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Heartburn and fatigue: any link?

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Heartburn and fatigue can be connected through conditions such as GERD and sleep apnea. Treatment options vary depending on the underlying condition, including dietary changes, medication, and weight loss. Those experiencing chronic fatigue should seek medical evaluation.

There are several possible connections between heartburn and fatigue. Some conditions such as gastroesophageal reflux disease (GERD) can cause both painful heartburn symptoms and fatigue. This condition is a “cause and effect” connection because having frequent or particularly bothersome heartburn can lead to lack of sleep and subsequent fatigue. The opposite may also be true. Those suffering from chronic fatigue may be more likely to consume caffeinated beverages such as soda or coffee, both of which can lead to heartburn.

Sleep apnea is a condition that can cause both heartburn and fatigue. It is characterized by periods during sleep when breathing stops momentarily. The person wakes up, often without realizing it, to catch their breath. These periods of wakefulness during the night can lead to unrefreshing sleep and fatigue. The ways it can contribute to heartburn aren’t fully understood, but it’s a common symptom reported by those who suffer from the condition.

Treatment for sleep apnea often includes weight loss, sleeping in a slightly upright position to improve airway flow, and possibly nasal passage surgery to open the airways. Nasal strips can also be used to treat narrow passages. Patients are also often hooked up to a machine that delivers oxygen through a face mask.

Gastroesophageal reflux disease (GERD) is another common cause of heartburn and fatigue. It is the result of food from the stomach moving up into the esophagus. This often leads to severe and long-term pain, resulting in lack of sleep and fatigue. Treatments may include dietary changes, sleeping upright so that gravity helps hold food in the stomach, and taking prescription medications. In some cases, surgery may be done on the esophageal sphincter muscles to prevent reflux.

Even disorders that cause fatigue, such as fibromyalgia or chronic fatigue syndrome, can cause both heartburn and fatigue. This is because those suffering from long-term fatigue frequently consume foods and drinks that can cause heartburn and indigestion. These include carbonated beverages such as sodas and caffeinated beverages such as coffee. They may also consume more processed foods, sweets and carbohydrates in an effort to gain more energy. This can lead to heartburn and, in turn, even more fatigue.

Treatment will depend on the underlying condition. Medications, vitamins, and exercise are all possible treatment options. Some illnesses can also cause chronic fatigue, so sufferers should see a doctor for a medical evaluation.

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