Acidity or Heart Attack? Here's How to Tell the Difference
Chest discomfort is one of the most common reasons people visit a cardiologist — and one of the most misunderstood. Many people in Rajkot and across Gujarat dismiss chest pain as "just gas" or acidity. Sometimes it is. But sometimes, it is not. Knowing the difference can save your life.
Dr. Nikhila Pachani, Consultant Interventional Cardiologist at Backbone Medicity Hospital, Rajkot, recently shared a clear and simple guide to help people understand when chest discomfort needs urgent attention.
What Acidity Usually Feels Like
Acidity — also called acid reflux or GERD (gastroesophageal reflux disease) — tends to:
- Start after a heavy meal, spicy food, or lying down
- Feel like a burning sensation in the chest or throat
- Get better with antacids or after sitting upright
- Come with burping, bloating, or a sour taste in the mouth
These symptoms are uncomfortable, but they usually follow a clear pattern and respond quickly to simple remedies.
What a Heart Attack Can Feel Like
A heart attack often feels very different. Watch out for:
- Pressure, tightness, or heaviness in the chest — not just a burning feeling
- Pain that spreads to the arm, jaw, neck, or back
- Discomfort that comes even at rest, without any connection to food
- Breathlessness, sweating, or nausea along with chest discomfort
- Symptoms that do not improve with antacids
It is important to know that heart attacks do not always cause dramatic, crushing chest pain. Sometimes the discomfort is mild or feels unfamiliar.
The Golden Rule
As Dr. Pachani puts it: if chest discomfort is new, severe, or different from your usual acidity — treat it as a heart attack and get help immediately.
Do not wait to see if it goes away on its own. Do not drive yourself to the hospital. Call for help right away.
This is especially important for younger adults. Heart attacks in people under 45 are becoming more common, and early action makes a real difference in outcomes.
When in Doubt, Get Checked
Acidity and heart-related chest pain can sometimes feel very similar. No one should try to diagnose themselves at home. A simple ECG or blood test at a hospital can quickly give clarity.
If you or someone you know experiences chest discomfort — especially with any of the warning signs listed above — please consult a qualified cardiologist or visit your nearest emergency department without delay.