Menu
Menu

Chest pain after drinking alcohol: what does it mean?

Category: 

While it is not common, some people experience chest pain after drinking alcohol. This discomfort may manifest in their throat, central chest, or even more concerningly, in their heart. If you regularly feel chest pain after consuming alcohol, it could be a sign of an underlying issue that requires attention.

There are many potential causes for alcohol-related chest pain, some relatively benign like heartburn, and others more serious like cardiovascular problems. The more knowledge you have about this connection, the better you can protect yourself and potentially prevent chest discomfort from recurring after alcohol consumption.

Can drinking alcohol cause chest pain?

Yes, drinking alcohol can lead to chest discomfort. It is important to note that while this can occur, it is not a normal reaction to alcohol. Any experiences of chest pain should lead to seeking immediate medical attention, especially if you have never felt this way before.

Chest pain may be directly caused by the alcohol itself, or it may be exacerbated by drinking but caused by an underlying medical or psychological condition. Some of these conditions may even be life-threatening, which is why it’s crucial not to ignore this symptom.

Excessive drinking can trigger various physiological responses that might result in chest discomfort. Understanding the connection between alcohol and chest discomfort can help you make informed decisions about your alcohol consumption and health.

Chest pain after drinking alcohol: common causes

There are multiple reasons why someone may experience chest pain when they drink alcohol. Some of the most common causes include:

Gastroesophageal reflux disease (GERD)

Alcohol acts as a central nervous system depressant. This means that it has the effect of relaxing muscles, including the esophageal sphincter. This is the muscle that separates the stomach from the esophagus, and its relaxation may cause acid to flow in the wrong direction, causing heartburn or acid reflux.

Many people who regularly drink alcohol may develop GERD symptoms, which can include a burning sensation in the chest that may be confused with heart-related pain. Chronic alcohol consumption can worsen this condition over time.

Anxiety and stress

Alcohol is known to aggravate feelings of anxiety and stress, particularly in individuals who already suffer from anxiety disorders. The experience of pain in the chest may be a psychosomatic reaction to high levels of anxiety, fear, nervousness, or stress.

Some people may feel chest tightness or pain during alcohol withdrawal or when they try to stop drinking. This can be particularly problematic for those with alcohol addiction who may experience heightened anxiety when not drinking.

Esophageal spasms and alcohol chest pain

While alcohol typically relaxes muscles in small doses, in higher doses, it can cause certain muscles to spasm. As the muscles of the esophagus spasm, it may cause pain in the center of the chest that can be quite severe.

These spasms can feel similar to heart-related chest pain, making it difficult to distinguish between the two without medical evaluation. If you repeatedly experience this symptom after drinking, consulting a healthcare provider is essential.

Heart problems

High levels of alcohol consumption, particularly long-term excessive drinking, can lead to heart problems such as high blood pressure, irregular heartbeat, and even heart attacks. Alcohol can increase blood pressure and strain the cardiovascular system, potentially triggering chest pain in those with underlying heart conditions.

Chronic alcohol consumption can lead to a condition known as alcoholic cardiomyopathy, where the heart muscle becomes weakened and cannot pump blood effectively. This can cause chest discomfort, shortness of breath, and other concerning symptoms.

Allergic reactions

More rare than the above options, some individuals may have an allergy to the components of certain alcoholic drinks, which can create the sensation of chest pain with consumption. This might include reactions to ingredients like grains, preservatives, or other additives in alcoholic beverages.

Allergic reactions can range from mild to severe, with chest tightness or pain being one potential symptom. If you suspect an allergic reaction to alcohol, it’s important to identify the specific trigger and avoid it.

Interactions with medications

If someone is taking medication and they drink at the same time, this may create a pharmacological interaction in their body as the two substances interact. This may cause chest pain, discomfort, or even have more serious implications for their health.

Many medications carry warnings about consumption with alcohol precisely because of these potentially dangerous interactions. Always check with your healthcare provider about whether it’s safe to drink while taking prescribed medications.

While GERD and esophageal spasm may be uncomfortable, they are generally not life-threatening. Complications involving the heart, however, can be life-threatening. This is why it is so crucial to seek medical attention as soon as one experiences chest pain after drinking alcohol.

How does drinking alcohol affect the heart?

The effects that alcohol can have on your heart and on your overall health and wellbeing are directly correlated to how much and how often you are drinking. The guidelines for the maximum recommended amount of alcohol intake vary depending on sex, age, health status, and other factors.

The more frequently someone drinks, and the more heavily they drink, the more likely they are to experience the negative side effects on their heart from drinking. Excessive drinking may lead to various cardiovascular issues that can cause chest discomfort and other symptoms.

Some of the more serious alcohol-related heart conditions include:

High blood pressure

Alcohol consumption can increase blood pressure, putting unnecessary pressure on the heart and acting as a major factor for heart disease. Even moderate drinking may increase blood pressure temporarily, while chronic heavy drinking can lead to persistent hypertension.

When blood pressure is elevated, the heart must work harder to pump blood throughout the body. This increased workload can lead to chest pain, especially in those who already have heart conditions.

Arrhythmias

Alcohol’s sedative effects on the brain can disrupt the normal electrical signals that maintain a regular heartbeat. This can cause irregular heartbeats such as atrial fibrillation, which increases the risk of stroke and other complications.

People who binge drink may experience what’s known as “holiday heart syndrome,” where they develop temporary heart rhythm abnormalities that can cause chest discomfort, palpitations, and shortness of breath.

Cardiomyopathy

Over time, the pressure on the heart caused by excessive consumption weakens the heart muscle. It becomes less effective at pumping blood and can eventually give out. This condition, known as alcoholic cardiomyopathy, is a direct result of chronic alcohol abuse.

Symptoms of cardiomyopathy can include chest pain, fatigue, shortness of breath, and swelling in the legs and feet. If you have been drinking heavily for years and experience these symptoms, seek medical attention immediately.

Stroke

Heavy drinking increases the risk of strokes caused by bleeding in the brain or through blood clots. Alcohol can affect blood clotting mechanisms and increase the risk of both hemorrhagic and ischemic strokes.

While a stroke primarily affects the brain, some people may experience chest pain or discomfort during a stroke, particularly if it causes referred pain or anxiety.

Atherosclerosis

Drinking also promotes the buildup of plaque in the arteries. This reduces blood flow throughout the body and increases the risk of heart attacks as well as other problematic heart-related events.

As arteries narrow due to plaque buildup, the heart must work harder to pump blood, which can cause chest pain, especially during physical activity or stress. This condition, known as coronary artery disease, is a leading cause of heart attacks.

Interactions with medications

As previously mentioned, alcohol can negatively interact with other medications being taken, and this is particularly true for medications used to manage heart conditions. Alcohol may reduce their effectiveness or cause other adverse effects.

For example, drinking alcohol while taking nitroglycerin or other medications for angina (chest pain) can cause dangerous drops in blood pressure that may lead to fainting or worse.

How to prevent chest pain after drinking alcohol

If you have experienced chest pain related to alcohol consumption, there are several steps you can take to prevent its recurrence:

Moderate your alcohol intake

The most obvious solution is to reduce or eliminate alcohol consumption. For some people, particularly those with alcohol addiction, this may require professional help. If you cannot stop drinking on your own, consider seeking treatment for alcohol use disorder.

Identify your triggers

Pay attention to which types of alcohol or drinking situations seem to trigger your chest pain. Some people may have specific sensitivities to certain types of alcohol, like red wine or beer, while others may experience symptoms only when drinking on an empty stomach.

Take steps to address GERD

If your chest pain is related to acid reflux, you can take measures to reduce symptoms:

  • Avoid drinking on an empty stomach
  • Don’t lie down for at least two hours after drinking
  • Consider taking acid-reducing medications (after consulting with a healthcare provider)
  • Avoid spicy or acidic foods when drinking

Manage stress and anxiety

If anxiety contributes to your chest pain, practicing stress-reduction techniques like deep breathing, meditation, or yoga may help. For some people, therapy or counseling might be beneficial, especially if alcohol is being used to self-medicate anxiety.

Get regular check-ups

Regular medical check-ups can help detect and address cardiovascular issues before they become serious. If you have a history of chest pain after drinking, make sure your healthcare provider knows about it.

Consider lifestyle changes

Improving your overall health through diet, exercise, and stress management can reduce your risk of alcohol-related chest pain. A heart-healthy lifestyle can make your cardiovascular system more resilient to the effects of alcohol.

When to seek medical help for alcohol-related chest pain

You should seek immediate medical attention if you experience:

  • Severe or crushing cardiac pain
  • Chest pain that radiates to your jaw, left arm, or back
  • Chest pain accompanied by shortness of breath, sweating, or nausea
  • Chest pain that lasts more than a few minutes
  • Any cardiac pain if you have a history of heart problems

Even if your chest pain seems mild or goes away quickly, it’s still worth discussing with a healthcare provider, especially if it happens repeatedly after drinking alcohol.

If you’re addicted to alcohol – Clinic Les Alpes can help

If you are concerned that you, or someone you care about, may be experiencing an addiction to alcohol, you do not have to go through this struggle alone. Attending an in-patient clinic to detox and start your recovery journey is a great first step to getting your life back on track.

Alcohol addiction can be particularly dangerous when it leads to physical symptoms like chest pain. If your drinking has progressed to the point where it’s causing physical harm, professional treatment may be necessary.

Clinic Les Alpes is one such clinic that can offer state-of-the-art therapies with 24/7 medicalized care in luxury settings. Within the beautiful nature of Switzerland, you can start your journey to health in absolute privacy, safety, and comfort.

We pride ourselves on offering world-class medical and therapeutic care to those wanting to overcome their addictions. If you choose to take this opportunity, you can expect:

Full assessment profile

Our medical and therapeutic teams will complete a full assessment of your physical and psychological health, ensuring that we can form an individualized integrative treatment plan that addresses all of your needs, including any health concerns related to chest discomfort after alcohol consumption.

Withdrawal and alcohol detox management

With 24/7 medicalized supervision, you can rest easy knowing that a dedicated team of doctors, nurses, psychiatrists, and psychologists will work in collaboration with you to alleviate your withdrawal symptoms and support you emotionally. This is particularly important if you have experienced cardiac symptoms, as alcohol withdrawal can sometimes exacerbate heart issues.

Comprehensive therapeutic intervention

You will have access to daily private therapy sessions with world-class professionals, as well as the opportunity to engage in group therapies that build a sense of recovery and community in your treatment. These sessions can help you understand the root causes of your alcohol addiction and develop strategies to maintain sobriety.

Holistic complementary therapies

Our medicalized spa offers a complete experience of complementary treatments and therapies, as well as beauty, fitness, and self-care services to keep you feeling taken care of. These holistic approaches can help reduce stress and anxiety, which may contribute to chest pain in some individuals.

Collaborative dietetic and nutrition plan

You will receive a personalized nutrition plan in full consultation with our in-house dietician, which will be carried out by our kitchen team led by superb chefs dedicated to providing nutritious and health-promoting meals. Proper nutrition is essential during recovery, especially if alcohol has caused nutritional deficiencies that might affect heart health.

Aftercare planning

Leading up to your discharge, you will receive a unique aftercare and relapse prevention plan that sets you up to receive ongoing professional support and gives you all the tools you need to protect yourself from relapse in the future. This includes strategies to maintain cardiovascular health and manage any ongoing symptoms.

If the above offers sound like exactly what you, or your loved one, could benefit from, please do not hesitate to reach out to Clinic Les Alpes for help today.

Chest pain after alcohol – final thoughts

The experience of chest or heart pain during or after drinking alcohol can range from being mildly uncomfortable to deeply painful. And as outlined above, the reasons for this pain can also range from being a slight inconvenience to being life-threatening.

If you or someone you care about is regularly experiencing chest pain after alcohol consumption, it is strongly recommended that you reach out to a medical professional for care and advice. While cutting back on drinking may help prevent chest discomfort, underlying health issues should be ruled out by a healthcare provider.

Remember that chest pain is never normal after drinking alcohol and should always be taken seriously. Your health is your most valuable asset, and addressing both the symptom (cardiac pain) and its potential cause (alcohol use disorder) can lead to a healthier, pain-free future.consumption, it is strongly recommended that you reach out to a medical professional for care and advice.

Clinically Reviewed By

Brittany Hunt

Brittany Hunt is an internationally experienced clinician, specialised in treating addictions and co-occurring disorders. Having worked in the public and private sector, she utilises holistic and evidence-based approaches designed to empower the patients in their recovery journeys. A graduate of The University of Auckland, she has a Bachelor of Health Sciences majoring in Mental Health and Addictions, a diploma in Psychology and Counselling and a Post-Graduate degree in Health Sciences, majoring in Addictions. She is a fully registered practitioner under the Drug and Alcohol Association of Aotearoa New Zealand (DAPAANZ).

Blog Resources

The Dangers of Mixing Citalopram and Alcohol

Citalopram, commonly known by its brand name Celexa, is a widely prescribed antidepressant belonging to the group of drugs known as selective serotonin reuptake inhibitors (SSRIs). This medication is primarily used to manage symptoms of depression and is also applicable in treating a variety of other psychological conditions, such as anxiety disorders, panic attacks, and […]
Read More

Pregabalin (Lyrica) Misuse and Addiction

Pregabalin, known by the brand name Lyrica, is a prescription medication widely used to treat conditions such as epilepsy, neuropathic pain, and generalised anxiety disorder. Despite its therapeutic benefits, Pregabalin has been increasingly linked to misuse and addiction, raising significant concerns among healthcare providers and regulators. In recent years, the drug has gained notoriety for […]
Read More

Can You Combine Lexapro and Buspirone?

Lexapro (escitalopram) is a commonly prescribed selective serotonin reuptake inhibitor (SSRI) used to treat depression and generalized anxiety disorder. Buspirone is an anxiolytic medication also prescribed primarily for anxiety. While both medications are effective in their own right, combining them can pose certain risks, particularly concerning serotonin syndrome. What is Lexapro? Lexapro, also known by […]
Read More
a white mountain range logo

Subscribe to Our Newsletter

Sign up to our newsletter to receive the latest news and wellness tips from the team at Clinic Les Alpes
No Fluent Forms Found
crosschevron-down