[27F] Experiencing chest pain with acidity and heartburn

Patient Description

A 27-year-old female is reporting an aching and sharp chest pain rated 7 out of 10 in severity, which began yesterday. The pain seems to worsen with breathing and is accompanied by heartburn and acidity. The patient has taken Eno, an antacid medication, but reports no relief from the pain or discomfort. Additionally, the patient experiences burping when applying pressure to the chest. There is no mention of any other symptoms, medical history, or current medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that affects the ring of muscle between your esophagus and your stomach. It might cause heartburn and a feeling of food being stuck after swallowing. Over-the-counter antacids and lifestyle changes are common treatments.
  • Gastritis: This is an inflammation of the stomach lining. It can cause a burning pain in your upper stomach, nausea, and feeling full quickly after eating. Treatment often involves antacids and other medications.
  • Peptic Ulcer: These are sores that develop in the lining of your stomach, lower esophagus, or small intestine. They can cause a burning stomach pain, feeling full, and belching. Treatment often involves medication to decrease stomach acid.
  • Gallstones: These are hardened deposits in the gallbladder that can cause a sudden and rapidly intensifying pain in the upper right portion of your abdomen. Treatment can range from lifestyle changes to surgery.

Please note that chest pain can also be a symptom of serious heart conditions. It's important to seek immediate medical attention if you're experiencing chest pain, especially if it's accompanied by shortness of breath, jaw or arm pain, or nausea.

What you can do

  • Try over-the-counter antacids: These can provide quick relief from heartburn and acidity.
  • Lifestyle changes: Avoid foods that trigger your heartburn, eat smaller meals, don't lie down after a meal, and maintain a healthy weight.
  • Seek immediate medical attention: If your chest pain is severe, or accompanied by shortness of breath, dizziness, or weakness, seek medical help immediately.

What you should look out for

  • Severe chest pain
  • Chest pain accompanied by shortness of breath, dizziness, or weakness
  • Chest pain that spreads to your jaw, left arm, or back
  • Chest pain that gets worse when you exercise or exert yourself
  • Chest pain that doesn't go away

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

Top picked over-the-counter products for Acid Reflux (GERD): American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of Gastroesophageal Reflux Disease (GERD)?

Common symptoms of GERD include heartburn, regurgitation of food or sour liquid, difficulty swallowing, and a sensation of a lump in your throat. Some people may also experience chest pain, especially when lying down.


How can I differentiate between heartburn and a heart attack?

Heartburn typically causes a burning sensation in the chest and may be accompanied by a sour taste in the mouth. A heart attack, however, may cause severe chest pain or pressure, often radiating to the arm, neck, or jaw, and may be accompanied by shortness of breath, sweating, nausea, or dizziness. If in doubt, seek immediate medical attention.


What lifestyle changes can help manage symptoms of gastritis?

To manage gastritis, avoid irritants such as alcohol, spicy foods, and NSAIDs. Eat smaller, more frequent meals, avoid lying down immediately after eating, and manage stress. It's also important to avoid smoking and to maintain a healthy weight.


When should I seek medical attention for chest pain?

Seek medical attention for chest pain if it is severe, persistent, or accompanied by symptoms such as shortness of breath, dizziness, weakness, or pain radiating to the jaw, arm, or back. Immediate medical evaluation is crucial to rule out serious conditions like a heart attack.


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