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Know the Pattern of Your Angina Stable angina usually occurs in a pattern. Heartburn can last from a few minutes to several hours, and often feels worse after you eat. Weakness, dizziness, and confusion can mask the signs and symptoms of angina in elderly people. Figure B shows an artery with plaque buildup. Achalasia Esophageal spasms Gastroesophageal reflux disease Inflammation of the esophagus Nutcracker esophagus Ulcer in the esophagus, especially due to the antibiotic doxycycline, aspirin and nonsteroidal anti-inflammatory drugs NSAIDs such as ibuprofen, naproxyn Other causes of swallowing problems include: Learn more about allergy shots. What causes your acid reflux can be very individual and hard to pin down.