Indigestion/Heartburn Managing stress better and sleeping slightly propped up on two pillows can also help. Symptoms and how you can help You can buy remedies from your pharmacist to help reduce the symptoms of indigestion. Indigestion is a general term used to describe feelings of discomfort in the stomach or upper abdomen such as stomach pains, trapped wind, bloating, belching (burping), chest pains, feeling sick, an acid taste in the mouth or a burning pain when you swallow hot drinks. These symptoms tend to come and go, and tend to be worse after a meal, at night or when bending over. The most common form of indigestion is heartburn which causes a burning feeling which rises from the stomach or lower chest up towards the throat. (The term is confusing as it has nothing to do with the heart!) Common things that cause indigestion include: Eating a particularly large, spicy or fatty meal Eating certain foods such as chocolate or oranges coffee and tomatoes Smoking Leaving a lot of time between eating meals Pregnancy - the space needed by the developing baby pushes the stomach upwards towards the oesophagus Treatment Treatment depends on what is causing your indigestion. For most mild cases of indigestion, making simple changes to your diet and lifestyle can help: Eat small, regular meals Reduce the amount of fat in your diet Avoid foods that you know trigger symptoms, such as spicy or rich foods Cut down on the amount of alcohol you drink Stop smoking Leaflet adapted from East Lancashire PCT Antacids These are liquids or tablets that neutralise the acid. A dose usually gives quick relief. There are many brands available from pharmacies that have different flavours and textures. CONTACT THE DOCTOR IF: You lose weight for no obvious reason and without deliberately trying to You start developing indigestion problems over the age of 45, having not had symptoms before Symptoms persist for longer than 5 days or happen often Indigestion is accompanied by severe pain You have difficulty swallowing In children You should get urgent medical treatment if you are: Vomiting fresh red blood Vomiting blood that looks like coffee grounds Pain worsens on effort Pain moves down the arm