What causes chest pain, shaking and severe spasms?
Patient: teenager. Had 2 nights of chest pain, uncontrollable shaking, severe spasms to back and rib cage, passes after about 2 hours. Taste of blood in mouth but no blood. But is left with aching back and heavy dull chest. 2nd episode worse than first. Blood test, urine tests and ECG all showing as normal Doctor: Hi,  This seems to be case of gastro-esophageal reflux disease. Esophageal varices may be present additionally. Endoscopy will be a diagnostic tool.  Hope I have answered your question. Let me know if I can assist you further.  Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon