
Heartburn, indigestion, and acid reflux are terms used to describe the condition where stomach acids rise into the oesophagus, causing a burning sensation in the chest. Despite the name heartburn, this condition is unrelated to the heart and is instead caused by stomach acid irritating the oesophagus. However, because the oesophagus and heart are located near each other, either one can cause chest pain, leading to confusion between heartburn and cardiac chest pain. This is especially true for women, who may not experience chest pain during a heart attack. While heartburn is a common and non-life-threatening condition, a heart attack is a medical emergency. Therefore, it is crucial to distinguish between the two.
| Characteristics | Values |
|---|---|
| Nature of pain | Heartburn tends to feel like a burning sensation, and it may travel to the throat. |
| Location of pain | Heartburn pain tends to be more central, while pain from a cardiac event will typically start in the left chest. |
| Worsening of pain | Cardiac chest pain may worsen with movement and heavy breathing, whereas heartburn will not. |
| Relief from pain | Changing body position can relieve heartburn pain, unlike cardiac chest pain. |
| Other symptoms | Heartburn may be accompanied by a sore throat, asthma symptoms, or a feeling of pressure, tightness, or squeezing. |
| Risk factors | Risk factors for heartburn include eating late at night, lying down after eating, drinking too much water during meals, and consuming certain foods (e.g., fried foods, spicy foods, citrus fruits, chocolate, coffee, alcohol, mint, garlic, onions). |
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What You'll Learn
- Heartburn and heart attacks can both cause chest pain, but the location of the pain can differ
- Heartburn is not a life-threatening condition, but a heart attack is
- Heartburn is related to the oesophagus, not the heart
- Heart attack symptoms in women may not include chest pain
- Acid reflux can cause heartburn, and certain foods can trigger acid reflux

Heartburn and heart attacks can both cause chest pain, but the location of the pain can differ
Heartburn and heart attacks are two very different conditions, but they can both cause chest pain. Despite its name, heartburn has nothing to do with the heart. It is related to the oesophagus, which is located near the heart. When stomach acid rises into the oesophagus, it can cause a burning sensation in the chest, sometimes moving up to the neck, throat or jaw. This is known as acid reflux or indigestion.
Heart attacks, on the other hand, occur when blood flow to the heart is blocked, and the heart muscle doesn't get enough oxygen. This lack of oxygenated blood can damage the heart, and the condition is often life-threatening. The classic sign of a heart attack is chest pain or pressure, often described as a feeling of tightness, squeezing or constriction. This feeling may radiate to the left shoulder, arm, neck, jaw or back.
While both conditions can cause chest pain, the location of the pain can differ. Heartburn-related chest pain often feels like a burning sensation and may travel to the throat. It tends to be more central and is not usually felt in the left arm. In contrast, pain from a heart attack typically starts in the left side of the chest.
It is important to note that the chest pain associated with heart attacks may not always be felt as "pain". Many people describe it as pressure or tightness. Additionally, women may experience heart attack symptoms other than chest pain, such as shortness of breath.
If you are experiencing chest pain and are unsure of the cause, it is crucial to seek medical attention. A qualified healthcare provider can determine whether the pain is cardiac or non-cardiac and provide the appropriate treatment.
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Heartburn is not a life-threatening condition, but a heart attack is
Heartburn and heart attacks share a common symptom: chest pain. However, heartburn is not a life-threatening condition, while a heart attack is. Being able to distinguish between the two is crucial.
Heartburn, also known as acid reflux or indigestion, is unrelated to the heart despite its name. It is caused by stomach acids rising into the oesophagus, resulting in chest pain that sometimes spreads to the neck, throat, or jaw. This pain typically feels like an intense stabbing or burning sensation just beneath the skin's surface and may be accompanied by a bitter or acidic taste in the back of the throat. Heartburn symptoms often occur after a large or spicy meal and are usually not worsened by physical activity.
On the other hand, a heart attack is a life-threatening medical emergency. While chest pain or discomfort is the most common symptom of a heart attack in both men and women, women may experience less typical symptoms, such as nausea and vomiting. Additionally, some women may not experience chest pain at all during a heart attack. Cardiac chest pain may worsen with movement and heavy breathing. It is important to seek immediate medical attention if you experience uncomfortable pressure, squeezing, fullness, or pain in the centre of the chest that lasts for more than a few minutes or comes and goes.
To differentiate between heartburn and cardiac chest pain, it is essential to consider the location of the pain and any accompanying symptoms. Heartburn pain tends to be more central, while pain from a heart attack typically starts on the left side of the chest. Additionally, heartburn is often associated with acid reflux, which may cause symptoms such as pain spreading up to the throat but not to the extremities. In contrast, a heart attack may be accompanied by symptoms such as shortness of breath and a feeling of tightness in the chest.
While heartburn can be managed through lifestyle modifications and, in some cases, medication, it is crucial to seek medical attention if you are unsure whether your symptoms are due to heartburn or a heart-related issue. A healthcare professional can help rule out the most severe possibility and ensure that you receive appropriate treatment.
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Heartburn is related to the oesophagus, not the heart
Heartburn, acid reflux, and indigestion are related to the oesophagus, not the heart. Despite its name, heartburn does not refer to the heart. It is caused by stomach acids rising into the oesophagus, which can cause chest pain that sometimes moves to the neck, throat, or jaw. This is why many people mistake heartburn for angina and vice versa.
The oesophagus and heart are located near each other, and chest pain can be a symptom of both heartburn and heart attacks. However, the type of pain associated with each is usually different. Heartburn tends to feel like a burning sensation, and it may travel to the throat. A heart attack, on the other hand, usually feels like pressure, tightness, or squeezing rather than pain. The feeling may radiate up toward the left shoulder, arm, and neck.
To distinguish between heartburn and cardiac chest pain, it is important to assess the location and accompanying symptoms. GERD chest pain tends to be more central, while pain from a cardiac event typically starts in the left chest. Cardiac chest pain may worsen with movement and heavy breathing, whereas heartburn typically does not. Additionally, chest pain caused by GERD is usually located behind or just underneath the sternum and is often accompanied by a burning sensation behind the breastbone.
If you are unsure whether your chest pain is due to heartburn or a heart attack, it is crucial to seek immediate medical attention. A qualified healthcare provider can determine if you are experiencing cardiac or non-cardiac chest pain.
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Heart attack symptoms in women may not include chest pain
Heartburn, acid reflux, or indigestion can cause chest pain or angina. This is because the oesophagus and heart are located near each other, so issues affecting either can cause similar symptoms. However, it is important to distinguish between the two, as heartburn is a relatively minor issue, while chest pain is a symptom of a heart attack, which is a medical emergency.
While chest pain or discomfort is the most common symptom of a heart attack in both men and women, women may experience less typical symptoms, such as jaw, shoulder, or upper back pain. Women may also experience gastrointestinal symptoms, such as nausea and vomiting, nearly twice as often as men. Other symptoms that women may experience include:
- Pressure, squeezing, or a band-like sensation in the chest
- Discomfort radiating from the heart, making it seem like the pain is coming from elsewhere in the body
- Gradual tiredness and a slower onset of symptoms
- Subtle symptoms, such as anxiety or an autoimmune disorder
Heart attacks occur when blood flow to the heart is blocked, and the heart muscle doesn't get enough oxygen. This can be caused by a buildup of fat, cholesterol, and other substances in the arteries supplying blood to the heart. Heart disease is a significant health issue for women, but many women mistake the symptoms for less life-threatening conditions. Therefore, it is crucial to be aware of the signs and symptoms specific to women and seek immediate medical attention if you experience any of them.
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Acid reflux can cause heartburn, and certain foods can trigger acid reflux
Heartburn, or acid reflux, is a burning feeling in the chest caused by stomach acid travelling up towards the throat. This can cause chest pain that sometimes moves to the neck, throat, or jaw. While it is easy to confuse heartburn with chest pain, the two are unrelated. If you are unsure, it is important to seek medical attention to rule out the most severe possibility.
Acid reflux can be caused by certain foods, changes in eating habits, and specific medications. Foods with a low pH are highly acidic and more likely to cause acid reflux. These include citrus fruits, which can relax the valve between the oesophagus and the stomach, allowing acid to splash up. Medications that can cause acid reflux include aspirin, anti-inflammatories, benzodiazepines, tricyclic antidepressants, and some asthma medications.
Some foods that can help prevent and soothe acid reflux include alkaline foods, which have a high pH and can help offset strong stomach acid. Eating foods that contain a lot of water can also dilute and weaken stomach acid. Non-fat milk can act as a temporary buffer between the stomach lining and acidic stomach contents, providing immediate relief from heartburn symptoms. While it is not proven, many people find that drinking a small amount of apple cider vinegar in warm water helps with acid reflux. However, it should never be consumed at full concentration as it can irritate the oesophagus.
Lifestyle changes can also help stop or reduce acid reflux and heartburn. These include eating smaller, more frequent meals, avoiding lying down after eating, and not eating within three to four hours before bedtime. Gravity helps keep acid in the stomach, so it is important to remain standing or sitting after a meal and to avoid vigorous exercise for a couple of hours after eating. Raising the head of your bed by 10 to 20 cm can also help keep your chest and head above your waist, preventing stomach acid from travelling up towards your throat.
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Frequently asked questions
Yes, indigestion and heartburn can cause chest pain. This is because acid irritates and inflames the tissues inside your oesophagus, which runs from your stomach up through your chest to your throat.
Heartburn is a common condition that’s caused by stomach acids rising into your oesophagus. A heart attack, on the other hand, occurs when blood flow to the heart is blocked and the heart muscle doesn’t get enough oxygen. While heart attacks are life-threatening medical emergencies, heartburn is not.
The location of the pain and accompanying symptoms can help distinguish between the two. Heartburn tends to feel like a burning sensation and may travel to the throat. Pain from a heart attack, on the other hand, usually feels like pressure, tightness or squeezing and may radiate up toward the left shoulder, arm and neck.
To prevent heartburn, you can make changes to your eating habits, such as not drinking too much water during meals, chewing gum to increase saliva production, and avoiding eating late at night.
If you experience chest pain, it is important to seek medical help. A healthcare professional can assess your symptoms and determine the underlying cause. Do not spend too much time trying to evaluate your symptoms—get medical attention if you have any concerns.











































