U.S. doctors online nowAsk doctors free
A 26-year-old male asked:

Uncomfortable chest center pain like a spasm,stab pain,worse when laying down.i had similar pain months ago and had ekg's,echo,chest x-ray,egd,hida scan.everything was normal except egd(4cm sliding hiatal hernia).told i dont have heartburn.any ideas?

2 doctor answers5 doctors weighed in
Dr. Paul Velt
Diagnostic Radiology 43 years experience
Still sounds like heartburn. Or esophageal spasms. Perhaps a gastroenterologist will help. Hiatal hernia can be associated with reflux and that can get you pain and spasms. Good luck.
Created for people with ongoing healthcare needs but benefits everyone.
Agree that symptoms are most likely due to reflux. Don’t understand what “don’t have heartburn” means. Your symptoms most likely will respond to diet, antacids, avoidance of alcohol, smoking etc. Please return to see your regular physician regarding medical management.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Apr 12, 2021
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
24/7 visits - just $39!
50% off with $15/month membership


Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.