[48M] Experiencing persistent chest burning

What might be happening

Based on the information you've provided, the most likely diagnoses include:

• Gastroesophageal Reflux Disease (GERD): This is a common condition where 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 a burning sensation in your chest that's sometimes felt in your throat and back.

  • Treatment typically involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or surgery might be necessary.

• Gastritis: This is an inflammation of the stomach lining. The inflammation can be caused by certain medications, drinking too much alcohol, long-term use of certain pain relievers, or infections with bacteria such as H. pylori.

  • Treatment typically involves taking antacids and other drugs to reduce stomach acid, which helps speed up recovery.

• Peptic Ulcer: This is a sore on the lining of your stomach, small intestine, or esophagus. Peptic ulcers can cause a burning sensation in the chest and are often caused by long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), an infection with the bacterium H. pylori, or, rarely, a condition known as Zollinger-Ellison syndrome.

  • Treatment typically involves medications to decrease stomach acid. If an H. pylori infection is present, antibiotics will be necessary.

Please note that these are possible diagnoses based on the information you've provided. You should consult with a healthcare professional for a formal diagnosis.

What you can do

While waiting for your appointment with your healthcare provider, you can try the following to help manage your symptoms:

1. Avoid foods and drinks that trigger heartburn. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
2. Eat smaller meals. Avoid overeating by eating smaller meals.
3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
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.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe chest pain or pressure, especially if it radiates to your arm, neck, or back
• Vomiting blood or black material (resembling coffee grounds)
• Bloody or black stools
• Difficulty swallowing
• Persistent nausea or vomiting
• Unintended weight loss
• Decreased appetite

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with your healthcare provider for appropriate examinations, treatment, testing, and care recommendations.