Can GERD Cause Back Pain?

Gastroesophageal reflux disease (GERD) is commonly associated with heartburn and digestive discomfort, but it can also lead to unexpected symptoms such as back pain. This occurs when stomach acid flows back into the esophagus, irritating the lining and triggering chest pain. In some cases, this chest discomfort can radiate to the back, mimicking the sensation of muscular or spinal pain.

In addition to back pain, GERD-related chest discomfort may also spread to other areas such as the neck, shoulders, and even behind the ears. These symptoms can closely resemble those of angina or heart-related chest pain, often leading patients to seek emergency care. In fact, GERD is one of the most common causes of non-cardiac chest pain, and many individuals undergo cardiac evaluations—including procedures like coronary angiography—before being referred to a gastroenterologist.

If you experience recurring chest or upper body pain alongside classic GERD symptoms like heartburn and regurgitation, it's important to consider acid reflux as a potential cause. Other signs that may point to GERD include worsening symptoms after eating, lying down, or bending over. Recognizing these patterns can help guide proper diagnosis and treatment, reducing unnecessary medical interventions and improving quality of life.

Ultimately, while back pain is not typically the first symptom that comes to mind with GERD, it can be a significant indicator—especially when accompanied by other reflux-related complaints. Proper evaluation by a healthcare provider can help distinguish between cardiac and gastrointestinal causes of pain and ensure appropriate management.