[63F] Experiencing persistent heartburn and palpitations

Patient Description

A 63-year-old female has been experiencing persistent heartburn for approximately 12 days, rating the severity as a 6 out of 10. The heartburn occurs off and on throughout the day without a specific pattern and is not triggered by any particular foods. The patient has been managing the symptoms by watching her diet and taking antacids. Additionally, she reports experiencing palpitations but has not specified their frequency or duration. She denies any chest pain or shortness of breath. There is no mention of 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, you may be experiencing:

  • 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 heartburn.

    • Treatment typically involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.
  • Heart disease: In some cases, heartburn-like pain may be a symptom of heart disease. Given your age and the presence of palpitations, it is important to rule out heart conditions.

    • Treatment for heart disease usually involves lifestyle changes, medications, and sometimes, surgery.

Please remember, I'm an AI and not a doctor. These are potential explanations for your symptoms, but you should consult a healthcare professional for an accurate diagnosis.

What you can do

  1. Continue to avoid foods and drinks that trigger heartburn such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
  2. Try to eat smaller meals.
  3. Avoid lying down after a meal. Wait at least three hours.
  4. Maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus.
  5. If you smoke, quit. Smoking decreases the lower esophageal sphincter's ability to function properly.

What you should look out for

Seek immediate help if you experience:

  • Severe chest pain or pressure, especially if it radiates to your arm, neck or back
  • Shortness of breath
  • Cold sweat
  • Lightheadedness
  • Fatigue
  • Sudden nausea or vomiting

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

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10 mo ago

People Also Ask


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

Common symptoms of GERD include persistent heartburn, regurgitation of food or sour liquid, difficulty swallowing, coughing, wheezing, and chest pain, especially when lying down at night.


How can I differentiate between heartburn and symptoms of heart disease?

Heartburn typically causes a burning sensation in the chest or throat, often after eating. Heart disease symptoms can include chest pain or discomfort, palpitations, shortness of breath, and pain radiating to the arm, neck, or back. If in doubt, seek medical evaluation.


What lifestyle changes can help manage GERD symptoms?

Lifestyle changes that can help manage GERD include avoiding trigger foods and drinks, eating smaller meals, not lying down immediately after eating, maintaining a healthy weight, and quitting smoking.


When should I seek immediate medical attention for heartburn or palpitations?

Seek immediate medical attention if you experience severe chest pain or pressure, shortness of breath, cold sweat, lightheadedness, fatigue, or sudden nausea or vomiting, as these could be signs of a heart attack.


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