Symptoms of Stomach Acid Rising to the Heart: Often Mistaken for Heart Attacks and Other Health Conditions!

Stomach acid symptoms are often dismissed as common and insignificant. However, there are certain symptoms of acid reflux that can be quite dangerous, particularly when the acid rises towards the heart. This condition is known as GERD (Gastroesophageal Reflux Disease) and can lead to chest pain, often misinterpreted as a heart attack. When stomach acid rises towards the heart, it manifests in several signs. These symptoms serve as a crucial warning for those suffering from acid reflux. Here are the common symptoms of stomach acid rising to the heart:

1. Chest Pain (Heartburn)

   One of the most common symptoms of stomach acid rising to the heart is chest pain or heartburn. Heartburn caused by GERD is frequently mistaken for a heart attack because the pain feels similar. According to the Mayo Clinic, this burning sensation occurs when acid moves into the esophagus (the tube that connects the throat to the stomach). GERD is the leading cause of non-cardiac chest pain. Many patients end up visiting the emergency room for chest pain, only to discover they are experiencing GERD.

   Heartburn typically worsens after consuming large meals or while lying down. Foods that are acidic, spicy, or high in fat can exacerbate heartburn. Additionally, stress and anxiety can lead to increased stomach acid production, worsening the discomfort of heartburn.

2. Acid Regurgitation

   Another common symptom of stomach acid rising to the heart is acid regurgitation. Regurgitation occurs when stomach acid rises into the mouth, causing a sour or bitter taste. Those with severe GERD often experience this symptom.

   Frequent regurgitation can increase the risk of dental erosion due to prolonged exposure to stomach acid. Additionally, people who lie flat or sleep on their backs are more prone to experiencing regurgitation compared to those who sleep with their heads elevated. Lifestyle factors such as alcohol consumption and smoking can also worsen regurgitation because they weaken the valve between the stomach and the esophagus.

3. Nausea and Vomiting

   Nausea and vomiting are also common symptoms of stomach acid rising to the heart. When stomach acid moves into the esophagus, it can cause persistent nausea, which may sometimes be accompanied by vomiting. If nausea persists without any obvious cause, it can lead to a loss of appetite and weight loss. GERD-related nausea is most likely to occur in the morning, especially if the person has eaten late at night.

4. Chronic Dry Cough

   Stomach acid rising towards the heart can also reach the airways, triggering a persistent dry cough. This type of cough is more common at night or after meals. When this symptom occurs, GERD sufferers are advised to drink warm water or ginger tea to help soothe throat irritation caused by stomach acid. If the cough persists, individuals may need to use antacids or Proton Pump Inhibitors (PPIs) to help reduce the frequency of the chronic cough caused by GERD.

5. Hoarseness and Sore Throat

   Irritation caused by stomach acid rising can lead to hoarseness and discomfort in the throat. This condition is known as Laryngopharyngeal Reflux (LPR). The stomach acid that reaches the throat can create a burning sensation and dryness. GERD sufferers may frequently find themselves clearing their throat or feeling the need to cough to relieve this sensation.

6. Difficulty Swallowing (Dysphagia)

   Difficulty swallowing or dysphagia is another symptom of stomach acid rising to the heart. The frequent backflow of stomach acid can cause inflammation in the esophagus, leading to difficulty swallowing. Many chronic GERD sufferers develop esophageal strictures due to persistent irritation. If untreated, dysphagia can lead to weight loss as patients find it difficult to consume food. In severe cases, medical procedures like esophageal dilation may be required.

7. Shortness of Breath

   Shortness of breath is another symptom that can occur when stomach acid rises to the heart. Refluxed acid can irritate the lungs and bronchi, worsening conditions like asthma or leading to difficulty breathing. This symptom is particularly troublesome when lying flat. It may also be accompanied by chest pain. The narrowing of airways caused by acid reflux can worsen symptoms like wheezing or a heavy feeling in the chest.

8. Excessive Salivation

   Some GERD sufferers experience excessive salivation as the body's response to stomach acid irritation. This condition, known as "water brash," often occurs with acid regurgitation. Excessive salivation may act as a natural defense mechanism to neutralize the acid in the esophagus.

9. Feeling of a Lump in the Throat

   Many people with GERD report the sensation of something stuck in their throat, often described as a "lump" sensation. This is known as globus sensation, and it is not caused by a physical object. The sensation may be triggered by anxiety and continuous acid reflux. GERD sufferers are advised to consume softer foods and drink plenty of water to reduce this sensation.

10. Sleep Disturbances

    Lastly, GERD-related symptoms can interfere with sleep. Chest pain and nausea that occur at night can cause discomfort, making it difficult to sleep. Positioning during sleep is essential for GERD sufferers. Lying on the left side can help reduce acid reflux, and avoiding large meals before bedtime is also recommended. Additionally, elevating the head with extra pillows can help reduce the likelihood of stomach acid rising during sleep.

Several factors can exacerbate the symptoms of stomach acid rising to the heart. These factors, including dietary habits and lifestyle choices, can worsen the condition. Some of the habits that worsen GERD symptoms include:

• Excessive Caffeine Intake: Regular consumption of caffeinated beverages like coffee, tea, and soda can trigger increased stomach acid production and weaken the lower esophageal sphincter (LES), allowing acid to flow back into the esophagus.
• Overconsumption of Acidic Foods: Foods like tomatoes, citrus fruits, and vinegar can increase stomach acidity, worsening acid reflux symptoms and irritating the esophagus.
• Obesity: Excess weight increases abdominal pressure, which can push stomach acid into the esophagus. Obesity also strains the diaphragm, exacerbating acid reflux.
• Eating Before Bed: Lying down shortly after eating makes it easier for acid to flow back into the esophagus. This is especially problematic for GERD sufferers and can worsen heartburn and other symptoms.

Stomach acid rising to the heart is a condition that should not be taken lightly, as its symptoms can closely resemble those of a heart attack. By understanding the symptoms of stomach acid rising to the heart and learning how to manage the condition, individuals can better manage GERD and improve their quality of life. Regular check-ups and consultations with healthcare professionals are essential to monitor and address GERD effectively before it worsens.

For those seeking treatment or a medical check-up regarding GERD, IHH Healthcare Malaysia offers professional care to help manage and treat GERD. Don't let your condition worsen—schedule a consultation at IHH Healthcare Malaysia today!

• https://www.mayoclinic.org/diseases-conditions/heartburn/in-depth/heartburn-gerd/art-20046483 
• https://my.clevelandclinic.org/health/diseases/15851-gerd-non-cardiac-chest-pain
• https://www.healthline.com/health/gerd/coughing 
• https://www.webmd.com/heartburn-gerd/acid-reflux-symptoms 
• https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults/symptoms-causes
• https://www.medicalnewstoday.com/articles/gerd-getting-worse-even-with-medication#summary 
• https://www.medicalnewstoday.com/articles/323333#can-a-person-with-gerd-drink-coffee-or-tea