:RS and the guidelines at WP:MEDRS which seem to say otherwise? -- Transity(talk • contribs) 19:07, 22 September 2009 (UTC)
replies: text: It appears that User:Sdm9093 has now added the same text back as an IP user User:64.62.15.158. Again, I urge you to discuss this instead of edit warring. -- Transity(talk • contribs) 20:03, 22 September 2009 (UTC)
replies: text: I'll go ahead and remove it again, then. If you want to re-add it, please discuss here before doing so. Thanks. -- Transity(talk • contribs) 13:01, 25 September 2009 (UTC)
thread_title:  Addition of unsourced or poorly sourced claims 

message: Gastric reflux should redirect here rather than to the chronic disease.  —Preceding unsigned comment added by Kadhumia flo (talk • contribs) 14:33, 23 November 2009 (UTC)
replies: text: Gastric reflux is a disease this is about a symptom.Doc James (talk · contribs · email) 23:06, 20 April 2010 (UTC)
thread_title:  Gastric reflux should redirect here 

message: This page needs to be rewritten.  It is presented as a disease rather than as a symptom.  Heart burn can sometime represent an MI at which antacids are not the best treatment.  GERD is the disease.  Heart burn is a type of chest pain.  Will work on conveying this distinction over the next week or so. Doc James (talk · contribs · email) 22:35, 20 April 2010 (UTC)
thread_title: Rewrite

message: This is complicated.  90% of the literature using heart burn interchangeably with GERD.  I feel that we should keep them seperate with this being the symptom the other being the disease.  This however makes finding good references hard.Doc James (talk · contribs · email) 03:52, 21 April 2010 (UTC)
thread_title: How should we organize this topic area?

message: As previously mentioned by others on this page, this article would definitely benefit from the addition of images. Sources for possible images to include are listed here. As far as I can tell, these are in the public domain and do not have copyright restrictions, but someone with more experience in that area should confirm this before adding them to the article.
*http://www.megahowto.com/wp-content/uploads/2010/02/Heartburn.gif
*http://treatheartburn.org/wp-content/uploads/2009/09/Cause-of-Heartburn.jpg
*http://www.riversideonline.com/source/images/image_popup/r7_heartburn.jpg
BSW-RMH (talk) 15:52, 18 May 2010 (UTC)
replies: text: All of these images pertain to gastric reflux.  This is about a symptoms that is not necessarily cause by reflux this I do not think these images are appropriate. Doc James (talk · contribs · email) 16:47, 18 May 2010 (UTC)
replies: text: Heartburn is the burning chest pain most commonly caused by gastric reflux. With that note, they seem apprpriate to me. Do you have other suggestions of images?BSW-RMH (talk) 16:56, 18 May 2010 (UTC)
replies: text: Heartburn is the burning sensation in the chest not nessacarily cause by gastric reflux.  This paper states "Atypical symptoms such as heartburn, dull pain, and fatigue or symptoms that were intermittent in nature increased delay time" to be seen for an MI.    Thus it is a symptoms and there are other causes other than gastric reflux. Doc James (talk · contribs · email) 17:04, 18 May 2010 (UTC)
replies: text: Right, I revised that comment to say it is the most common cause. There are other less common cause, perhaps, but then again it may be a matter of opinion if the chest pains associated with non-gastric reflux causes would be necessarily be categorized as 'heartburn'. I'll try to find some primary research references that resolve this issue for us. BSW-RMH (talk) 17:09, 18 May 2010 (UTC)
replies: text: WebMD's site on heartburn is well-worded in regards to the issue of differentiating heartburn and the chest pain associated with MI. (http://www.webmd.com/heartburn-gerd/tc/heartburn-topic-overview) We are going to be hard-pressed to find primary research articles discussing the sematics of the term 'heartburn'. BSW-RMH (talk) 21:23, 18 May 2010 (UTC)
thread_title: Images

message: I recommend against merging with GERD, which is a frequent topic of discussion for this article. GERD is the frequent or chronic occurence of heartburn due to gastric reflux that can lead to serious complications and is characterized by esophageal erosion.  One can experience heartburn without having GERD.  This is well-phrased by the Mayo Clinic page of heartburn, "Heartburn that occurs frequently and interferes with your routine is considered gastroesophageal reflux disease (GERD)."
*http://www.mayoclinic.com/health/heartburn-gerd/DS00095/DSECTION=complications
BSW-RMH (talk) 15:52, 18 May 2010 (UTC)
replies: text: Would prefer to stick with peer reviewed review articles rather than using the mayo clinic which is not necessarily evidence based or peer reviewed.Doc James (talk · contribs · email) 16:48, 18 May 2010 (UTC)
replies: text: The Mayo clinic is a reliable source of basic medical information such as signs and symptoms, as is MedlinePlus. I will add some additional textbook sources as time permits, or perhaps you can recommend some. BSW-RMH (talk) 16:59, 18 May 2010 (UTC)
thread_title: Merging

message: This section needs to be rewritten based on editor consensus. I recommend that the definition be written as follows to focus on the most common usage of this term (for the public and for gastroenterology clinicians and researchers) to mean a burning sensation in the chest caused by reflux of stomach acid into the esophagus, with mention of other uses. Other uses include referring non-specfically to any burning sensation in the chest, which may be experienced or reported by patients experiencing chest pain caused by other conditions such as heart attacks and and other acute coronary syndromes, gall stone attacks, esophageal attacks. 
BSW-RMH (talk) 18:07, 18 May 2010 (UTC)
thread_title: Definition

message: Rewritten.
BSW-RMH (talk) 17:00, 18 May 2010 (UTC)
thread_title: Differential Diagnosis

message: An expanded summary of an Upper GI Series would be useful.
BSW-RMH (talk) 19:35, 18 May 2010 (UTC)
thread_title: Diagnostic approach

message: A few other cause of heartburn include function heartburn.  Per uptodate "it is highly likely that functional heartburn represents a heterogeneous group of patients with different physiological mechanisms for their symptoms." ie not acid reflux related.Doc James (talk · contribs · email) 18:22, 18 May 2010 (UTC)
replies: text: Functional heartburn (FH) refers to heartburn that does not respod to PPI or other heartburn-prevention medications. It is still not clear if FH represents a distinct condition were gastric reflux does not occur, or if it is just misdiagnosed NERD (heartburn caused by gastric reflux but without the esophageal erosion characteristic of GERD). BSW-RMH (talk) 18:52, 18 May 2010 (UTC)
replies: text: This is all correct information. Let me try to clear this up. Heartburn (as I am recommending defining it and as it is used in the references we are discussing) is caused by acid backing up into the esophagus: this results from metabolic or functional disorders (GERD, NERD, etc.), OR from dyspepsia (upset stomach). Functional heartburn is a newer term that is still in debate as to whether it exists as a distinct disorder (right now it is classification of symptoms and negative diagnostic tests) or is misdiagnosed NERD (the reference you provided is the best evidence that it is not NERD) or misdiagnosed dyspepsia (the reference you provided does not control for this, see discussion in: Hershcovici T, Fass R. GERD: are functional heartburn and functional dyspepsia one disorder? Nat Rev Gastroenterol Hepatol. (2010);7(2):71-2. PMID: 20134484). Considering there is not yet a consensus in the field on the etiology of FH, I don't think we should include it yet. BSW-RMH (talk) 20:07, 18 May 2010 (UTC)
replies: text: Neither gastitis, functional heartburn or myocardial ischemia are cause by acid backing up.  GERD and NERD are yes but they are not functional disorders per the ROME 111 criteria. But let see what others think.Doc James (talk · contribs · email) 21:50, 18 May 2010 (UTC)
replies: text: Yes, please-more input needed-no progress can be made until a consensus is reached. BSW-RMH (talk) 22:11, 18 May 2010 (UTC)
thread_title: Other cause of heartburn

message: The question is should heart burn mean "burning in ones chest from any cause" or "burning in ones chest from acid reflux".Doc James (talk · contribs · email) 03:13, 19 May 2010 (UTC)
replies: text: I don't know much about heartburn, but I'm tentatively with Scray:  I think that 'any cause' is appropriate and likely to be what our readers expect to find on this page.  Acid reflux might be the most important cause (and therefore should dominate the page), but I wouldn't want to exclude at least a brief mention of other causes.  WhatamIdoing (talk) 03:38, 23 May 2010 (UTC)
replies: text: Just a note: the article is currently written as 'heartburn the disease'-other causes of similar burning chest pain that can sometimes be mistaken for acid reflux (such as heart attack) are mentioned as sharing the symptom of burning chest pain. DocJames would like it rewritten as heartburn being a symptom of many diseases, rather than a disease itself. Perhaps there needs to be a disambiguation page for heartburn(disease) vs. heartburn(symptom)?BSW-RMH (talk) 14:43, 23 May 2010 (UTC)
replies: text: I am not convinced that heartburn is a disease.  It is a symptoms yes.  Diseases would include GERD, gastritis etc.  It is currently written as a symptom per WP:MEDMOS.  Further evidence to support my position include the ICD10 criteria  here which describes heart burn as a "Symptoms and signs involving the digestive system and abdomen" and not as a disease. Doc James (talk · contribs · email) 
18:40, 23 May 2010 (UTC)
replies: text: I agree with the perspectives of Scray and WhatamIdoing, which I will attempt to summarize here. It appears that the consensus is that most people will come to the page either looking for information on heartburn as a 'syndrome or condition' caused by gastric/acid reflux, a common meaning, OR information on the symptom of heartburn/burning chest pain. Thus the article should be written to cover all meanings, with a focus on the heartburn 'syndrome/condition' caused by gastric/acid reflux (GERD or indigestion etc.) being the most common cause of heartburn/burning chest pain. It appears that we now have three editors (BSW-RMH, Scray, WhatamIdoing) that support this consensus. Any clarifications? DocJames, how does this sound to you? It would great to move forward with the needed changes to get this article to GA status, because it is a high priority article. BSW-RMH (talk) 17:27, 26 May 2010 (UTC)
thread_title: The question

message: So what?
--178.108.246.141 (talk) 23:05, 30 March 2011 (UTC)
thread_title:  About 42% of the United States population have had heartburn at some point. 

message: Or basically the same. Thus propose a merge. Doc James (talk · contribs · email) 23:59, 23 February 2015 (UTC)
replies: text: Indigestion is wider term. Therefore remove this proposal. Doc James (talk · contribs · email) 09:17, 21 June 2015 (UTC)
replies: text: Not that I'm contributing anything here, but dyspepsia is abdominal pain and heartburn chest discomfort. The equivalent classic term for heartburn would be pyrosis -- Samir 05:43, 7 October 2015 (UTC)
thread_title: Heartburn and [[dyspepsia]]

message: The redirect Agita has been listed at redirects for discussion to determine whether its use and function meets the redirect guidelines. Readers of this page are welcome to comment on this redirect at  until a consensus is reached.  WPscatter t/c 20:35, 28 May 2023 (UTC)
thread_title:  "[[:Agita]]" listed at [[Wikipedia:Redirects for discussion|Redirects for discussion]] 

message: — Assignment last updated by PharmD2026 (talk) 03:38, 14 April 2024 (UTC)
replies: text: Hello,
I will be adding sources to a few areas that have [citation needed] and also some behavioral/lifestyle modifications --PharmD2026 (talk) 20:10, 14 April 2024 (UTC)
thread_title: Wiki Education assignment: PHMD 2040 Service - Learning Fall 2023