Rule out esophageal spasm. Feels like a heart attacks, debilitating pain, docs seem never to think of it.
Gall bladder attack is another mimic.
Good answer Mad Dawg. I had an esophagus constriction one night and I swore I was having a heart attack. I had a simple outpatient procedure to open it back up and then they put me on Protonix.
How would one rule out such a spasm?
This is the apparent cause of my visit to an emergency room. The pain in my chest was well beyond anything that I had previously experienced. But there was no elevated pulse, as might be expected with a cardiac event.
Is there a way to differentiate the spasm from any other cause?