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7 ways to get heartburn relief

 


Functional dyspepsia is no fun. Maybe you've just eaten or finished a meal an hour or so ago — and now your stomach just doesn't "feel right." You feel bloated and uncomfortable. Or maybe it's more of a burning sensation. Maybe you feel queasy, or even throw up. You might say you have an "upset stomach" or indigestion. If there is no known medical cause for your symptoms, your doctor would call it "dyspepsia" or "bad digestion."

Functional dyspepsia

Indigestion is real. The medical term for persistent upper abdominal pain or discomfort without an identifiable medical cause is functional dyspepsia. The symptoms can come and go at any time, but often eating is the trigger. Sometimes the discomfort begins during the meal; other times, about half an hour later.

If you suffer from functional dyspepsia, you're not alone. Roughly 25% of the population is affected, and it hits men and women equally. It's responsible for a significant percentage of visits to primary care doctors, in part because many people worry they might have an ulcer. While it's frustrating that the cause of functional dyspepsia is unknown, it's even more frustrating that there is no surefire cure.

Heartburn and indigestion relief

The good news is that there are simple things you can try to help relieve your functional dyspepsia symptoms:

  1. Avoid foods that trigger your symptoms.
  2. Eat small portions and don't overeat; try eating smaller, more frequent meals throughout the day, and be sure to chew food slowly and completely.
  3. Avoid activities that result in swallowing excess air, such as smoking, eating quickly, chewing gum, and drinking carbonated beverages.
  4. Reduce your stress. Try relaxation therapies, cognitive behavioral therapy, or exercise. An aerobic workout 3-5 times per week can help, but don't exercise right after eating.
  5. Get enough rest.
  6. Don't lie down within two hours of eating.
  7. Keep your weight under control.

For more on diagnosing and treating indigestion, read The Sensitive Gut, a Special Health Report from Harvard Medical School.

Save your skin from cancer

Rates of the two most common skin cancers have more than doubled over the past decade. Here's how to protect yourself.

When it comes to skin cancer, there's good news and bad news. First, the bad news. A report published in the June 2017 Mayo Clinic Proceedings found that cases of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) skin cancers have risen 263% and 145%, respectively, over the past decade.

The good news? BCC and SCC are rarely life-threatening and they're usually easy to treat if they're caught early. Plus, there are simple ways to prevent them.

Is coffee harmful to my health?

Ask the doctors

Q. I recently read about the decision by the state of California to require cancer warnings on coffee. I drink a cup a day. Should I be concerned?

A. The recent decision by a California judge to require cancer warning labels on coffee stemmed from concerns about a specific substance found in coffee, acrylamide, which is a chemical that is produced when coffee is roasted. Coffee isn't the only food or beverage that contains acrylamide. Acrylamide is produced during the high-temperature cooking process used for numerous common foods, including cookies, crackers, and potato chips, according to the American Cancer Society (ACS). But before you panic, while there definitely is acrylamide in coffee, scientists have yet to conclusively prove that this chemical causes cancer, according to the ACS. Most of the research on humans hasn't found any increased risk of cancer in people who eat foods containing acrylamide. Other studies looking at specific types of cancers have produced mixed results but found no conclusive links, according to the ACS. In addition, there is evidence that drinking coffee can bring some health benefits, such as reductions in the risks for stroke and liver disease. A 2015 study in Circulation also found that moderate coffee drinkers (defined as those having less than five cups a day) had lower risks for heart disease and neurological disease, according to the American Heart Association. So, the final message is this: if you are healthy and drink coffee moderately, there is no evidence that it's going to raise your risk of developing cancer.

Drinking alcohol may increase levels of harmful mouth bacteria

Research we're watching

There's a lot of buzz these days about how gut bacteria affect your health, but those might not be the only body microbes that matter. The population of bacteria in your mouth may also play a role in your risk of various diseases. And researchers recently found that alcohol consumption could influence your oral bacteria.

A study published online April 23 by Microbiome found that people who had one or more alcoholic drinks a day had more harmful bacteria in their mouths than nondrinkers. The researchers found types of bacteria that have been linked to gum disease, cancer, and heart disease.

What is a leaky gut?

In recent years, scientists have discovered that the inner lining of the intestine can become leaky, and allow toxins from microbes (and, sometimes, the microbes themselves) to get into the bloodstream. This can cause inflammation.

Enough vitamin D may protect against some cancers

In the journals

Having a low blood level of vitamin D may be linked to a higher risk of developing some cancers, suggests a study published online March 7, 2018, by The BMJ. However, taking extra vitamin D to raise already normal levels does not appear to offer more protection.

Vitamin D is made by the skin from sunlight exposure and can also be obtained through fortified foods like cereal and milk, as well as from supplements. Researchers analyzed data from the Japan Public Health Center–based Prospective Study, involving 33,736 people ages 40 to 69. The people gave blood samples and were classed into four groups, ranging from the lowest to highest levels of vitamin D. They were then monitored for an average of 16 years, during which time 3,301 new cases of cancer were recorded among the participants.

How can I treat stubborn hiccups?

Ask the doctor


 Image: © colorcocktail/Getty Images

Q. Home remedies aren't stopping my hiccups. Is there something my doctor can prescribe to help?

A. In the May 2018 issue, I answered a question about hiccups, saying they are common but typically short-lived, and that simple home remedies often can end them. However, I ran out of space to say something about treatments for the very unusual cases of hiccups that don't respond to simple treatments.

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