Burning sensation behind the sternum: causes, diagnosis, and treatment
About the symptom
Burning behind the sternum is a symptom that can manifest in patients in various situations and cause significant concern. It is usually described as a burning, tingling, or discomfort sensation in the chest area, which may radiate to the neck, shoulders, back, or even the jaw. Such sensations can occur suddenly or intermittently, making it an important sign that requires attention. Patients often describe the burning behind the sternum as something that induces a feeling of anxiety, especially if accompanied by other symptoms such as shortness of breath, increased sweating, or heart area pain.
The causes of burning behind the sternum can be diverse, including both physiological and psychological factors. Among the most common causes are gastroesophageal reflux disease (GERD), which can lead to a sour taste in the mouth and burning sensations, as well as cardiovascular diseases such as angina or myocardial infarction. In some cases, the burning may be linked to nerve disorders or stress. It is important to remember that if you experience persistent or worsening manifestations of this symptom, you should seek medical attention, as it may indicate serious illnesses.
Diseases
Burning behind the sternum can be caused by a number of diseases that affect various systems of the body. This symptom often indicates the presence of pathology in the cardiovascular, digestive, or nervous systems. It is important to remember that for an accurate diagnosis, it is necessary to consult a qualified specialist, as incorrect interpretation of symptoms can lead to complications.
The most common diseases associated with burning behind the sternum include:
- Ischemic heart disease (IHD) – a condition in which the heart does not receive enough oxygen, which can manifest as burning or discomfort behind the sternum.
- Gastroesophageal reflux disease (GERD) – a condition in which acid from the stomach enters the esophagus, causing burning and unpleasant sensations.
- Pancreatitis – inflammation of the pancreas, which can cause pain and burning in the upper abdomen, the spread of which is sometimes felt behind the sternum.
- Intercostal neuralgia – a condition in which the nerves become inflamed, leading to burning and pain in the chest area.
- Pneumonia or pleuritis – inflammatory processes in the lungs that can manifest as burning and discomfort in the sternum.
- Manifestations of anxiety disorders – stress and panic attacks can trigger an acute reaction in the body, including burning behind the sternum.
Please note that this is not a complete list of diseases, and only a doctor can provide an accurate diagnosis after conducting the necessary examinations and tests.
Diagnosis
When experiencing a burning sensation behind the sternum, it is crucial to conduct timely diagnostics to determine the cause of this condition. The burning sensation can be a result of both cardiological and gastroenterological diseases, as well as neurological disorders. At the initial stage, the doctor performs a clinical examination and collects the medical history, paying attention to the nature and duration of the pain, as well as the presence of accompanying symptoms such as shortness of breath, sweating, or dyspeptic disorders.
After the initial consultation, additional diagnostic procedures may be prescribed. It is important to establish an accurate diagnosis to rule out serious illnesses. Depending on the clinical situation, various examination methods may be offered to help doctors obtain a complete picture of the patient’s condition and develop an effective treatment plan.
- Electrocardiogram (ECG)
- EchoCG (Echocardiography)
- Gastroscopy
- Fluorography or chest X-ray
- CT (computed tomography) of the chest
- MRI (magnetic resonance imaging) if necessary
- Laboratory blood and urine tests
Which doctor to consult
If you experience a burning sensation behind the sternum, it is important not to ignore this symptom, as it may indicate serious diseases. Depending on the accompanying symptoms and the suspected cause of the burning, you may need to consult several specialists. Typically, the process of diagnosis begins with a visit to a therapist, who can refer you to narrow specialists based on your condition.
Most often, when experiencing burning behind the sternum, you should consult a cardiologist to rule out heart diseases such as angina or myocardial infarction. Additionally, a consultation with a gastroenterologist may also be helpful, as the burning may be associated with conditions such as gastroesophageal reflux disease (GERD). In some cases, if there is suspicion of something more serious, intervention from a neurologist or thoracic surgeon may be required.
- Therapist
- Cardiologist
- Gastroenterologist
- Neurologist
- Thoracic surgeon
- Pulmonologist
Types of burning behind the sternum
Burning behind the sternum can manifest in various forms and intensities, which can indicate different causes and conditions. This symptom can range from mild discomfort to severe pain, requiring careful analysis. In addition, burning may be accompanied by other symptoms such as shortness of breath, rapid heartbeat, or increased sweating, which can also assist in establishing a diagnosis.
Depending on the nature and timing of the burning behind the sternum, it can be classified into the following types:
- Acute burning: onset that occurs suddenly and can last from several seconds to several minutes. Often associated with acute diseases of the organs, such as angina or myocardial infarction.
- Chronic burning: prolonged, recurring sensation of burning, which may indicate chronic diseases such as gastritis or reflux esophagitis.
- Periodic burning: appearance of symptoms from time to time, which may be related to factors such as stress, physical exertion, or improper nutrition.
Causes of burning behind the sternum
Burning behind the sternum is a quite common symptom that can arise for various reasons. One of the most frequent causes is gastroesophageal reflux disease (GERD), in which acid from the stomach enters the esophagus, causing burning and discomfort. Other common reasons include various respiratory diseases, such as bronchitis or pneumonia, which can put pressure on the chest and cause similar sensations.
Additionally, burning behind the sternum can be caused by problems with the cardiovascular system. Heart diseases, such as angina or myocardial infarction, can manifest as pain and burning in the chest area. It is also important to consider neurological causes, such as intercostal neuralgia, where irritation of the nerve endings in the chest occurs, leading to burning sensations.
- Gastroesophageal reflux disease (GERD)
- Angina
- Myocardial infarction
- Bronchitis
- Pneumonia
- Intercostal neuralgia
Common Associated Pathologies
Burning behind the sternum can be associated with various diseases and pathologies that can significantly affect the patient’s health condition. This may be a consequence of cardiological issues as well as manifestations of diseases of the respiratory system, digestive system, or nervous system. It is important to remember that burning behind the sternum can indicate serious conditions that require medical assessment and intervention.
Among the common associated pathologies are angina, myocardial infarction, gastroesophageal reflux disease (GERD), intercostal neuralgia, and pneumonia. Each of these pathologies has its characteristic symptoms and requires a specific approach to diagnosis and treatment.
- Angina
- Myocardial infarction
- Gastroesophageal reflux disease (GERD)
- Intercostal neuralgia
- Pneumonia
- Pancreatitis
- Hepatitis
- Myositis
Expert Opinion
Burning behind the sternum is a symptom that should not be ignored, as it may indicate serious health problems. It is important to understand that the causes of burning behind the sternum can be varied, ranging from heart diseases to digestive organ disorders. This sensation can occur as a result of physical exertion or at rest, making it even more concerning.
According to experts, when burning behind the sternum occurs, it is crucial to seek medical assistance immediately. Only a doctor can determine the exact cause of this symptom after conducting a complete diagnostic examination. Self-treatment or ignoring the problem can lead to serious consequences, so it is essential to pay attention to your health and respond promptly to any changes in your body’s condition.
Treatment of burning behind the sternum
The treatment of burning behind the sternum directly depends on the cause that triggered this symptom. First, a diagnosis is necessary, which includes a comprehensive examination to determine if there is a connection with cardiovascular diseases, gastrointestinal disorders, or neurological disorders. Therefore, it is important not to delay seeking specialist help and to undergo the necessary tests in a timely manner.
In most cases, the treatment of burning behind the sternum aims to eliminate the underlying cause. If the discomfort is associated with gastritis or other stomach diseases, antisecretory medications and a diet are prescribed. In the case of cardiovascular conditions, medication therapy and lifestyle changes may be required. To relieve stress and tension, therapy using medications or psychotherapeutic methods may also be recommended.
- Medication therapy
- Diet therapy
- Physiotherapeutic procedures
- Increased physical activity
- Psychotherapy and relaxation methods
Complications
Burning behind the sternum can be a symptom of serious diseases, and if this sign is not ignored, it can help avoid possible complications. One of the most dangerous consequences is the development of a myocardial infarction – a condition in which the heart muscle does not receive enough blood flow, which can lead to its necrosis. Considering that burning behind the sternum is often associated with cardiovascular problems, it is important to seek medical attention immediately if such a symptom occurs.
In addition, burning behind the sternum may indicate diseases such as gastroesophageal reflux disease (GERD). Neglecting treatment can lead to ulcers or even esophageal cancer. There are also risks of exacerbating conditions such as pneumonia or pleurisy, where advanced states can lead to serious complications, including respiratory failure. All these consequences emphasize the need for timely diagnosis and treatment of diseases that cause burning behind the sternum.
- Myocardial infarction
- Gastroesophageal reflux disease (GERD)
- Stomach and duodenal ulcers
- Esophageal cancer
- Pneumonia
- Pleurisy and other lung diseases
- Chronic obstructive pulmonary disease (COPD)
FAQ
What to do if I have a burning sensation behind the sternum?
If you experience a burning sensation behind the breastbone, it is essential to seek medical attention immediately for diagnosis and to determine the cause of this symptom. The burning behind the breastbone may be a sign of serious conditions such as ischemic heart disease or gastroesophageal reflux disease, so it is important to undergo an examination. Before visiting the doctor, it is recommended to avoid physical exertion, refrain from alcohol and heavy food, and also control your breathing and stress levels.
What are the main causes of burning sensation behind the breastbone and when should one see a doctor?
Burning behind the sternum can be caused by various factors, including heart issues, gastrointestinal tract problems, as well as stress or muscle strain. The most common causes include angina, gastroesophageal reflux disease (GERD), pneumonia, and even panic attacks. This symptom should not be ignored, especially if it is accompanied by difficulty breathing, severe pain radiating to the shoulder or jaw, as well as other alarming signs. In such cases, it is important to see a doctor immediately for diagnosis and appropriate treatment.
What are the symptoms that accompany burning behind the sternum?
The symptoms that may accompany a burning sensation behind the sternum vary depending on the cause of this condition. They usually include chest pain, discomfort, shortness of breath, rapid heartbeat, as well as possible symptoms such as dizziness, nausea, and sweating. It is important to note that the burning sensation behind the sternum can manifest as an independent symptom or in combination with other signs indicating cardiovascular or gastrointestinal diseases. If these symptoms occur suddenly and severely, it is recommended to seek medical attention urgently for assessment.
What examination is necessary to determine the cause of burning behind the sternum?
If you experience a burning sensation behind the sternum, it is important to see a doctor for diagnosis and elimination of possible causes. The doctor may recommend undergoing a series of examinations, such as an electrocardiogram (ECG) to assess heart function, a chest X-ray to check for pathologies of the respiratory organs, or an endoscopy to determine conditions of the stomach and esophagus. Tests may be supplemented with blood tests to identify inflammatory processes or other diseases related to the burning sensation. Accurate diagnosis is a key step towards effective treatment and prevention of possible complications.