Q. Is stress chest pain related to heart or GERD?

Answered by
Dr. Chibitam Hope Obia
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 27, 2017 and last reviewed on: Oct 09, 2018

Hello doctor,

I am 32 years old. I am suffering from stress chest pain for the past one year. 2D echo and ECG are also normal. Is it related to heart or GERD or chest wall?

I am taking Cita-S 10 mg and Pantosec.



Welcome to

Your pain at 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 on 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.

The Probable causes:


Investigations to be done:


Differential diagnosis:

1. Reflux esophagitis.
2. Hypertensive heart disease.

Probable diagnosis:

Reflux esophagitis.

Treatment plan:

Adequate rest and antacids.

Preventive measures:

Reduce stress event.

Regarding follow up:

Revert back with the echo report to a vascular surgeon online.--->

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