Diffuse esophageal spasm (painful contractions of the esophagus)
About Diffuse esophageal spasm (painful contractions of the esophagus)
An uncoordinated series of muscle contractions that prevent food from traveling normally from the esophagus to the stomach. These spasms can be very painful. Very hot or cold foods can cause the symptoms. Chest pain is a common symptom of esophageal spasm, and can be mistaken for angina. The cause of this disorder is unknown.Symptoms
Chest pain that increases with swallowing, breathing problems, vomiting, food getting stuck.Tests & Diagnostics
A history and physical exam will be performed. An esophagram (barium swallow) and/or esophageal manometry may be performed to confirm the diagnosis.Prescription medications
Conventional treatment summary
Nitroglycerin given under the tongue (sublingual) may be effective in episodes of acute pain. Long-acting nitroglycerin and calcium channel blockers are also used to treat esophageal spasm. Chronic cases are sometimes treated with low-dose antidepressants such as nortriptyline to reduce symptoms. For severe cases surgery is sometimes offered.Medical specialties
Gastroenterology · Pediatric Gastroenterology
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Diffuse esophageal spasm (painful contractions of the esophagus).