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I feel your pain. I've felt your pain. I found out that mine was neuro-gastric. The flap at the bottom of the gullet that leads into the stomach wasn't closing in sync with the rest of my digestive tract, so I was not only getting acid reflux firing back up into my chest and eating a hole in the process, it would also cause the flap to close while I was swallowing, and whatever I swallowed would get trapped between two autonomic functions fighting in opposite directions. It was like having a fist squeezing your heart, and it caused moments when I couldn't breathe. The attack that sent me to the ER was so violent, it literally put enough pressure on my chest wall to cause the fibrilation, and they said it looked like one of the chambers of my heart was trying to recover from a lack of oxygen, hence the initial heart attack diagnosis. Many times, I'd end up throwing up what I'd just swallowed because it just wouldn't go down properly, and I'd have to wait several minutes until the discomfort subsided. Thank God for omeprazole. I don't want to know from another the-sky-is-falling study. The pain and consequences of not taking it are even worse.

“It was like having a fist squeezing your heart, and it caused moments when I couldn’t breathe.”

Same description I used when talking to my gastroenterologist. Only a hospital-administered antispasmodic and fentanyl calmed it down.