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Center For Digestive Disorders
Is Heartburn Serious?
Although heartburn is merely a nuisance in the vast majority of individuals, it can also be a warning sign that
more serious problems may be occurring. If you are over age 40 and are having heartburn or "indigestion" for the
first time it is imperative that you see a physician as soon as possible. Many persons who are experiencing angina
(decreased blood flow to the heart) may experience what they consider heartburn or indigestion. The possibility of
angina or a heart attack must be excluded. If you know you have heartburn that has been occurring for a long period
of time, an evaluation by a gastroenterologist is important. While the vast majority of individuals have only
symptoms, acid refluxing into the esophagus may also damage the esophagus, leading to inflammation or esophagitis.
Esophagitis can progress to more serious problems, including (in the most extreme cases) the development of
cancer of the esophagus. While this is relatively uncommon, certain individuals are at a high risk for the
development of severe complications. The most important factors include the duration of heartburn (how many years)
and the severity of the symptoms. In addition, during the past several years, it has been determined that the
reflux of acid into the esophagus can also lead to or worsen asthma, chronic cough, hoarseness, and even erosion
of the teeth. Finally, the reflux of acid into the esophagus can cause chest pain indistinguishable from the
chest pain of a heart attack or angina. If you are having any of these symptoms, it is imperative that you seek
medical attention as soon as possible.
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