Upper Abdominal Pain: Is It Heartburn or Something Else?

Upper abdominal pain?

I frequently experience a burning pain in my chest, along with symptoms of food and acid reflux.
Could this indicate a heart problem, or is there another issue?

Ms. Lin, 30~39 year old female. Ask Date: 2011/03/10

Dr. Yang Zhichao reply Gastroenterology and Hepatology

A burning sensation in the chest, along with symptoms of acid reflux, often leads to discomfort in the chest area.
Many people mistakenly believe that there is an issue with the chest or heart; however, it is actually caused by gastroesophageal reflux disease (GERD), which can lead to discomfort and even acid-induced esophagitis.
It is recommended to consult a gastroenterologist for evaluation.
Medication management combined with regular exercise can help maintain gastrointestinal function, and symptoms may improve or even resolve.

Reply Date: 2011/03/10

More Info

When experiencing upper abdominal pain accompanied by a burning sensation in the chest and symptoms of acid reflux, it is essential to differentiate between potential causes, as these symptoms can arise from various conditions, including gastrointestinal issues and cardiac problems.

The burning sensation in the chest, often described as heartburn, is typically associated with gastroesophageal reflux disease (GERD). This condition occurs when stomach acid flows back into the esophagus, leading to irritation and discomfort. Symptoms of GERD can include a burning sensation in the chest (often mistaken for heart pain), regurgitation of food or sour liquid, difficulty swallowing, and a sensation of a lump in the throat. Lifestyle factors such as diet, obesity, smoking, and certain medications can exacerbate GERD symptoms.

However, it is crucial to consider that chest pain can also be a sign of cardiac issues, particularly if it is accompanied by other symptoms such as shortness of breath, sweating, nausea, or pain radiating to the arms, neck, or jaw. Conditions like angina or myocardial infarction (heart attack) can present with chest discomfort that may mimic heartburn. In such cases, the pain may feel like pressure, squeezing, or fullness rather than a burning sensation.

Given your symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend diagnostic tests such as an electrocardiogram (ECG), echocardiogram, or stress tests to rule out any cardiac issues. Additionally, an upper gastrointestinal endoscopy or pH monitoring may be suggested to assess for GERD or other gastrointestinal disorders.

In the meantime, managing your symptoms can involve lifestyle modifications. Avoiding trigger foods (such as spicy, fatty, or acidic foods), eating smaller meals, and not lying down immediately after eating can help alleviate GERD symptoms. Over-the-counter antacids or medications that reduce stomach acid may also provide relief.

In conclusion, while your symptoms may suggest GERD, it is essential to rule out any potential cardiac issues, especially if the chest pain persists or worsens. Seeking medical attention will ensure that you receive an accurate diagnosis and appropriate treatment. Remember, it is always better to err on the side of caution when it comes to chest pain and discomfort.

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