Family gatherings and festive feasts often come with indulgence, but when chest pain follows, it can spark immediate concern. Is it heartburn caused by overeating, or could it be a more serious cardiovascular issue? According to Dr. Maya Balakrishnan, an associate professor of gastroenterology at Baylor College of Medicine, understanding the difference can be critical.

The chances of encountering either condition increase with age. 

Dr. Balakrishnan explains that as people grow older, the muscles that control the esophagus weaken, leading to a higher risk of acid reflux. 

At the same time, age-related factors like high blood pressure, cholesterol, and diabetes elevate the likelihood of cardiovascular disease.

Heartburn, often triggered by large meals, occurs when stomach acids back up into the esophagus. 

This can result in a burning sensation in the chest or a sour, metallic taste in the mouth. Foods commonly consumed during holidays—such as salty snacks, spicy dishes, tomato-based sauces, chocolate, alcohol, and caffeinated beverages—are major contributors.

The discomfort typically worsens when lying down shortly after eating.

Simple lifestyle adjustments, like eating smaller meals, staying upright after eating, and taking post-meal walks, can help prevent heartburn. 

For those who still experience symptoms, over-the-counter antacids or prescription medications like proton pump inhibitors and H2 blockers can provide relief.

However, chest pain can sometimes signal a far more serious problem—cardiovascular trouble. Pain stemming from angina, a condition caused by reduced oxygen supply to the heart, or even a heart attack, may initially feel similar to heartburn but is potentially life-threatening. 

Unlike heartburn, this type of pain can occur even without eating and might be accompanied by shortness of breath or dizziness.

Dr. Balakrishnan highlights that cardiovascular chest pain, medically referred to as angina, is linked to blood supply issues in the heart. 

For individuals with risk factors like diabetes, high blood pressure, or a history of smoking, persistent chest pain should never be ignored. Seeking medical attention promptly is crucial, as early diagnosis and treatment can be lifesaving.

Understanding your risks and recognizing the symptoms of both heartburn and heart disease is essential for maintaining health. 

While one may simply require antacids, the other demands immediate medical intervention. When in doubt, consult a healthcare professional—because knowing the difference might just save your life.