What Might Cause Chest Pain and Nausea at Night?

When you feel chest pain along with nausea at night, one important possibility is a heart problem. For example, your heart may not be getting enough blood, which could signal conditions like an acute coronary syndrome, including a heart attack. This is a serious issue that needs prompt medical attention. Another common cause is acid reflux. This happens when stomach acid comes up into your esophagus (the tube that carries food to your stomach), which can hurt your chest and cause an upset stomach or nausea, especially when you lie down at night. Other possible reasons include stomach irritation, such as from gastritis, or even anxiety that can lead to similar feelings. Sometimes, these symptoms appear together in older adults or in cases where the symptoms may seem unusual. Doctors usually check your overall health and may run tests like an EKG or other imaging studies to find out what is causing these symptoms. Because chest pain and nausea can signal a serious problem, it is important to get help from a doctor as soon as possible.