A member asked:

Can achalasia cause severe charliehorse like pain under lower rt rib close to sternum? rt shoulder & back pain as well?

2 doctors weighed in across 2 answers

Yes.: Not uncommon. The back and shoulder pain is referred pain from irritation of the intra-abdominal and diaphragmatic structures.

Answered 5/28/2013

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Maybe: Achalasia can be associated with spasms of the esophagus that can mimick chest pain of cardiac origin. Every patient may experience slight variations in the location. Make sure the heart is ok before attributing the chest pain to achalasia.

Answered 6/8/2013

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