Esophageal spasm (painful muscle contraction)
About Esophageal spasm (painful muscle contraction)
The esophagus is the tube that connects the mouth to the stomach. Spasm is a disorder of the motility of the esophagus characterized by excessive and abnormal contractions which prevents normal movement of food down the esophagus. Very hot or cold foods can trigger the symptoms.Symptoms
Difficulty swallowing, chest pain, heartburn.Tests & Diagnostics
A history and physical exam will be performed. Additional tests may include: Esophagram (barium swallow) and/or esophageal manometry.Prescription medications
Conventional treatment summary
Sublingual (beneath the tongue) nitroglycerin may be recommended for acute episodes. Long-acting nitroglycerin and calcium channel blockers may be prescribed to reduce recurrences. Low-dose antidepressants such as nortriptyline are also administered to reduce symptoms. Rarely surgery is performed.Medical specialties
Gastroenterology · Pediatric Gastroenterology
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Esophageal spasm (painful muscle contraction).