Treat it as the heart first if…
Get an ECG first, antacid later, especially if you're diabetic or over 40, when chest discomfort comes with:
- Sweating, breathlessness, nausea or faintness
- Pain spreading to the arm, jaw, neck or back
- Pain brought on by exertion
- A feeling of pressure or tightness
More likely reflux when…
- Burning behind the breastbone after meals or when lying down
- Sour taste or regurgitation
- Relief with an antacid
- Long-standing, similar episodes already checked by a doctor
Even then, new or changing chest symptoms deserve a check-up.
What helps reflux
- Dinner 3 hours before bed; smaller meals
- Raise the head end of the bed with blocks (extra pillows don't work as well)
- Sleeping on the left side
- Losing weight if needed, stopping smoking