Heartburn, also known as pyrosis, refers to a sensation of heat, burning or irritation that starts in the pit of the stomach and rises behind the breastbone, sometimes as far as the throat. It is caused by an abnormal reflux of gastric acid – the fluid used to break down food – from the stomach into the oesophagus.
Between the oesophagus and the stomach lies a sphincter which opens to allow food to pass through, then closes to prevent acid from rising. When this sphincter functions normally, it is sufficiently toned to prevent the pressure in the stomach from pushing the gastric contents upwards. However, when this anti-reflux barrier malfunctions, gastric fluid flows back up into the oesophagus; this is known as gastro-oesophageal reflux or GERD. However, the lining of the oesophagus is not designed to withstand a highly acidic pH, unlike that of the stomach, which is protected by a thick layer of mucus.
Repeated contact with gastric acid irritates the oesophageal lining, causing a characteristic burning sensation and sometimes a sour or bitter taste in the mouth.





