How do you tell the difference between Esoph. Spasms or reflux?
Ever since I started with PPI's some time ago, I developed an occasional pain that I never had before. It's hard to describe, but it's a very intense and "deep" kind of pain (stabbing/piercing pain, even). I've had reflux issues for quite a while, but this kind of pain, which started 3-4 months ago, is quite unique.
I'm wondering if esophageal spasms could be the reason for this kind of pain, or is it just really bad rebound reflux (I've also been reading about bile reflux, and am even wondering if that is a possibility). How do you tell the difference?