What diseases can cause a feeling of stuffiness, blockage, and distension in the epigastric region?

A feeling of stuffiness, tightness, or bloating in the chest area may be caused by conditions such as gastroesophageal reflux disease (GERD), arrhythmia, or coronary heart disease.

1. Gastroesophageal Reflux Disease (GERD)

When a person has gastroesophageal reflux disease, food and stomach acid may flow back into the esophagus, causing irritation. This can lead to discomfort or dull pain in the chest area, accompanied by abdominal bloating and even a burning sensation (heartburn).

2. Arrhythmia

Arrhythmia may cause conditions such as atrial fibrillation or frequent premature beats, which can impair myocardial contractile function and result in insufficient blood supply to the heart muscle, leading to a sensation of tightness, blockage, or fullness in the chest area.

3. Coronary Heart Disease

Coronary heart disease may cause angina or myocardial infarction, as well as myocardial ischemia or hypoxia. When patients are emotionally agitated or physically overexerted, they may experience tightness, stuffiness, or distension in the chest area.

Besides the common causes listed above, this symptom could also be due to cardiac neurosis. It is recommended to visit a hospital for proper evaluation and diagnosis, followed by treatment based on the underlying cause. In daily life, maintain a positive mood and avoid staying up late.