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3.5 minute

26-09-2024 Team Medicover general

Burning Sensation in Chest

Many people feel chest burning sensation, which is often caused by issues like acid reflux or an upset stomach. However, it can also be a sign of more serious health problems. It's important to know why you might feel chest burning and when it's a good idea to see a doctor for your health and peace of mind.

In this article, we will learn about the causes of chest burning, how to treat it and discuss some effective home remedies to relieve the discomfort.

What Does a Burning Sensation in Chest Mean?

A burning feeling in the chest usually indicates irritation, inflammation or pressure in the esophagus, muscles or sometimes the heart. This sensation can be sharp, dull or produce a feeling of heat radiating through the upper body. It can last anywhere from a few minutes to several hours, depending on the cause. Understanding when and how it occurs can help relieve the discomfort.

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Is Burning in Chest a Heart Attack?

A burning sensation in the chest is often mistaken for a heart attack, but all chest burning is not heart-related. Heartburn and acid reflux are common causes, but it’s important to find out cardiac issues, especially if the burning is accompanied by:

Chest tightness or pressure
Shortness of breath
Sweating
Pain radiating to the arm, jaw or back
Nausea or dizziness

If these symptoms are present, consult a doctor as soon as possible.

Causes of Burning Sensation in the Chest

Acid Reflux (GERD)

One common reason for a burning feeling in the chest is acid reflux, also known as GERD. This happens when stomach acid flows back up into the tube that connects your mouth to your stomach (the esophagus), causing irritation. You might notice this feeling gets worse after eating or when you lie down.

Heartburn

Heartburn is a common symptom of acid reflux. It leads to a painful burning sensation in the chest, especially after meals. Bending over or lying flat can make this discomfort feel even stronger.

Anxiety or Panic Attacks

Sometimes, feelings of stress or panic can also lead to a burning sensation in the chest. This might come with other symptoms like a fast heartbeat, sweating or difficulty breathing. People often confuse these sensations with heart problems.

Peptic Ulcers

Ulcers are sores that can develop in your stomach or the upper part of your intestines. If you have a peptic ulcer, you might feel a burning sensation or pain in your upper belly, especially when your stomach is empty. Sometimes, this pain can even spread to your chest.

Muscle Strain or Inflammation

If you've been lifting heavy things, exercising too hard or just sitting in a bad position, you might strain the muscles in your chest or cause irritation in the chest area (a condition known as costochondritis). This can result in a burning pain that gets worse when you move.

Heart Issues

Although it's less common, heart problems like angina or a mild heart attack can also cause a burning feeling in your chest. It's really important to check with a doctor if you experience these symptoms frequently or if they come along with other warning signs.

Diagnosis for Burning Sensation in Chest

When you experience a burning feeling in your chest, especially if it's frequent or severe, a doctor will evaluate it to find out conditions like acid reflux, heart disease or anxiety. Here's how it's typically diagnosed:

Medical history and symptom review: Your doctor will ask about the nature of the burning, its timing and associated symptoms like nausea or difficulty breathing.
Physical examination: Basic checks including heart and lung sounds to identify any abnormalities.
Electrocardiogram (ECG): To assess if the burning sensation is related to a heart issue.
Chest X-ray or CT scan: These help visualise the lungs, heart and esophagus to detect infections, inflammation or structural problems.
Endoscopy: A thin tube with a camera is inserted into the throat to inspect the esophagus and stomach for inflammation or ulcers.
pH monitoring: Measures acid levels in the esophagus to confirm acid reflux.

Treatment for Chest Burning

The treatment depends on the cause but usually focuses on relieving symptoms and addressing the root issue. Here’s how it is managed:

1. If Caused by Acid Reflux or GERD:

Antacids like calcium carbonate provide quick relief by neutralising stomach acid.
H2 blockers or proton pump inhibitors reduce acid production for longer-term relief.
Lifestyle changes: Eating smaller meals, avoiding spicy foods, staying upright after eating and elevating the head while sleeping.

2. If Caused by Heart Issues:

If diagnosed with angina or a heart condition, medications like nitrates, beta-blockers or aspirin may be prescribed.
Emergency care is necessary if chest burning is linked to a heart attack.

3. If Caused by Anxiety or Panic Attacks:

Breathing exercises, relaxation techniques or cognitive behavioural therapy can help.
In some cases, anti-anxiety medication may be used short-term.

Pain relievers, anti-inflammatory medication or antibiotics (if infection is present) may be needed.

How to Relieve Burning in Chest?

Relieving a burning sensation in the chest depends on what’s causing it, but simple at-home measures can provide quick relief in many cases, especially when acid reflux, indigestion or mild inflammation is the culprit.

Sip cold water: Drinking cool water helps soothe the lining of the esophagus and reduce the burning feeling.
Stand or sit upright: Avoid lying down immediately after eating, as it may worsen acid reflux.
Loosen tight clothing: Tight belts or waistbands can put pressure on the stomach and increase acid flow upward.
Avoid trigger foods: If spicy, fried or acidic foods exacerbate your symptoms, it is better to avoid them.
Chew sugar-free gum: It stimulates saliva production, which can help wash acid down into the stomach.
Practice deep breathing: Reduces anxiety-related chest burning and improves oxygen flow.
Eat smaller, more frequent meals: This prevents the stomach from overfilling and allows acid to stay in the stomach.

Natural Remedies for Chest Burning Sensation

If you're looking for natural ways to stop chest burning without medicines, these remedies may help:

Ginger tea: Ginger has anti-inflammatory properties that soothe the stomach lining and help digestion.
Aloe vera juice: Drinking a small amount of aloe vera juice (made for internal use) can calm acid irritation.
Baking soda water: A teaspoon in a glass of water can neutralise stomach acid, used occasionally, not regularly.
Licorice root: Deglycyrrhizinated licorice can protect the esophagus lining and is available as chewable tablets.
Chamomile tea: It calms both the stomach and the nerves, offering mild relief for stress-related burning.
Apple cider vinegar: Though acidic, a small amount diluted in water may help balance stomach pH for some people.

When to See a Doctor for Chest Burning

You should see a doctor if you experience:

Chest pain that spreads to your arm, jaw or back
Shortness of breath, dizziness or sweating
Burning that worsens despite home treatment
Difficulty swallowing or unexplained weight loss
Persistent symptoms interfering with daily life

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Conclusion

Feeling a burning sensation in your chest can mean different things, from simple heartburn to something more serious. Many times, these feelings are caused by issues related to digestion or stress, but it's important not to overlook any chest discomfort. If you're unsure or worried, it's always best to check with a doctor to get the right advice and treatment.

Frequently Asked Questions

Yes, dehydration can lead to acid buildup in the stomach, which may cause acid reflux and chest burning. It can also lead to dry throat and esophageal irritation. Staying well-hydrated may help reduce such symptoms.

Not always — it’s often caused by acid reflux, indigestion, or mild anxiety.However, if it's persistent, intense, or comes with breathlessness or radiating pain, it could indicate a heart issue.

Yes, lung infections like pneumonia or bronchitis can cause chest discomfort or burning. Inflammation of the pleura (pleuritis) may also contribute to this sensation. If accompanied by cough, fever, or difficulty breathing, consult a doctor.

Common tests include an ECG (to rule out heart issues), chest X-ray, and upper GI endoscopy. Doctors may also perform blood tests, esophageal pH monitoring, or barium swallow studies. The test depends on your symptoms and medical history.

Yes, stomach ulcers can cause a burning pain that may radiate to the chest. This usually worsens on an empty stomach or at night. Diagnosis is confirmed via endoscopy or H. pylori testing.

Yes, a hiatal hernia can lead to acid reflux, resulting in chest burning. It occurs when part of the stomach pushes through the diaphragm into the chest cavity. Treatment may include diet changes, medications, or surgery in severe cases.

Yes, many pregnant women experience heartburn due to hormonal changes and pressure on the stomach. This can cause acid to move upward, leading to a burning chest and throat. Eating smaller meals and avoiding lying down after eating can help.

Yes, lying flat or on the right side can worsen acid reflux and chest burning. Sleeping with your head elevated or on your left side helps reduce symptoms. Avoid lying down right after meals to prevent discomfort.