Q. How can I distinguish between heartburn and other chest pains?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Distinguishing between heartburn and other chest pains is important because the causes and treatments can vary significantly. Here are some ways to differentiate heartburn from other types of chest pain:

1. Burning Sensation: Heartburn typically causes a burning sensation behind the breastbone or in the lower chest. It's often described as a "burning" or "warm" feeling.

2. Positional Changes: Heartburn symptoms often worsen when lying down or bending over and improve when sitting up or standing.

3. Trigger Factors: Heartburn is frequently triggered by specific foods, beverages, or activities, such as eating large meals, consuming acidic or spicy foods, and lying down after eating.

4. Response to Antacids: Heartburn symptoms often improve after taking antacids, which neutralize stomach acid. If antacids provide relief, it suggests the pain is related to acid reflux.

5. Duration: Heartburn is typically a short-term discomfort that comes and goes, whereas other chest pain causes might persist for longer periods.

6. Radiation: Heartburn pain is usually localized to the chest and does not typically radiate to the left arm, shoulder, neck, or jaw, as is common with heart-related chest pain.

7. Risk Factors: Assess your risk factors for heart disease. If you have a history of heart problems, high blood pressure, or other risk factors for heart disease, it's especially important to rule out cardiac causes of chest pain.

8. Other Symptoms: Pay attention to other accompanying symptoms. Heartburn might be associated with acid taste in the mouth, regurgitation, or digestive symptoms like bloating, belching, or a sour taste in the throat.

If you are unsure about the cause of your chest pain, it's essential to err on the side of caution and seek immediate medical attention, particularly if you have a history of heart problems or if the pain is severe and prolonged. Heart-related chest pain, such as angina or a heart attack, can be life-threatening and requires prompt medical evaluation. Always consult a healthcare professional to determine the exact cause of your chest pain and receive appropriate treatment.