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Hypochlorhydria

Indigestion, Heartburn, and Low Stomach Acidity

Indigestion refers to any number of gastrointestinal complaints, which can include gas (belching or flatulence) and upset stomach. “Heartburn” refers to a burning feeling that can be caused by stomach acid regurgitating into the esophagus from the stomach, by gastritis (inflammation of the lining of the stomach), or by an ulcer of the stomach or duodenum (also called peptic ulcer). In some cases, such as lactose intolerance, symptoms of indigestion are due to a specific cause that requires specific treatment. Sometimes symptoms associated with indigestion are caused by diseases unrelated to the gastrointestinal tract. For example, ovarian cancer may cause a sensation of bloating. Anyone with symptoms of indigestion should be properly diagnosed by a healthcare professional before assuming that the information below is applicable to their situation.

The most common cause of heartburn is gastroesophageal reflux disease (GERD), in which the sphincter between the esophagus and the stomach is not functioning properly. Another, related cause of heartburn is hiatal hernia, in which a small portion of the stomach protrudes through the aforementioned sphincter.

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Hypoglycemia

Hypoglycemia

“Hypoglycemia” is the medical term for low blood sugar (glucose). Occasionally, hypoglycemia can be dangerous (for example, from injecting too much insulin). It may also indicate a serious underlying medical condition, such as a tumor of the pancreas or liver disease. More often, however, when people say they have hypoglycemia, they are describing a group of symptoms that occur when the body overreacts to the rise in blood sugar that occurs after eating, resulting in a rapid or excessive fall in the blood sugar level. This is sometimes called “reactive hypoglycemia.”

Many people who believe they have reactive hypoglycemia do not, in fact, have low blood sugar levels, and many people who do have low blood sugar levels do not have any symptoms of reactive hypoglycemia. Some evidence suggests that reactive hypoglycemia may be partly a psychological condition. Consequently, some doctors believe that reactive hypoglycemia does not exist. Most doctors, on the other hand, have found reactive hypoglycemia to be a common cause of the symptoms listed below.

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Hypothyroidism

Hypothyroidism

Hypothyroidism is a condition in which the thyroid gland fails to function adequately, resulting in reduced levels of thyroid hormone in the body. Cretinism is a type of hypothyroidism that occurs at birth and results in stunted physical growth and mental development. Severe hypothyroidism is called myxedema.

There are many causes of hypothyroidism. Hashimoto’s thyroiditis is an autoimmune disease of the thyroid gland and the second most common cause of hypothyroidism. The most common cause of hypothyroidism is medical treatment, such as surgery or radiation to the thyroid gland, to treat hyperthyroidism (over-activity of the thyroid gland). Some drugs, such as lithium and phenylbutazone, may also induce hypothyroidism. Extreme iodine deficiency, which is rare in the United States, is another possible cause. Failure of the pituitary gland or hypothalamus to stimulate the thyroid gland properly can cause a condition known as secondary hypothyroidism.

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