Heartburn causes: Difference between revisions

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Revision as of 15:59, 24 February 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.

Overview

Heart is commonly caused by sources of acid reflux, including adverse reactions with various food and drugs. Esophageal and gastrointestinal cancer are potentially life threatening causes of heartburn and require prompt diagnosis and management.

Causes

Life Threatening Causes

Common Causes

Causes by Organ System

Cardiovascular	Celiac artery stenosis , Diffuse systemic sclerosi , Nocturnal heartburn , Pylephlebitis
Chemical/Poisoning	1,2-dibromo-3-chloropropane , Acid regurgitation, Alcohol, Aromatic amino acid decarboxylase deficiency , Callistin shellfish poisoning , Citrus fruit, Copper toxicity , Niacin toxicity , Nickel carbonyl , Pollen food allergy syndrome , Pyresmethrin , Silafluofen , Smoking, Sodas , Sulfite , Tobacco products , Tomatoes , Vinyl choride
Dental	No underlying causes
Dermatologic	Scleroderma
Drug Side Effect	Acrinathrin , Alpha-cypermethrin , Amines , Barthrin , Beta-cyfluthrin , Beta-cypermethrin , Bifenthrin , Bioallethrin , Bioehtanomethrin , Biopermethrin , Bioresmethrin, Caffeine , Cismethrin , Cyclethrin , Cyfluthrin , Cyhalothrin , Cyllprothrin , Cyphenothrin , Deltamethrin , Dimefluthrin, Dimethrin , Empenthrin , Esfenvalerate , Fenfluthrin, Fenpirithrin , Fenpropathrin , Fenvalerate , Flucythrinate , Flufenprox , Flurbiprofen, Fluvalinate , Furethrin , Gamma-cyhalothrin , Glucosamine , Halfenprox , Ibuprofen, Imiprothrin , Indinavir, Ketorolac tromethamine, Lambda-cyhalothrin , Methamphetamine , Methylene dianiline , Metofluthrin , Oxaprozin, Piroxicam, Prallethrin , Profluthrin , Protrifenbute , Pyrethroid , Salicylate , Tau-fluvalinate , Tefluthrin , Theta-cypermethrin , Tolbutamide, Tralomethrin , Transfluthrin , Transpermethrin, Zeta-cypermethrin
Ear Nose Throat	Achalasia cardia, Sjogren's syndrome
Endocrine	Carnitine-acylcarnitine translocase deficiency , Secondary hyperparathyroidism
Environmental	No underlying causes
Gastroenterologic	Achalasia cardia, Acute gastritis, Acute oesophagitis, Barrett esophagus , Celiac artery stenosis , Crohn's disease of the esophagus , Decreased gastrointestinal motility , Esophageal carcinoma , Esophageal ulcer , Esophagus cancer , Gastric lymphoma , Gastroesophageal reflux disease , Gastrointestinal motility disorders, Indigestion , Janbon syndrome , Microgastria short stature diabetes , Mitochondrial neurogastrointestinal encephalopathy syndrome, Peptic ulcer, Reflux , Sandifer syndrome , Schatzki ring , Short bowel syndrome , Stomach cancer , Stomach emptying disorders, Weak esophageal muscles, Zieve syndrome , Zollinger-ellison syndrome
Genetic	Bbb syndrome, Brachmann-de lange syndrome , Chromosome 12p tetrasomy syndrome , Chromosome 1p deletion syndrome , Chromosome 22q deletion syndrome , Chromosome 9q deletion syndrome , Congenital microgastria limb reduction defect , Cornelia de lange syndrome 1 , Deletion of the short arm of chromosome 1 , Emanuel syndrome, Hypertelorism, Nyssen-van bogaert syndrome , Opitz syndrome , Pallister-killian syndrome, Smith-lemli-opitz syndrome , Wagr syndrome , Worster drought syndrome , X-linked alpha thalassemia mental retardation syndrome
Hematologic	Carnitine-acylcarnitine translocase deficiency , Familial infantile metachromatic leukodystrophy , Microgastria short stature diabetes , Velocardiofacial syndrome , Wilms tumor
Iatrogenic	No underlying causes
Infectious Disease	Ankylostomiasis , Fascioliasis , Helicobacter pylori bacteria, Pylephlebitis , Strongyloidiasis
Musculoskeletal/Orthopedic	Congenital microgastria limb reduction defect , Rest syndrome, Spastic paraplegia 9
Neurologic	Mental retardation, Mitochondrial neurogastrointestinal encephalopathy syndrome, Polyneuropathy , Rest syndrome, Sleep apnea syndromes , Spastic paraplegia 9, X-linked alpha thalassemia mental retardation syndrome
Nutritional/Metabolic	Chocolate, Citrus fruit, Fatty foods , Food additives , Garlic, Msg , Naproxen sodium, Peanuts, Peppermint , Red pepper , Sodas , Spicy foods, Tomatoes , Wine
Obstetric/Gynecologic	Pregnancy
Oncologic	Esophagus cancer , Gastric lymphoma , Lymphoma, Stomach cancer , Wilms tumor , Zollinger-ellison syndrome
Ophthalmologic	No underlying causes
Overdose/Toxicity	Alcohol, Caffeine , Peanuts, Peppermint , Pollen food allergy syndrome
Psychiatric	Stress
Pulmonary	Mediastinitis , Sleep apnea syndromes
Renal/Electrolyte	No underlying causes
Rheumatology/Immunology/Allergy	Allergenic cross-reactivity , Gluten allergy , Grain-based foods, Scleroderma
Sexual	No underlying causes
Trauma	Hiatus hernia
Urologic	Hypospadias
Miscellaneous	No underlying causes

Causes in Alphabetical Order

3

References

Template:WH Template:WS

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Heartburn}}
-{{CMG}}
+{{CMG}} {{AE}} {{LRO}}
+==Overview==
+Heart is commonly caused by sources of [[acid reflux]], including adverse reactions with various food and drugs. [[Esophageal]] and [[gastrointestinal]] [[cancer]] are potentially life threatening causes of heartburn and require prompt diagnosis and management.
 ==Causes==
-Foods that may cause heartburn:
+<div style="-webkit-user-select: none;">
-*Sodas (including cola), and other carbonated beverages
+===Life Threatening Causes===
-*Chocolate
+*[[Esophagus cancer ]]
-*Citrus fruits and juices
+*[[Gastric lymphoma ]]
-*Drug Side Effect-  [[Flurbiprofen]], [[Ibuprofen]], [[Indinavir]], [[Ketorolac tromethamine]], [[Naproxen sodium]], [[Oxaprozin]], [[Piroxicam]], [[Tolbutamide]]
+*[[Lymphoma]]
-*Tomatoes and tomato sauce (such as pizza and pasta sauce)
+*[[Stomach cancer ]]
-*Spicy foods
+*[[Wilms tumor ]]
-*Red pepper (bell pepper)
+*[[Zollinger-ellison syndrome]]
-*Peppermint and spearmint
-*Dry foods such as peanuts
-*Fatty foods such as ice cream
-*Garlic
-*Bread and other foods derived from grains
-*Wine
-*Drugs are also known to cause or trigger heartburn symptoms.
-*Tobacco products (cigarettes, snuff, etc.)
-*Cocaine, and especially Methamphetamine is known to trigger heartburn.
-*Alcohol, caffeine as found in coffee, tea, cola, and other beverages.
-*It can also be psychosomatic, primarily in relation to stress and fatigue.
+===Common Causes===
+*[[Amines]]
+*[[Caffeine]]
+*[[Methamphetamine ]]
+*[[Chocolate]]
+*[[Citrus fruit]]
+*[[Fatty foods ]]
+*[[Food additives ]]
+*[[Garlic]]
+*[[Msg ]]
+*[[Naproxen sodium]]
+*[[Peanuts]]
+*[[Peppermint ]]
+*[[Red pepper ]]
+*[[Sodas ]]
+*[[Spicy foods]]
+*[[Tomatoes ]]
+*[[Wine]]
+*[[Achalasia cardia]]
+*[[Acute gastritis]]
+*[[Celiac artery stenosis ]]
+*[[Crohn's disease of the esophagus ]]
+*[[Indigestion ]]
+*[[Reflux ]]
+*[[Sandifer syndrome ]]
+*[[Schatzki ring ]]
+*[[Short bowel syndrome ]]
+===Causes by Organ System===
+{|style="width:80%; height:100px" border="1"
+|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" |'''Cardiovascular'''
+|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Celiac artery stenosis ]],  [[Diffuse systemic sclerosi ]],  [[Nocturnal heartburn ]],  [[Pylephlebitis ]]
+|-
+|bgcolor="LightSteelBlue"| '''Chemical/Poisoning'''
+|bgcolor="Beige"| [[1,2-dibromo-3-chloropropane ]],  [[Acid regurgitation]],  [[Alcohol]],  [[Aromatic amino acid decarboxylase deficiency ]],  [[Callistin shellfish poisoning ]],  [[Citrus fruit]],  [[Copper toxicity ]],  [[Niacin toxicity ]],  [[Nickel carbonyl ]],  [[Pollen food allergy syndrome ]],  [[Pyresmethrin ]],  [[Silafluofen ]],  [[Smoking]],  [[Sodas ]],  [[Sulfite ]],  [[Tobacco products ]],  [[Tomatoes ]],  [[Vinyl choride]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Dental'''
+|bgcolor="Beige"| No underlying causes
+|-
+|-bgcolor="LightSteelBlue"
+| '''Dermatologic'''
+|bgcolor="Beige"| [[Scleroderma]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Drug Side Effect'''
+|bgcolor="Beige"| [[Acrinathrin ]],  [[Alpha-cypermethrin ]],  [[Amines ]],  [[Barthrin ]],  [[Beta-cyfluthrin ]],  [[Beta-cypermethrin ]],  [[Bifenthrin ]],  [[Bioallethrin ]],  [[Bioehtanomethrin ]],  [[Biopermethrin ]],  [[Bioresmethrin]],  [[Caffeine ]],  [[Cismethrin ]],  [[Cyclethrin ]],  [[Cyfluthrin ]],  [[Cyhalothrin ]],  [[Cyllprothrin ]],  [[Cyphenothrin ]],  [[Deltamethrin ]],  [[Dimefluthrin]],  [[Dimethrin ]],  [[Empenthrin ]],  [[Esfenvalerate ]],  [[Fenfluthrin]],  [[Fenpirithrin ]],  [[Fenpropathrin ]],  [[Fenvalerate ]],  [[Flucythrinate ]],  [[Flufenprox ]],  [[Flurbiprofen]],  [[Fluvalinate ]],  [[Furethrin ]],  [[Gamma-cyhalothrin ]],  [[Glucosamine ]],  [[Halfenprox ]],  [[Ibuprofen]],  [[Imiprothrin ]],  [[Indinavir]],  [[Ketorolac tromethamine]],  [[Lambda-cyhalothrin ]],  [[Methamphetamine ]],  [[Methylene dianiline ]],  [[Metofluthrin ]],  [[Oxaprozin]],  [[Piroxicam]],  [[Prallethrin ]],  [[Profluthrin ]],  [[Protrifenbute ]],  [[Pyrethroid ]],  [[Salicylate ]],  [[Tau-fluvalinate ]],  [[Tefluthrin ]],  [[Theta-cypermethrin ]],  [[Tolbutamide]],  [[Tralomethrin ]],  [[Transfluthrin ]],  [[Transpermethrin]],  [[Zeta-cypermethrin ]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Ear Nose Throat'''
+|bgcolor="Beige"| [[Achalasia cardia]],  [[Sjogren's syndrome ]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Endocrine'''
+|bgcolor="Beige"| [[Carnitine-acylcarnitine translocase deficiency ]],  [[Secondary hyperparathyroidism ]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Environmental'''
+|bgcolor="Beige"| No underlying causes
+|-
+|-bgcolor="LightSteelBlue"
+| '''Gastroenterologic'''
+|bgcolor="Beige"| [[Achalasia cardia]],  [[Acute gastritis]],  [[Acute oesophagitis]],  [[Barrett esophagus ]],  [[Celiac artery stenosis ]],  [[Crohn's disease of the esophagus ]],  [[Decreased gastrointestinal motility ]],  [[Esophageal carcinoma ]],  [[Esophageal ulcer ]],  [[Esophagus cancer ]],  [[Gastric lymphoma ]],  [[Gastroesophageal reflux disease ]],  [[Gastrointestinal motility disorders]],  [[Indigestion ]],  [[Janbon syndrome ]],  [[Microgastria short stature diabetes ]],  [[Mitochondrial neurogastrointestinal encephalopathy syndrome]],  [[Peptic ulcer]],  [[Reflux ]],  [[Sandifer syndrome ]],  [[Schatzki ring ]],  [[Short bowel syndrome ]],  [[Stomach cancer ]],  [[Stomach emptying disorders]],  [[Weak esophageal muscles]],  [[Zieve syndrome ]],  [[Zollinger-ellison syndrome]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Genetic'''
+|bgcolor="Beige"| [[Bbb syndrome]],  [[Brachmann-de lange syndrome ]],  [[Chromosome 12p tetrasomy syndrome ]],  [[Chromosome 1p deletion syndrome ]],  [[Chromosome 22q deletion syndrome ]],  [[Chromosome 9q deletion syndrome ]],  [[Congenital microgastria limb reduction defect ]],  [[Cornelia de lange syndrome 1 ]],  [[Deletion of the short arm of chromosome 1 ]],  [[Emanuel syndrome]],  [[Hypertelorism]],  [[Nyssen-van bogaert syndrome ]],  [[Opitz syndrome ]],  [[Pallister-killian syndrome]],  [[Smith-lemli-opitz syndrome ]],  [[Wagr syndrome ]],  [[Worster drought syndrome ]],  [[X-linked alpha thalassemia mental retardation syndrome ]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Hematologic'''
+|bgcolor="Beige"| [[Carnitine-acylcarnitine translocase deficiency ]],  [[Familial infantile metachromatic leukodystrophy ]],  [[Microgastria short stature diabetes ]],  [[Velocardiofacial syndrome ]],  [[Wilms tumor ]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Iatrogenic'''
+|bgcolor="Beige"| No underlying causes
+|-
+|-bgcolor="LightSteelBlue"
+| '''Infectious Disease'''
+|bgcolor="Beige"| [[Ankylostomiasis ]],  [[Fascioliasis ]],  [[Helicobacter pylori bacteria]],  [[Pylephlebitis ]],  [[Strongyloidiasis ]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Musculoskeletal/Orthopedic'''
+|bgcolor="Beige"| [[Congenital microgastria limb reduction defect ]],  [[Rest syndrome]],  [[Spastic paraplegia 9]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Neurologic'''
+|bgcolor="Beige"| [[Mental retardation]],  [[Mitochondrial neurogastrointestinal encephalopathy syndrome]],  [[Polyneuropathy ]],  [[Rest syndrome]],  [[Sleep apnea syndromes ]],  [[Spastic paraplegia 9]],  [[X-linked alpha thalassemia mental retardation syndrome ]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Nutritional/Metabolic'''
+|bgcolor="Beige"| [[Chocolate]],  [[Citrus fruit]],  [[Fatty foods ]],  [[Food additives ]],  [[Garlic]],  [[Msg ]],  [[Naproxen sodium]],  [[Peanuts]],  [[Peppermint ]],  [[Red pepper ]],  [[Sodas ]],  [[Spicy foods]],  [[Tomatoes ]],  [[Wine]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Obstetric/Gynecologic'''
+|bgcolor="Beige"| [[Pregnancy]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Oncologic'''
+|bgcolor="Beige"| [[Esophagus cancer ]],  [[Gastric lymphoma ]],  [[Lymphoma]],  [[Stomach cancer ]],  [[Wilms tumor ]],  [[Zollinger-ellison syndrome]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Ophthalmologic'''
+|bgcolor="Beige"| No underlying causes
+|-
+|-bgcolor="LightSteelBlue"
+| '''Overdose/Toxicity'''
+|bgcolor="Beige"| [[Alcohol]],  [[Caffeine ]],  [[Peanuts]],  [[Peppermint ]],  [[Pollen food allergy syndrome ]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Psychiatric'''
+|bgcolor="Beige"| [[Stress]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Pulmonary'''
+|bgcolor="Beige"| [[Mediastinitis ]],  [[Sleep apnea syndromes ]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Renal/Electrolyte'''
+|bgcolor="Beige"| No underlying causes
+|-
+|-bgcolor="LightSteelBlue"
+| '''Rheumatology/Immunology/Allergy'''
+|bgcolor="Beige"| [[Allergenic cross-reactivity ]],  [[Gluten allergy ]],  [[Grain-based foods]],  [[Scleroderma ]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Sexual'''
+|bgcolor="Beige"| No underlying causes
+|-
+|-bgcolor="LightSteelBlue"
+| '''Trauma'''
+|bgcolor="Beige"| [[Hiatus hernia]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Urologic'''
+|bgcolor="Beige"| [[Hypospadias]]
+|-
+|-bgcolor="LightSteelBlue"
+| '''Miscellaneous'''
+|bgcolor="Beige"| No underlying causes
+|-
+|}
+===Causes in Alphabetical Order===
+{{columns-list|3|
+*[[1,2-dibromo-3-chloropropane ]]
+*[[Achalasia cardia]]
+*[[Acid regurgitation]]
+*[[Acrinathrin ]]
+*[[Acute gastritis]]
+*[[Acute oesophagitis]]
+*[[Alcohol]]
+*[[Allergenic cross-reactivity ]]
+*[[Alpha-cypermethrin ]]
+*[[Amines ]]
+*[[Ankylostomiasis ]]
+*[[Aromatic amino acid decarboxylase deficiency ]]
+*[[Barrett esophagus ]]
+*[[Barrett syndrome ]]
+*[[Barthrin ]]
+*[[Bbb syndrome]]
+*[[Beta-cyfluthrin ]]
+*[[Beta-cypermethrin ]]
+*[[Bifenthrin ]]
+*[[Bioallethrin ]]
+*[[Bioehtanomethrin ]]
+*[[Biopermethrin ]]
+*[[Bioresmethrin]]
+*[[Brachmann-de lange syndrome ]]
+*[[Caffeine ]]
+*[[Callistin shellfish poisoning ]]
+*[[Carnitine-acylcarnitine translocase deficiency ]]
+*[[Celiac artery stenosis ]]
+*[[Chocolate]]
+*[[Chromosome 12p tetrasomy syndrome ]]
+*[[Chromosome 1p deletion syndrome ]]
+*[[Chromosome 22q deletion syndrome ]]
+*[[Chromosome 9q deletion syndrome ]]
+*[[Cismethrin ]]
+*[[Citrus fruit]]
+*[[Congenital microgastria limb reduction defect ]]
+*[[Copper toxicity ]]
+*[[Cornelia de lange syndrome 1 ]]
+*[[Crohn's disease of the esophagus ]]
+*[[Cyclethrin ]]
+*[[Cyfluthrin ]]
+*[[Cyhalothrin ]]
+*[[Cyllprothrin ]]
+*[[Cyphenothrin ]]
+*[[Decreased gastrointestinal motility ]]
+*[[Deletion of the short arm of chromosome 1 ]]
+*[[Deltamethrin ]]
+*[[Diffuse systemic sclerosi ]]
+*[[Dimefluthrin]]
+*[[Dimethrin ]]
+*[[Emanuel syndrome]]
+*[[Empenthrin ]]
+*[[Esfenvalerate ]]
+*[[Esophageal carcinoma ]]
+*[[Esophageal ulcer ]]
+*[[Esophagus cancer ]]
+*[[Familial infantile metachromatic leukodystrophy ]]
+*[[Fascioliasis ]]
+*[[Fatty foods ]]
+*[[Fenfluthrin]]
+*[[Fenpirithrin ]]
+*[[Fenpropathrin ]]
+*[[Fenvalerate ]]
+*[[Flucythrinate ]]
+*[[Flufenprox ]]
+*[[Flurbiprofen]]
+*[[Fluvalinate ]]
+*[[Food additives ]]
+*[[Furethrin ]]
+*[[Gamma-cyhalothrin ]]
+*[[Garlic]]
+*[[Gastric lymphoma ]]
+*[[Gastroesophageal reflux disease ]]
+*[[Gastrointestinal motility disorders]]
+*[[Glucosamine ]]
+*[[Gluten allergy ]]
+*[[Grain-based foods]]
+*[[Halfenprox ]]
+*[[Helicobacter pylori bacteria]]
+*[[Hiatus hernia]]
+*[[Hypertelorism]]
+*[[Hypospadias ]]
+*[[Ibuprofen]]
+*[[Imiprothrin ]]
+*[[Indigestion ]]
+*[[Indinavir]]
+*[[Janbon syndrome ]]
+*[[Ketorolac tromethamine]]
+*[[Lambda-cyhalothrin ]]
+*[[Lymphoma]]
+*[[Mediastinitis ]]
+*[[Mental retardation]]
+*[[Methamphetamine ]]
+*[[Methylene dianiline ]]
+*[[Metofluthrin ]]
+*[[Microgastria short stature diabetes ]]
+*[[Mitochondrial neurogastrointestinal encephalopathy syndrome]]
+*[[Msg ]]
+*[[Naproxen sodium]]
+*[[Niacin toxicity ]]
+*[[Nickel carbonyl ]]
+*[[Nocturnal heartburn ]]
+*[[Nyssen-van bogaert syndrome ]]
+*[[Opitz syndrome ]]
+*[[Oxaprozin]]
+*[[Pallister-killian syndrome]]
+*[[Peanuts]]
+*[[Peppermint ]]
+*[[Peptic ulcer]]
+*[[Piroxicam]]
+*[[Pollen food allergy syndrome ]]
+*[[Polyneuropathy ]]
+*[[Prallethrin ]]
+*[[Pregnancy]]
+*[[Profluthrin ]]
+*[[Protrifenbute ]]
+*[[Pylephlebitis ]]
+*[[Pyresmethrin ]]
+*[[Pyrethroid ]]
+*[[Red pepper ]]
+*[[Reflux ]]
+*[[Rest syndrome]]
+*[[Salicylate ]]
+*[[Sandifer syndrome ]]
+*[[Schatzki ring ]]
+*[[Scleroderma ]]
+*[[Secondary hyperparathyroidism ]]
+*[[Short bowel syndrome ]]
+*[[Silafluofen ]]
+*[[Sjogren's syndrome ]]
+*[[Sleep apnea syndromes ]]
+*[[Smith-lemli-opitz syndrome ]]
+*[[Smoking]]
+*[[Sodas ]]
+*[[Spastic paraplegia 9]]
+*[[Spicy foods]]
+*[[Stomach cancer ]]
+*[[Stomach emptying disorders]]
+*[[Stress]]
+*[[Strongyloidiasis ]]
+*[[Sulfite ]]
+*[[Tau-fluvalinate ]]
+*[[Tefluthrin ]]
+*[[Theta-cypermethrin ]]
+*[[Tobacco products ]]
+*[[Tolbutamide]]
+*[[Tomatoes ]]
+*[[Tralomethrin ]]
+*[[Transfluthrin ]]
+*[[Transpermethrin]]
+*[[Velocardiofacial syndrome ]]
+*[[Vinyl choride]]
+*[[Wagr syndrome ]]
+*[[Weak esophageal muscles]]
+*[[Wilms tumor ]]
+*[[Wine]]
+*[[Worster drought syndrome ]]
+*[[X-linked alpha thalassemia mental retardation syndrome ]]
+*[[Zeta-cypermethrin ]]
+*[[Zieve syndrome ]]
+*[[Zollinger-ellison syndrome]]
+}}
+</div>
 ==References==
 {{Reflist|2}}
@@ Line 31: / Line 329: @@
 [[Category:Gastroenterology]]
 [[Category:Digestive disease symptoms]]
-[[Category:Needs overview]]
 {{WH}}
 {{WS}}