I am a 34 year old male. I am 6'4, 185 pounds and in decent shape. I have HPB, but it is under control with meds, diet, and exercise. I have had a number of cardiac tests (stress, echos, holter monitors, etc.) and all come back normal. I get these upper abdominal spasms that are sometimes brief and sometimes last for 30 seconds or more. They often occur at rest but sometimes after a meal or when I drink something cold. Recently they have gotten worse - they last longer, I experience shortness of breath, rapid pulse, sweating, sometimes with a little bit of acid reflux after, and I get really anxious (no dry cough, no nausea). I have been to the er - no heart attack. My cardiologist (a few of them, actually) says that my heart is just fine. I am at my wits end here. I am going to ask for a referral to a GI doctor. Are there any GI conditions that match my symptoms?
I agree with your referral to gastroenterology. If one of my patients complained of similar symptoms, I would strongly consider diffuse esophageal spasm (DES).
Symptoms in this condition include dysphagia (painful swallowing of foods) and chest pain. Dysphagia is usually intermittent and sometimes related to swallowing specific substances like liquids at cold and hot temperatures. Pain usually last from minutes to hours.
Other conditions to consider include achalasia.
You should ask your physician about performing an upper endoscopy and a modified barium swallow or an esophagram.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.