ALL CHEST PAIN ARE NOT HEART ATTACKS- One of the commonest causes of chest pain and often overlooked is Gastroesophageal reflux disease (GERD) . It is a chronic condition where stomach acid flows back into the esophagus, causing symptoms and potentially leading to complications. Symptoms 1. *Heartburn*: A burning sensation in the chest and throat. 2. *Regurgitation*: Food or acid returning to the mouth. 3. *Difficulty swallowing*: Trouble swallowing food or liquids. 4. *Chest pain*: Pain or discomfort in the chest. Causes and Risk Factors 1. *Weakened lower esophageal sphincter (LES)*: The LES relaxes, allowing stomach acid to flow back into the esophagus. 2. *Hiatal hernia*: A condition where the stomach bulges up into the chest. 3. *Obesity*: Excess weight can put pressure on the stomach. 4. *Pregnancy*: Hormonal changes can relax the LES. 5. *Certain foods*: Foods that trigger symptoms, such as citrus fruits, tomatoes, chocolate, and spicy foods. Complications 1. *Esophagitis*: Inflammation of the esophagus. 2. *Stricture*: Narrowing of the esophagus. 3. *Barrett's esophagus*: Precancerous changes in the esophagus. 4. *Respiratory problems*: Aspiration of stomach acid into the lungs. Treatment and Management 1. *Lifestyle changes*: Dietary changes, weight loss, and avoiding triggers. 2. *Medications*: Antacids, histamine-2 (H2) blockers, and proton pump inhibitors (PPIs). 3. *Surgery*: Fundoplication or other surgical procedures may be necessary in severe cases.