Heartburn differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Differentiating Heartburn from other Diseases
- Angina / ischemia
- Ascites
- Asthma
- Barrett's Esophagus
- Cardiotomy
- Caustic agent ingestion with resultant mucosal injury
- Chagas Disease
- Cholelithiasis
- Clothes (elevated internal stomach pressure)
- Constipation
- Coronary Artery Disease
- Coughing
- CREST syndrome (Calcinosis Raynaud's phenomenon Esophagus Sclerodactyly Telangiectasias)
- Direct irritation of esophagus:
- Aspirin
- Cigarette smoke
- Citrus fruits, juice
- Ibuprofen
- Spicy foods
- Tomatoes
- Tomato sauce
- Albuterol
- Anticholinergics
- Caffeine
- Calcium channel blockers
- Cigarette smoking
- Nitrates
- Progesterone
- Theophylline
- Esophageal atresia or fistula
- Esophageal carcinoma
- Esophageal diverticulum
- Esophageal varices
- Foods:
- Alcohol
- Chocolate
- Coffee
- Fatty foods
- Peppermint
- Soft drinks with caffeine
- Tea
- Fundectomy (postoperative)
- Gastrectomy (postoperative)
- Gastritis
- Gastroesophageal Reflux Disease (GERD)
- Hiatal hernia
- Infectious esophagitis
- Lifting
- Mallory-Weiss Tear
- Motility disorders
- Muscle strain
- Myasthenia gravis
- Myocardial Infarction
- Obesity
- Peptic Ulcer Disease
- Pericardial Disease
- Pregnancy
- Primary reflux esophagitis
- Pulmonary Embolism
- Raynaud's Phenomenon
- Scleroderma
- Strictures, webs or rings
- Vagotomy (postoperative)