There are several reasons for the association between heartburn and back pain. Some can occur when chronic heartburn sufferers try different home remedies to treat their condition, which can lead to back pain. Heartburn and back pain together can also indicate a more serious problem related to the gallbladder, which should be diagnosed by a doctor.
Heartburn is usually caused by digestive acids sloshing through the upper opening of the stomach. This usually occurs in people with poorly functioning sphincters, which should keep the stomach closed. These acids can erode the lining of the esophagus and burn the back of the throat.
After multiple episodes of severe heartburn, the soft tissues of the digestive tract can begin to experience long-term damage. This can cause upper mid-back pain. This type of back pain should stop when the heartburn is treated and the esophageal tissues begin to heal.
Chronic heartburn episodes usually occur late at night, often just before bedtime. Sufferers may attempt to treat the condition, initially by changing their sleeping positions. This can be achieved by sleeping in an elevated position through the use of multiple pillows. This inclined sleeping position can lead to back pain. Severe heartburn can also lead to coughing fits that, over a period of time, can cause back pain.
Heartburn and back pain, along with other symptoms, are indicative of a malfunction of the gallbladder . When there are problems with this organ, such as disease or gallstones, heartburn can become severe. This may be accompanied by a wash of food in the mouth or severe vomiting. Pain related to the diseased organ can occur in the back, below the shoulder blades.
Those who experience back pain, specifically that below the shoulder blades and is accompanied by severe heartburn and acid reflux, should see a medical professional. Treatment of such symptoms may require removal of the gallbladder or stones. A doctor usually performs an ultrasound, or a similar test, to diagnose whether the gallbladder is the source of the pain.
Chest pain, which is accompanied by back pain, can also be a sign of a heart attack. In some cases, heartburn and back pain can also include tightness or pain in the shoulder and arm. This may follow a period where the sufferer feels a general sense of malaise. Those who suspect a heart attack should seek emergency medical services immediately.