What causes a burning sensation in the upper chest?

May 12, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
A burning sensation in the upper chest may be caused by physiological factors or pathological conditions such as trauma and gastritis. It can be relieved through general management, physical therapy, and medication. In addition, it could also result from conditions like pneumonia, pleural effusion, or acute myocardial infarction. Prompt medical evaluation at a hospital is necessary, and standardized treatment should be carried out under a doctor's guidance.

Upper chest burning sensation may be caused by physiological factors as well as pathological conditions such as trauma or gastritis. It can be relieved through general management, physical therapy, or medication. Specific analysis is as follows:

I. Physiological Factors

If one consumes excessively spicy or irritating foods, such as chili peppers or hot pot, the esophageal and gastric mucosa may become irritated, potentially causing a burning sensation in the upper chest. This is usually a normal phenomenon that does not require special treatment; maintaining a light and bland diet is recommended.

II. Pathological Factors

1. Trauma

If the upper chest experiences external pressure or impact, it may lead to local skin and mucosal injury or acute tissue edema, resulting in a burning pain. Patients can apply cold compresses locally within the first 72 hours after injury to relieve pain, then switch to heat compresses after 72 hours to promote local circulation.

2. Gastritis

If stomach acid refluxes through the esophagus, it may cause a burning sensation in the lower esophagus, possibly leading to inflammation and resulting in chest pain and a burning feeling in the upper chest area. Under medical guidance, patients may use medications such as rebamipide tablets, hydrotalcite chewable tablets, or colloidal bismuth pectin capsules for treatment.

In addition, this symptom could also be caused by pneumonia, pleural effusion, acute myocardial infarction, or other serious conditions. It is important to seek timely medical evaluation at a hospital and receive standardized treatment under professional supervision.


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