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Picture illustrating heartburn
Picture illustrating heartburn

Heartburn is a burning sensation felt behind the breastbone. It is a symptom that is commonly linked to acid reflux and is often triggered by food, particularly fatty, sugary, spicy, chocolate, onions, citrus, and tomato-based products. Lying down, bending, lifting, and performing certain exercises can exacerbate heartburn. Causes include acid reflux, gastroesophageal reflux disease (GERD), damage to the esophageal lining, bile acid, mechanical stimulation to the esophagus, and esophageal hypersensitivity. Heartburn affects 25% of the population at least once a month. Endoscopy and esophageal pH monitoring can be used to evaluate heartburn. Some causes of heartburn, such as GERD, may be diagnosed based on symptoms alone. Lifestyle changes, such as losing weight and avoiding fatty foods, can improve heartburn. Over-the-counter alginates or antacids can help with mild or occasional heartburn. Heartburn treatment primarily involves H2 receptor antagonists and proton-pump inhibitors. (Full article...)

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Tomorrow's featured picture

Wood stork

The wood stork (Mycteria americana) is a large wading bird found in warmer parts of the Americas. North American birds may disperse to South America, where it is resident. Its bare head and neck are dark grey and the plumage is mostly white, with black on the tail and part of the wing. The sexes are similar, but the juvenile has a feathered head and a yellow, not black, bill. The wood stork nests colonially in wetlands, building its one-metre-diameter (3.3-foot) nest in trees; the breeding season starting when water levels drop. The clutch of three to five eggs is incubated for around 30 days, and the chicks fledge 60 to 65 days after hatching, although many die during their first two weeks. The chicks are fed fish while the adult also eats insects, frogs and crabs as available, foraging by touch in shallow water. This wood stork was photographed with a Yacare caiman in the Pantanal, Brazil.

Photograph credit: Charles J. Sharp

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