Confusion between esophageal spasm or heart disorder?

Yes, lots. They are so similar there is an old fashioned diagnosis called "cardiospasm" for this, and also the stomach has a "cardia" so there has been confusion for a long time. Also they both can respond to nitroglycerine. You would have to be tested with ekg, possibly a stress test or an esophageal study to tell the difference. Try an antacid or antiflatulent (with simethicone) but don't risk guessing.

Related Questions

Is there often confusion between diffuse esophageal spasm and a heart disorder?

Yes. And although diffuse esophageal spasm (des) can be quite uncomfortable, heart disease can be life threatening, and should be 'ruled out' by your md . Des is best diagnosed by doing an esophageal motility study, where we can measure the pressures created in your esophagus spontaneously and in response to a swallow. Read more...

How is it possible to tell the difference between an esophageal spasm and a heart palpitation?

Pain. Esophageal spasms are typically painful and prolonged. Palpitations are a skipped heartbeat, usually a mild sensation, and never painful. If you're concerned about the discomfort, see a doctor. There are treatments available, and there's a lot of value to simple reassurance. Read more...