PMID- 19232278 OWN - NLM STAT- MEDLINE DCOM- 20100823 LR - 20090223 IS - 1558-1950 (Electronic) IS - 1052-5157 (Linking) VI - 19 IP - 1 DP - 2009 Jan TI - Functional heartburn: what it is and how to treat it. PG - 23-33, v LID - 10.1016/j.giec.2008.12.002 [doi] AB - Functional heartburn is considered one of the most common functional esophageal disorders. The disorder is more common in young women and is associated with other functional bowel disorders and psychological co-morbidity, primarily somatization. The etiology of functional heartburn remains unknown. Most patients, however, demonstrate esophageal hypersensitivity. Functional heartburn has been identified as the main cause for proton pump inhibitor (PPI) failure in patients with heartburn. Treatment is still a challenge, and patients should be started with PPI treatment. In non-responders, escalation of the PPI dose could be attempted and, if unsuccessful, pain modulators should be prescribed. FAU - Fass, Ronnie AU - Fass R AD - Section of Gastroenterology, Department of Medicine, Southern Arizona VA Health Care System and University of Arizona Health Sciences Center, GI Section (1-111G-1), 3601 South. 6th Avenue, Tucson, AZ 85723-0001, USA. Ronnie.Fass@va.gov LA - eng PT - Journal Article PT - Review PL - United States TA - Gastrointest Endosc Clin N Am JT - Gastrointestinal endoscopy clinics of North America JID - 9202792 RN - 0 (Anti-Ulcer Agents) RN - 0 (Proton Pump Inhibitors) SB - IM MH - Adult MH - Anti-Ulcer Agents/*therapeutic use MH - Esophageal pH Monitoring/instrumentation MH - Esophagoscopy MH - Esophagus/physiopathology MH - Female MH - *Heartburn/diagnosis/drug therapy/etiology/physiopathology MH - Humans MH - Male MH - Middle Aged MH - Proton Pump Inhibitors/*therapeutic use RF - 46 EDAT- 2009/02/24 09:00 MHDA- 2010/08/24 06:00 CRDT- 2009/02/24 09:00 PHST- 2009/02/24 09:00 [entrez] PHST- 2009/02/24 09:00 [pubmed] PHST- 2010/08/24 06:00 [medline] AID - S1052-5157(08)00106-2 [pii] AID - 10.1016/j.giec.2008.12.002 [doi] PST - ppublish SO - Gastrointest Endosc Clin N Am. 2009 Jan;19(1):23-33, v. doi: 10.1016/j.giec.2008.12.002.