12. Esophageal Spasm – Uncontrolled Contractions in Your Food Pipe
Esophageal spasms involve abnormal muscle contractions in the esophagus, the tube that carries food from your mouth to your stomach. These spasms can cause severe chest pain that’s often mistaken for a heart attack.
The primary symptom of esophageal spasms is sudden and severe chest pain that can last from a few minutes to a few hours. The pain is often described as a squeezing or tightening sensation, similar to the chest pain experienced during a heart attack. This pain can occur sporadically and is typically triggered by swallowing food or drinks.
However, a significant clue that the chest pain might be due to esophageal spasms and not a heart condition is that the pain often follows meals. It might be brought on by hot or cold foods and drinks and can be so severe that it interferes with your ability to eat.
Besides chest pain, you might also experience difficulty swallowing, a feeling that something is stuck in your throat, and regurgitation of food or liquids. In some cases, these spasms can lead to conditions such as gastroesophageal reflux disease (GERD).
The exact cause of esophageal spasms isn’t known, but it’s believed that the normal function of the esophagus is disrupted in some way. Risk factors include high blood pressure, anxiety or depression, and certain medications that affect smooth muscle contractions.
If you’re experiencing symptoms suggestive of esophageal spasms, consult with a healthcare professional. Treatments can range from lifestyle changes and medication to surgical intervention in severe cases.
By being aware of the different causes of chest pain, you can better understand and articulate your symptoms, helping healthcare providers arrive at the correct diagnosis more quickly. However, this knowledge should not be used in lieu of professional medical advice. Chest pain can indicate a serious problem, and it’s crucial to seek immediate medical attention if you experience it. (12)