Tomatillos have a long history of use in Central America and Mexico. The fruit looks like a small tomato enclosed in a husk. When they ripen, tomatillos turn yellow but many recipes call for unripe, green tomatillos. Like tomatoes, the flesh is somewhat acidic and may cause heartburn or upset stomach in some individuals.
Causes
After you swallow food, it pass through your esophagus, a tube approximately 10 inches long. A muscle known as the esophageal sphincter controls the opening between the esophagus and stomach. Normally this muscle opens only when food passes through; however, sometimes it may weaken or relax abnormally. This allows stomach acid to flow back up into the esophagus, causing pain and irritation in the chest area behind your breastbone.
Risk Factors
Heartburn is more common after eating spicy or acidic foods. Tomatillos are acidic and often an ingredient in salsas or sauces. They may be served alongside spicy Mexican or Central American cuisine. Coffee, soda, alcohol, citrus fruits and fatty foods may contribute to heartburn. People who are overweight or who smoke are at a higher risk of developing heartburn. Pregnancy and stress may also contribute to heartburn.
Treatment
There are many over-the-counter and prescription medications available for the treatment of heartburn. Antacids provide quick relief from symptoms by neutralizing stomach acid. H-2-receptor blockers reduce the production of stomach acid while proton-pump inhibitors block stomach acid and allow the esophagus to heal. All of these have possible side effects and may interact with other medications. Talk to your doctor or pharmacist to determine which type is right for you.
When to See a Doctor
If your symptoms appear suddenly or if they include severe chest pain, chest tightness or difficulty breathing, you should seek emergency medical help. These may be signs of a heart attack. Chronic heartburn may be a sign of gastroesophageal reflux disorder or another digestive condition. Left untreated, chronic heartburn may interfere with your ability to eat a balanced, healthy diet.
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