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    Esophageal spasm

    Diffuse esophageal spasm; Spasm of the esophagus

    Esophageal spasms are abnormal contractions of the muscles in the esophagus (the tube that carries food from the mouth to the stomach). These spasms do not move food effectively to the stomach.

    Causes

    The cause of esophageal spasm is unknown. Very hot or very cold foods may trigger an episode in some people.

    Symptoms

    • Difficulty swallowing or pain with swallowing
    • Pain in the chest or upper abdomen

    It can be hard to tell a spasm from angina pectoris, a symptom of heart disease. The pain may spread to the neck, jaw, arms, or back

    Exams and Tests

    • Esophagogastroduodenoscopy (EGD)
    • Esophageal manometry
    • Esophagogram (barium swallow x-ray)

    Treatment

    Nitroglycerin given under the tongue (sublingual) may help a sudden episode of esophageal spasm. Long-acting nitroglycerin and calcium channel blockers are also used for the problem.

    Long-term (chronic) cases are sometimes treated with low-dose antidepressants such as trazodone or nortriptyline to reduce symptoms.

    Rarely, severe cases may need dilation (widening) of the esophagus or surgery. to control symptoms

    Outlook (Prognosis)

    An esophageal spasm may come and go (intermittent) or last for a long time (chronic). Medicine can help relieve symptoms.

    The condition may not respond to treatment.

    When to Contact a Medical Professional

    Call your health care provider if you have symptoms of esophageal spasm that don't go away.

    Prevention

    Avoid very hot or very cold foods if you get esophageal spasms.

    References

    Kahrilas PJ, Pandolfino JE. Esophageal neuromuscular function and motility disorders. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 42.

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    • Digestive system

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    • Throat anatomy

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      • Digestive system

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      • Throat anatomy

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      A Closer Look

        Tests for Esophageal spasm

        Review Date: 10/8/2012

        Reviewed By: George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, and Stephanie Slon.

        The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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        St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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