Indigestion and Heartburn

Some cancer therapy drugs such as steroids can cause indigestion and heartburn. Some people also experience a bitter or acidic taste in the back of the throat. The symptoms of indigestion are generally described as a pain in the centre of the chest or top of the stomach. Some people also complain of feeling ‘bloated’ or uncomfortably full and gaseous – needing to burp, belch or pass wind a lot. There may also be vomiting or feeling sick and a loss of appetite. The symptoms of heartburn (acid reflux) are generally described as a tightening or burning sensation in the back of the throat and central chest area which can be very painful.

Medication

If you have symptoms of indigestion or heartburn, your doctor may prescribe antacid medications (for example Gaviscon, Omeprazole or Lansoprazole) which can reduce the acid in your stomach. Your doctor may also prescribe tablets which can encourage the stomach to empty quicker (for example Metoclopramide) or drugs which can reduce wind (for example Simethicone). Some of these medications are also available as over-the-counter medications but you should always discuss this with your medical team as they may interfere with your cancer treatment.

Tips to Help Reduce or Relieve the Symptoms of Indigestion and Heartburn

Try to avoid eating too much, eating too fast, eating high-fat foods, or eating during stressful situations.

Try to have small, frequent meals and snacks throughout the day rather than two or three large meals.

Keep a diary of those foods and drinks which generally cause you heartburn or indigestion and try to avoid them.

Avoid wearing tight clothing around the waist.

If possible try not to eat for two to three hours before going to bed.

Try sleeping with extra pillows, as lying flat can worsen your symptoms.

If symptoms occur during the night sometimes drinking small amounts of milk or eating some dry bland foods may help.

Try to limit your alcohol intake.

Try to reduce your caffeine intake.

If overweight, losing weight may help to prevent indigestion or heartburn in the long term.

Trying to stop smoking or reducing the amount you smoke may help to prevent indigestion or heartburn long term.

Anxiety and stress can increase your symptoms. Simple relaxation techniques can often help in reducing stress and anxiety.

It is important to contact your medical team or nurse specialist if your symptoms persist.