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yikes, about once a every month or two I have some sort of attack where it feels like a heart attack every time i swallow (but only after swallowing) and the above description is why i never go to the ER for it.
i get that too, its a cramp of your interior back muscles. the ones that hold your esophogus. that means get more excersie.
At the same time, your esophagus is trying to squeeze from the top to push food into the stomach. The food gets caught between the two constrictions producing a painful tightness in the chest area.
The assistant laughed, he thought it was funny.
One valuable lesson I learned several years ago is, don't make a surgeon guffaw while he is suturing your face.