Hello! Thank you for asking on HCM! I understand your concern and would like to explain that it is not very easy to differentiate between different causes of this symptomatology, just referring to your complaints. It may be related to a cardiac arrhythmia or gastro esophageal reflux, or esophageal spasms. I recommend performing some tests besides a careful physical examination: - a resting ECG - a chest x ray - complete blood count -kidney and liver function tests - blood electrolytes -amylasemia (for the pancreas) - inflammation tests ( PCR, sedimentation, fibrinogen), to exclude possible costo chondritis. - a fibrogastroscopy to exclude possible esophageal disorders You should consult with your GP on the above mentioned possibilities. Hope to have been of help! Best regards, Dr. Iliri