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Is stress chest pain related to heart or GERD?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 32 years old. I have been suffering from stress chest pain for the past year. 2D echo and ECG (electrocardiogram) are also normal. Is it related to the heart, GERD (gastroesophageal reflux disease), or the chest wall? I am taking Cita-S 10 mg and Pantosec. Please help.

Thank you.

Answered by Dr. Chibitam Hope Obia

Hello,

Welcome to icliniq.com.

Your pain in your chest wall may be due to stress or heartburn from acid reflux. I am suggesting that you have developed a stress ulcer, which can lead to acid reflux esophagitis. Are you under any form of stress lately?

If so, please take some time off for adequate rest. You can go ahead to do your echocardiogram to rule out any form of heart disease, which can produce chest pain. Meanwhile, you can continue the suggested medication for the pain and combine it with some antacids until you receive the outcome of your diagnostic test.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

The Probable causes

The probable cause is stress.

Investigations to be done

Investigations to be done are echocardiogram.

Differential diagnosis

The differential diagnosis is

1. Reflux esophagitis.

2. Hypertensive heart disease.

Probable diagnosis

The probable diagnosis is reflux esophagitis.

Treatment plan

The treatment plans include adequate rest and antacids.

Preventive measures

The preventive measure is to reduce stress events.

Answered byDr. Chibitam Hope Obia

Medically reviewed byiCliniq medical review team

Published At November 27, 2017
Reviewed AtOctober 7, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Chibitam Hope Obia
Dr. Chibitam Hope Obia

General Practitioner

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