What specific mechanism related to $ ext{CO}_2$ gas expansion can independently trigger symptoms like heartburn in susceptible individuals consuming carbonated drinks?

Answer

The physical component of gas expansion leading to belching or burping.

The impact of carbonated beverages on the digestive system involves a mechanical trigger separate from the chemical acidity they contain. When a carbonated drink is consumed, the dissolved carbon dioxide is released as gas in the stomach, causing expansion. This physical expansion leads to belching or burping. In individuals prone to acid reflux, this upward movement of gas and pressure can physically force stomach contents, including stomach acid, back up into the esophagus, thereby triggering heartburn. This mechanism is independent of other factors that relax the lower esophageal sphincter, such as high-fat foods, or the strong acidity of items like tomatoes.

What specific mechanism related to $	ext{CO}_2$ gas expansion can independently trigger symptoms like heartburn in susceptible individuals consuming carbonated drinks?
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