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Fairfax, VA
A 24-year-old male asked:

have small hh, constant chest pressure and sob when i lay down. ruled out heart do have reflux .im on ppi, can it still be caused by gerd and hernia?

1 doctor answer1 doctor weighed in
Dr. Hratch Karamanoukian
Phlebology 31 years experience
Esophageal spasms?: Non cardiac related chest pain and pressure requires a thorough evaluation including upper endoscopy and often manometric studies of the esophagus. High amplitude esophageal spasms can cause severe chest pain and this is often confused with chest pain from a cardiac etiology. Since you cardiac work-up is normal, this should be investigated further by your gastroenterologist.

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