👨‍⚕️Dr. Boss 的一般外科衛教室。食道迷思 ② 胸口灼熱只是胃不好嗎？

👨‍⚕️Dr. Boss 的一般外科衛教室 👨‍⚕️Dr. Boss’s General Surgery Health Classroom 食道迷思 ② | Esophagus Myth #2 胸口灼熱只是胃不好嗎？ Does heartburn only mean stomach problems? 很多人出現胸口灼熱時，會以為只是胃不好或消化不良。 When people experience heartburn, many assume it is simply a stomach issue or indigestion. 但其實胸口灼熱常常與食道有關，特別是胃酸逆流刺激食道黏膜時，就會產生灼熱感。 However, heartburn is often related to the esophagus, especially when stomach acid reflux irritates the esophageal lining. 若長期反覆發生，可能導致食道發炎，甚至增加其他食道疾病的風險。 If it happens repeatedly over time, it may cause esophagitis and increase the risk of other esophageal conditions. --- 常見原因 | Common Causes 1️⃣ 胃食道逆流 胃酸從胃部逆流到食道，刺激食道黏膜。 Acid from the stomach flows back into the esophagus and irritates its lining. 2️⃣ 飲食刺激 過多咖啡、酒精、油炸或辛辣食物可能加重症狀。 Excess coffee, alcohol, fried, or spicy foods may worsen symptoms. 3️⃣ 餐後立即躺下 飯後立刻躺下會增加胃酸逆流的機會。 Lying down right after eating increases the chance of acid reflux. --- 💡日常觀察 | Daily Awareness 若出現以下情況，建議留意食道健康： 經常胸口灼熱 夜間胃酸逆流 吞嚥時不適或疼痛 If you experience these symptoms frequently, it is important to monitor esophageal health: Frequent heartburn Nighttime acid reflux Discomfort or pain while swallowing --- 考拉問問題 | Koala Asks Q：考拉問：偶爾胸口灼熱需要擔心嗎？ Q: Koala asks: Should I worry if I occasionally feel heartburn? A：Dr. Boss： 偶爾出現可能與飲食或壓力有關，但若每週出現多次或持續兩週以上，建議就醫檢查。 Occasional heartburn may be related to diet or stress, but if it occurs several times a week or lasts more than two weeks, medical evaluation is recommended.