Derived from the medical condition and used as slang. To cause grief, woe or general displeasure to another person or persons. Generally used by beaureaucrats because they lack any actual slang and usage of said word is the highlight of that day.
"I see that you want to add a six car garage to your 60 sq. foot crackhouse, the county doesn't have any provisions against it so I don't have any heartburn with that"
"yo, why you be givin me heartburn by eatin all my peanut butter, you jest know I gots to have my peanut butter!"
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