Can Acid Reflux Cause Chest Pain That Feels Like a Heart Attack?

Yes, acid reflux can cause chest pain that closely mimics heart attack symptoms. This occurs when stomach contents flow back into the esophagus, often causing burning discomfort behind the breastbone. Chest pain that spreads to the neck or arms needs urgent medical evaluation because it may be heart-related. GERD is one possible cause of chest pain after urgent heart and other serious causes have been ruled out. The pain typically worsens when lying down, after eating large meals, or consuming spicy foods. However, symptoms alone cannot reliably distinguish reflux from a heart problem. Chest discomfort with sweating or shortness of breath requires prompt medical evaluation. If you experience sudden, severe chest pain, especially with symptoms like arm numbness or jaw pain, seek immediate medical attention to rule out a heart attack.