I have gerd. pain medicines sometimes make my symptoms worse. today i took two vicodin and 1 tab q, 6 hours apart. i've been having some on and off left side chest pressure/stabbing under my breast. could it be heart attack or gerd?

Call MD: Stabbing chest pain should always be evaluated and not assumed to be not cardiac until that source is ruled out. Call your doctor or go to the er.

Go to ER: Unless investigated already, when in doubt, make sure it is not your heart by going to the er. If the cardiac w/u is negative, then the chest pains are most likely due to gerd. Pain meds notoriously slow down the GI tract including the stomach so whatever acid is there will tend to accumulate and irritate the esophagus. Ask your doctor which acid reducing regimen is best for you. Good luck.

Likely GERD: At your age this is likely gerd. Depending on the cause, narcotics can exacerbate gerd, especially if you have poor gastric emptying. If you have persistent symptoms despite diet changes, then see your doctor to get and ekg at the least.

Chest Pain: Call your Dr. or go to ER in your hospital. Best to discuss this with your Doctor who knows your medical history. If you are uncomfortable with your Dr. consult with another for a second opinion.