The Other Chest Pain

" Back to our emails that we have a question about this often genial spasms for the doctor what are -- have been -- You know stop the deal spasms of the pain that some people get in this -- of the chest and before I tell you but esophageal spasm let me. Emphasize. That when you. Develop a pain in your chest if you're forty -- over especially if you're a male. Don't assume that it's from your esophagus your food your food pipe. Or gastric see your doctor first and make sure that it's not from your heart. If it is not from your heart then you may have Gerd which is in reflux. And you may have the spasm in this spasm. Normally when we swallow food the muscles of the food part. Contract symmetric -- so that the food goes down and reaches the stomach without any trouble. In patients with spasm the contractions are erratic and the food gets stuck and doesn't go down. Usually the cause is some kind of reflux certain foods so hot and spicy foods. And in many cases we don't know the cause if that's what's dived nose. You may need certain medications like nitrates to -- them. Calcium channel blockers to dilate the food -- And -- really bad. -- persistent symptoms require surgery."