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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.
The following are clues that your chest pain is probably not caused by a heart problem: 1  You have pinpointed pain (you can point to the exact spot that hurts). 2  The pain gets worse when you take a deep breath; or, not breathing for a few seconds reduces the pain significantly.