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Is Your Chest Pain Coming from the Esophagus?
Published: Nov 30, 2023
Chest pain isn't always a sign of a heart problem. Sometimes, it can be an issue with your esophagus, and understanding this can save time, stress, and money.
Understanding Non-Cardiac Chest Pain
Chest pain that doesn't come from the heart is more common than you might think. Around 10% to 50% of chest pain cases in outpatients are due to gastrointestinal issues, especially GERD. GERD, or gastroesophageal reflux disease, is a frequent culprit, but other causes include esophageal motility disorders or even stress-related issues.
The Usual Suspects: GERD and More
GERD is often behind esophageal chest pain, with nearly half of patients experiencing abnormal acid exposure. Symptoms can mimic heart pain, but often include a burning sensation and regurgitation. Other potential causes can be esophageal spasms or hypersensitivity, which may feel like a squeezing pain in the chest.
When to Worry: Alarm Features
Certain symptoms signal a need for quick medical attention. These include difficulty swallowing, unexplained weight loss, or significant gastrointestinal bleeding. If these occur, it's crucial to investigate further to rule out serious conditions like esophageal injury or infections.
Frequently Asked Questions
About 13% of chest pain in communities is non-cardiac.
Yes, GERD is a leading cause of esophageal chest pain.
Alarm features include dysphagia, weight loss, and bleeding.
Key Takeaways
Understanding the esophageal origins of chest pain can lead to better diagnosis and relief.
References
- Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med 2000; 342:1163.
- Eslick GD, Coulshed DS, Talley NJ. Review article: the burden of illness of non-cardiac chest pain. Aliment Pharmacol Ther 2002; 16:1217.
- Ford AC, Suares NC, Talley NJ. Meta-analysis: the epidemiology of noncardiac chest pain in the community. Aliment Pharmacol Ther 2011; 34:172.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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