[18F] Experiencing sharp upper chest and intermittent stomach pain

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

• Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing chest pain and stomach discomfort.

  • Treatment typically involves lifestyle changes and over-the-counter medications. If these don't help, prescription-strength medications or even surgery might be recommended.

• Gastritis: This is an inflammation of the stomach lining. The inflammation can be caused by certain bacteria, regular use of certain pain relievers, or drinking too much alcohol. Gastritis can lead to both chest and stomach pain.

  • Treatment usually involves taking antacids and other drugs to reduce stomach acid, which helps relieve gastritis symptoms and promotes healing in your stomach.

• Costochondritis: This is an inflammation of the cartilage in the rib cage. The condition usually affects the cartilage where the upper ribs attach to the breastbone (sternum), an area known as the costosternal joint. Costochondritis causes chest pain that can mimic a heart attack.

  • Treatment usually involves pain relievers and rest.

• Panic Disorder: This is a type of anxiety disorder characterized by panic attacks. Panic attacks can cause symptoms that feel like a heart attack, including chest pain, shortness of breath, and fear of dying.

  • Treatment typically involves psychotherapy, medication, or both.

Please remember that these are just possibilities, and it's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

1. Try over-the-counter antacids: These can provide quick relief from acid reflux pain.
2. Avoid foods that trigger your symptoms: Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
3. Don't lie down after a meal: Wait at least three hours.
4. Elevate the head of your bed: If you regularly experience heartburn while trying to sleep, put gravity to work for you. Place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches.
5. Don't wear tight clothes or tight belts: These can squeeze your stomach area and worsen your GERD symptoms.
6. If you smoke, quit: Smoking decreases the lower esophageal sphincter's ability to function properly.

What you should look out for

Seek immediate medical attention if you experience:

• Severe chest pain or pressure, especially if it radiates to your arm, neck or back
• Shortness of breath
• Cold sweat
• Nausea
• Lightheadedness
• A feeling of impending doom

These could be signs of a heart attack and require immediate medical attention.