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The painful, burning sensation is caused by rising stomach acid. It moves from your stomach, where the lining is resistant to its corrosive effects, up into your esophagus, the lining of which is not similarly protected. It can climb all the way from the bottom of the esophagus all the way up into the throat.
Digestive causes. Chest pain can be caused by disorders of the digestive system, including: Heartburn. This painful, burning sensation behind your breastbone occurs when stomach acid washes up from your stomach into the esophagus â the tube that connects your throat to your stomach.