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Usually after meals that are spicy or that contain a lot of fat (or both). Both spices and fats cause relaxation of the sphincter (valve) that normally shuts the stomach off from the esophagus. They are not what causes the burning. It is caused by stomach acid that backs up into the esophagus. Acid reflux can mimic a heart attack, and vice versa. If the pain does not go away temporarily with with a change in position, or after drinking some water, you should treat it as heart attack symptoms. Reflux, left untreated, can cause chronic erosion of the esophagus, and has been implicated in cancer of the esophagus. It is easily treated with medication and minor diet changes. If you are experiencing it more than occasionally, you should consult a physician.

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16y ago

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