[55M] Experiencing dull chest discomfort and occasional burning sensation

What might be happening

Based on the information you've provided, here are a few possibilities:

• Gastroesophageal Reflux Disease (GERD): This is a 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 discomfort or a burning sensation in the chest. It can be worse when lying down or bending over.

  • Treatment usually involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.

• Costochondritis: This is inflammation of the cartilage in your rib cage. It causes chest pain that can be reproduced by pushing on the chest wall. It's usually harmless and often goes away without treatment.

  • Treatment involves pain relievers and rest.

• Angina: This is chest pain or discomfort caused when your heart muscle doesn't get enough oxygen-rich blood. It may feel like pressure or squeezing in your chest. However, the fact that your EKGs were normal and your cardiologist didn't find anything abnormal makes this less likely.

  • Treatment involves medication, lifestyle changes, and sometimes, surgery.

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

What you can do

Here are some steps you can take:

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. Try to maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus.
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 at night or while trying to sleep.

What you should look out for

You should seek immediate medical attention if you experience:

• Severe chest pain or pressure, especially if it radiates to your arm, jaw or back
• Shortness of breath
• Sweating
• Nausea or vomiting
• Lightheadedness or fainting
• Unexplained fatigue
• Rapid or irregular heartbeat

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare professional for an accurate diagnosis.