Angina Can Cause Stomach Pain: Understanding The Difference

Angina, a symptom of underlying heart disease, is often associated with chest discomfort. However, it can also present itself in less obvious ways — including stomach pain. This can lead to confusion, as many individuals experiencing stomach discomfort may initially assume it's due to a gastrointestinal condition like gastritis, peptic ulcer disease, or acid reflux. It's crucial to understand how angina-related stomach pain differs from typical digestive issues.

How Angina Can Cause Stomach Pain

Angina-induced stomach pain typically occurs due to referred pain from the heart. This happens when discomfort from the chest radiates to other areas of the upper body, including the abdomen. The pain usually lasts for a short duration — often less than 15 minutes — and is commonly triggered by physical exertion or emotional stress. Unlike typical stomach pain caused by digestive issues, angina-related discomfort tends to subside with rest or prescribed heart medications like nitroglycerin.

Stomach Pain From Gastrointestinal Conditions

In contrast, gastrointestinal-related stomach pain is usually linked to eating patterns. It may occur on an empty stomach, shortly after eating, or be accompanied by symptoms like heartburn, acid reflux, bloating, or loss of appetite. Conditions such as gastritis, peptic ulcer disease, or gastroesophageal reflux disease (GERD) often cause persistent or recurring discomfort that isn't necessarily relieved by rest.

Why Proper Diagnosis Matters

Because the symptoms can be similar, it's essential to seek professional medical evaluation. A healthcare provider may refer you to both a cardiologist and a gastroenterologist to determine whether the pain is originating from the heart or the digestive system. Early diagnosis is key to managing potentially life-threatening conditions like coronary artery disease.

If you experience unexplained stomach pain — especially if it's new, severe, or occurs during physical activity — don't ignore it. Consult a healthcare professional to rule out heart-related causes and ensure appropriate treatment.