well proudheart the blood pressure change is simply because of high levels of pain, when the body is put under stress the heart tends to speed up, or slow down and blood pressure either rises or drops...which can be catastrophic in some cases, my first diagnosis would be some sort of esophageal spasm, if you have high stress, drink coffee, smoke, or drink a lot of soda it could be a peptic ulcer, or you could have an H.pylori infection, you need to go to the doctor, there will be a battery of tests, some may be a barrium swallow, upper and lower GI endoscopy, or worse comes to worse exploratory surgery...shouldnt come to that thoguh...keep me posted