Blog Post

5 Conditions that may be Mistaken for Heartburn

Digestive Diseases Center • Apr 11, 2019

Anyone who has experienced heartburn can agree on the discomfort and inconvenience it brings. However, there are many other conditions which can bring an uncomfortable sensation to the chest, and some of them are far more serious than occasional heartburn. Here are just five conditions that are commonly mistaken for heartburn.


Angina vs. Heartburn

Angina is characterized by chest pain from lack of blood flow to the heart and can easily be mistaken for heartburn. If you are 50 or older, listen to your body and ask your doctor if you are suspicious of angina. If heartburn seems to strike when you are particularly active such as during exercise or strenuous activity, that can be a sign of a larger problem.


Others who are prone to angina include those who have heart risk factors like hypertension, diabetes or a family risk of heart disease.


Stomach Ulcer vs. Heartburn

Stomach ulcers usually produce a gnawing, burning sensation in the upper abdomen. Ulcers have various potential causes but are frequently the result of infection from Helicobacter pylori, a type of bacteria that inflames the stomach lining. If this is the case, patients will need to take antibiotics to clear the infection. Certain anti-inflammatory drugs like ibuprofen may also cause ulcers.


Esophagitis vs. Heartburn

Esophagitis is a chronic inflammation of the esophagus that can result in chest pain, as well as painful and difficult swallowing. The condition is classified based on its root cause. Various types include reflux esophagitis, drug-induced esophagitis, and infectious esophagitis. Treatment typically involves the use of prescription or over-the-counter medications, and in more severe cases, surgery.


Anxiety vs. Heartburn

Anxiety can present differently in each case, but in some patients, it can contribute to heartburn and worsen GERD symptoms. For those who find there is a correlation between their anxiety and heartburn symptoms, it is important to seek medical treatment for both. While one may not be causing the other directly, there is certainly evidence to suggest that the two conditions can influence one another and that treatment can help.


Gastroparesis vs. Heartburn

Gastroparesis is a condition in which the stomach’s muscles don’t function correctly, preventing it from emptying itself of food as it should. One of the most common symptoms of gastroparesis is heartburn, but it may also be accompanied by signs such as nausea and becoming full quickly when eating. If you feel you may have gastroparesis, contact your doctor immediately, as undigested food in your stomach can lead to a life-threatening situation.


Heartburn is a common complaint among patients, and for many, it is a normal case of acid reflux that passes rather quickly. However, a tight or burning sensation in the chest can also point to a number of other gastrointestinal conditions. If you are suffering from chronic heartburn, other troublesome symptoms, or simply feel that there may be something more serious involved, contact Digestive Diseases Center, and request an appointment with one of our highly-trained gastroenterologists for evaluation and diagnosis.

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