Gastroenterologist Explains Heartburn vs. Heart Attack Symptoms

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Dr. Pranav Periyalwar, a gastroenterologist at National Jewish Health, discusses the often-confusing symptoms that can make it difficult to tell the difference between heartburn and a heart attack. He explains that common symptoms like a sour or acidic taste in the mouth may indicate heartburn, while heart attack symptoms can include tightness in the chest and pain spreading to the arms, back, neck, or jaw. Dr. Periyalwar also notes the connection between gastrointestinal issues and heart health, and suggests dietary and sleep modifications to improve symptoms.

Why it matters

Correctly identifying the cause of chest pain and related symptoms is crucial, as mistaking a heart attack for heartburn or vice versa can have serious health consequences. This information helps educate the public on how to better distinguish between these two conditions and seek appropriate medical care.

The details

According to Dr. Periyalwar, common symptoms that may indicate either heartburn or a heart issue include a sour or acidic taste in the mouth, which is not a symptom of a heart attack, and a burning sensation from the stomach to the throat. In contrast, heart attack symptoms may involve tightness in the chest and chest pain that may spread to the arms, back, neck, or jaw. Dr. Periyalwar also discussed the connection between gastrointestinal issues and heart health, noting that inflammation, blood pressure, and cholesterol play significant roles. He emphasized the impact of inflammatory foods on gastrointestinal flare-ups and suggested that diet and sleep modifications can improve symptoms.

• The interview with Dr. Periyalwar was conducted on January 29, 2026.

What they’re saying

What’s next

Dr. Periyalwar advised considering medical treatment and diagnosis when symptoms persist or worsen, as correctly identifying the cause of chest pain and related symptoms is crucial for proper treatment.