Heartburn differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
Jose Loyola (talk | contribs) No edit summary |
Jose Loyola (talk | contribs) |
||
| Line 4: | Line 4: | ||
==Differentiating Heartburn from other Diseases== | ==Differentiating Heartburn from other Diseases== | ||
{| class="wikitable" | |||
|+Differentiating [[heartburn]] from [[angina]] <ref name="urlHeartburn vs. heart attack - Harvard Health">{{cite web |url=https://www.health.harvard.edu/heart-health/heartburn-vs-heart-attack/heart-health/heartburn-vs-heart-attack/heart-health/heartburn-vs-heart-attack |title=Heartburn vs. heart attack - Harvard Health |format= |work= |accessdate=}}</ref> <ref name="pmid20003376">{{cite journal| author=Bösner S, Haasenritter J, Becker A, Hani MA, Keller H, Sönnichsen AC | display-authors=etal| title=Heartburn or angina? Differentiating gastrointestinal disease in primary care patients presenting with chest pain: a cross sectional diagnostic study. | journal=Int Arch Med | year= 2009 | volume= 2 | issue= | pages= 40 | pmid=20003376 | doi=10.1186/1755-7682-2-40 | pmc=2799444 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20003376 }} </ref> | |||
! align="center" style="background: #4479BA; color: #FFFFFF " |Heartburn (GERD) | |||
! align="center" style="background: #4479BA; color: #FFFFFF " |Angina or Heart Attack | |||
|- | |||
|Burning [[chest pain]], begins at the [[breastbone]] | |||
|Tightness, pressure, squeezing, stabbing or dull [[pain]], most often in the center | |||
|- | |||
|[[Pain]] that radiates towards the [[throat]] | |||
|[[Pain]] radiates to the [[shoulders]], [[neck]] or arms | |||
|- | |||
|Sensation of food coming back to the [[Mouth (human)|mouth]] | |||
|Irregular or rapid [[heartbeat]] | |||
|- | |||
|[[Acid]] taste in the back of the [[throat]] | |||
|Cold [[sweat]] or [[clammy]] skin | |||
|- | |||
|[[Pain]] worsens when [[patient]] lie down or bend over | |||
|[[Lightheadedness]], [[weakness]], [[dizziness]], [[nausea]], [[indigestion]] or [[vomiting]] | |||
|- | |||
|Appears after large or spicy meal | |||
|[[Shortness of breath]] | |||
|- | |||
| | |||
|[[Symptoms]] appears with physical exertion or extreme [[stress]] | |||
|} | |||
* [[Angina]] / ischemia | * [[Angina]] / ischemia | ||
Revision as of 17:10, 1 September 2020
|
Heartburn Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Heartburn differential diagnosis On the Web |
|
American Roentgen Ray Society Images of Heartburn differential diagnosis |
|
Risk calculators and risk factors for Heartburn differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: José Eduardo Riceto Loyola Junior, M.D.[2]
Differentiating Heartburn from other Diseases
| Heartburn (GERD) | Angina or Heart Attack |
|---|---|
| Burning chest pain, begins at the breastbone | Tightness, pressure, squeezing, stabbing or dull pain, most often in the center |
| Pain that radiates towards the throat | Pain radiates to the shoulders, neck or arms |
| Sensation of food coming back to the mouth | Irregular or rapid heartbeat |
| Acid taste in the back of the throat | Cold sweat or clammy skin |
| Pain worsens when patient lie down or bend over | Lightheadedness, weakness, dizziness, nausea, indigestion or vomiting |
| Appears after large or spicy meal | Shortness of breath |
| Symptoms appears with physical exertion or extreme stress |
- Angina / ischemia
- Ascites
- Asthma
- Barrett's esophagus
- Cardiotomy
- Caustic agent ingestion with resultant mucosal injury
- Chagas disease
- Cholelithiasis
- Clothes (elevated internal stomach pressure)
- Constipation
- Coronary artery disease
- Coughing
- CREST syndrome (Calcinosis Raynaud's phenomenon Esophagus Sclerodactyly Telangiectasias)
- Direct irritation of esophagus:
- Aspirin
- Cigarette smoke
- Citrus fruits, juice
- Ibuprofen
- Spicy foods
- Tomatoes
- Tomato sauce
- Diabetes
- Drugs:
- Esophageal atresia or fistula
- Esophageal carcinoma
- Esophageal diverticulum
- Esophageal varices
- Foods:
- Alcohol
- Chocolate
- Coffee
- Fatty foods
- Peppermint
- Soft drinks with caffeine
- Tea
- Fundectomy (postoperative)
- Gastrectomy (postoperative)
- Gastritis
- Gastroesophageal reflux disease (GERD)
- Hiatal hernia
- Infectious esophagitis
- Lifting
- Mallory-Weiss tear
- Motility disorders
- Muscle strain
- Myasthenia gravis
- Myocardial infarction
- Obesity
- Peptic ulcer disease
- Pericardial disease
- Pregnancy
- Primary reflux esophagitis
- Pulmonary embolism
- Raynaud's phenomenon
- Scleroderma
- Strictures, webs or rings
- Vagotomy (postoperative)
References
- ↑ "Heartburn vs. heart attack - Harvard Health".
- ↑ Bösner S, Haasenritter J, Becker A, Hani MA, Keller H, Sönnichsen AC; et al. (2009). "Heartburn or angina? Differentiating gastrointestinal disease in primary care patients presenting with chest pain: a cross sectional diagnostic study". Int Arch Med. 2: 40. doi:10.1186/1755-7682-2-40. PMC 2799444. PMID 20003376.