Reviewed by Dr. Winnie Chui
Heartburn, a common and often uncomfortable condition, affects many individuals worldwide. Characterised by a burning sensation in the chest, heartburn occurs when stomach acid flows back into the esophagus, irritating the lining. This reflux can be triggered by various factors, such as certain foods, alcohol consumption, obesity, and even stress. While occasional heartburn is normal, frequent episodes may indicate an underlying health condition requiring medical attention.
In this blog, we will discuss the possible causes of heartburn when presented in certain locations of the chest area and explore the health conditions that may be associated with them. By understanding the link between the location of your heartburn and the diseases that may be related to it can help you recognise when it is time to seek medical intervention.
Heartburn may be more noticeable in the following situations:
Distinguishing between heartburn and other types of chest pain can sometimes be challenging. If you are unsure about the type of pain you are experiencing, it is advisable to consult a doctor. Additionally, paying attention to accompanying symptoms can help differentiate heartburn from a heart attack or other esophageal disorders. Common symptoms associated with acid reflux-induced heartburn include:
When heartburn is felt in the lower chest area, it could be related to conditions like functional dyspepsia or gastroparesis.
Functional dyspepsia: Also known as non-ulcer dyspepsia or indigestion, functional dyspepsia is a chronic disorder characterised by discomfort or pain in the upper abdomen without an identifiable cause. This condition can cause heartburn-like pain in the lower chest area, along with other symptoms such as bloating, early satiety (feeling full after eating a small amount), and nausea. Although the exact cause of functional dyspepsia is unknown, factors such as stress, irregular eating habits, certain medications, and irritable bowel syndrome may contribute to its development. If there is no evidence of a structural or biochemical disease after investigations and symptoms have persisted for more than 3 months, then you may be diagnosed with this. Treatment for functional dyspepsia often includes lifestyle modifications, such as eating smaller meals, avoiding trigger foods, managing stress, and taking medications to reduce stomach acid or promote gastric emptying.
Gastroparesis: Gastroparesis is a condition in which the stomach muscles do not function properly, leading to delayed gastric emptying and poor digestion of food. This disorder can cause heartburn-like pain in the lower chest area, as well as other symptoms like nausea, vomiting, abdominal pain, and weight loss. Gastroparesis can be caused by various factors, including diabetes, nerve damage, and certain medications. Treatment for gastroparesis may involve dietary changes (e.g., consuming smaller and more frequent meals), medications to stimulate stomach contractions, or, in severe cases, surgical interventions may be needed.
While occasional heartburn is common and generally not a cause for concern, it's essential to recognize when your symptoms might be indicative of a more serious condition. Seek medical help if you experience any of the following symptoms:
It is crucial to consult a healthcare professional if you have concerns about your heartburn symptoms. Early intervention can help prevent complications and ensure proper management of any underlying conditions.
Understanding the location in the chest area of your heartburn and their potential links to various health conditions is crucial for recognising when medical intervention may be necessary. By being proactive about your digestive health and seeking medical help for persistent or severe heartburn, you can ensure timely diagnosis and appropriate treatment. Remember that lifestyle changes, such as maintaining a healthy weight, adjusting your diet, and managing stress, can significantly prevent and manage heartburn symptoms. Always consult your doctor for personalised advice and care.
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