[46M] Experiencing severe heartburn and dizziness

What might be happening

Based on the symptoms you've described—severe heartburn, indigestion, dizziness, lightheadedness, and significant pain in the chest area—there are a few possibilities to consider:

1. Gastroesophageal Reflux Disease (GERD) Flare-Up: Given your history of GERD and hiatal hernia, it's possible that you're experiencing a severe flare-up. GERD can cause intense heartburn and chest pain, especially if stomach acid is irritating the esophagus. The dizziness and lightheadedness could be related to the discomfort and stress of the symptoms.

2. Esophageal Spasm or Esophagitis: The severe pain in your esophagus and difficulty swallowing might suggest an esophageal spasm or inflammation (esophagitis). This can cause significant discomfort and mimic heart-related pain.

3. Cardiac Issues: While your symptoms are more consistent with gastrointestinal issues, it's important to consider cardiac causes, especially given your history of heart disease. Conditions like angina or a heart attack can sometimes present with atypical symptoms, including indigestion-like pain.

4. Esophageal Stricture: This is a narrowing of the esophagus that can cause difficulty swallowing and chest pain. It can be related to chronic acid reflux and might explain the severe pain and swallowing issues.

5. Peptic Ulcer: Although less common, a peptic ulcer in the stomach or upper intestine can cause severe pain and discomfort, especially if it becomes irritated by stomach acid.

6. Anxiety or Panic Attack: Given your history of anxiety disorder, it's possible that anxiety could be contributing to or exacerbating your symptoms, especially the dizziness and lightheadedness.

What you can do

1. Seek Immediate Medical Attention: Given the severity and new nature of your symptoms, it's crucial to seek medical attention promptly. This is especially important to rule out any cardiac issues. Please consider going to the emergency room or contacting your healthcare provider immediately.

2. Avoid Triggers: Until you can see a healthcare professional, try to avoid any known triggers for your GERD, such as caffeine, spicy foods, and large meals.

3. Stay Upright: Try to remain upright as much as possible, as lying down can exacerbate reflux symptoms.

4. Stay Calm: While it's easier said than done, try to remain calm. Anxiety can worsen symptoms, so practice deep breathing or relaxation techniques if you can.

5. Prepare for Your Visit: When you see a healthcare professional, be prepared to discuss your symptoms in detail, including when they started, what makes them better or worse, and any other relevant medical history.

Remember, while I can provide information and suggestions, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment. Your health and safety are the top priority.