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Heartburn, also known as pyrosis, cardialgia or acid indigestion, [2] is a burning sensation in the central chest or upper central abdomen. [3] [4] [5] Heartburn is usually due to regurgitation of gastric acid (gastric reflux) into the esophagus. It is the major symptom of gastroesophageal reflux disease (GERD). [6]
Acid reflux into the mouth can cause breakdown of the enamel, especially on the inside surface of the teeth. A dry mouth, acid or burning sensation in the mouth, bad breath and redness of the palate may occur. [27] Less common symptoms of GERD include difficulty in swallowing, water brash, chronic cough, hoarse voice, nausea and vomiting. [26]
Pregnancy brings about significant and dynamic physiological changes that can impact sleep and contribute to sleep disorders.These changes encompass structural alterations that may affect the length and quality of sleep, disrupt breathing during sleep, and metabolic shifts that raise the risk of restless legs syndrome.
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Gravity typically minimizes this upward leakage, but an inversion table and acid reflux can be a painful, nauseating, and potentially dangerous combination. [5] The inverted position, leading to an increase in heart rate and output, peripheral resistance, venous return and myocardial oxygen consumption, is not recommended in cardiac individuals.
It can sometimes occur during sleep, waking up the affected person. These episodic interruptions of sleep have been attributed to acute irritation due to gastro-oesophageal reflux. [2] [7] Laryngospasm is also an unlikely but possible side effect of ketamine administration. [8] Laryngospasm may happen in people with neurological disease. [9]
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