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Doctor insights on: Diffuse Esophageal Spasm Emedicine

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What leads to diffuse esophageal spasm?

What leads to diffuse esophageal spasm?

True anomaly: This is a true abnormal condition or physiomechanics of the esophagus -- it is a rare condition-- and what most people experience is not a diffuse esophageal spasm but reflux esophagitis with spasm or cold induced transient esophageal contraction. ...Read more

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Dr. Jon Fishburn
12 doctors shared insights

Diffuse Esophageal Spasm (Definition)

Is a term to define abnormal contraction of the esophagus during times that the individual is not eating. It could be triggered by food at temperature extremes and usually disappear spontaneously. When present on regular basis, it should be an indication for evaluation of acid reflux, connective tissue diseases ...Read more


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Confusion between esophageal spasm or heart disorder?

Confusion between esophageal spasm or heart disorder?

Yes, lots: They are so similar there is an old fashioned diagnosis called "cardiospasm" for this, and also the stomach has a "cardia" so there has been confusion for a long time. Also they both can respond to nitroglycerine. You would have to be tested with ekg, possibly a stress test or an esophageal study to tell the difference. Try an antacid or antiflatulent (with simethicone) but don't risk guessing. ...Read more

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Could esophageal dilation with upper endoscopy cause pericarditis?

Unlikely: Based on a literature (pubmed) and google search, I could not find any cases of esophageal dilation causing percarditis. Are you having symptoms of chest pain after dilation? If you are concerned about pericarditis, you should discuss this with your doctor or go to the ER if it is severe. ...Read more

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What causes esophagus spasms??

What causes esophagus spasms??

Be sure of diagnosis: Difficulty swallowing ("dysphagia") can be distinguished as a "transfer" problem (difficulty moving food from mouth to top of esophagus), "transit" problem (difficulty moving food down the esophagus), "spasm", gerd (due to sphincter problems), or obstructive (webs, rings, strictures, ulcer, tumor). Best to see a gastroenterologist (gi doctor) for evaluation and treatment. ...Read more

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Is there often confusion between diffuse esophageal spasm and a heart disorder?

Is there often confusion between diffuse esophageal spasm and a  heart disorder?

Yes: And although diffuse esophageal spasm (des) can be quite uncomfortable, heart disease can be life threatening, and should be 'ruled out' by your md . Des is best diagnosed by doing an esophageal motility study, where we can measure the pressures created in your esophagus spontaneously and in response to a swallow. ...Read more

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What causes lower esophageal sphincter relaxation failure?

Good question: Your question is a bit confusing. If you me what causes the les not to relax, this would be a neuromuscular disease called achalasia or perhaps chagas disease. If you are asking what makes the les relax too much, leading to gerd, that would be spicy foods, caffeine, nicotine, chocolate, peppermint, alcohol, some medications, tomatoes and their sauces as well as others. ...Read more

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All the swallow problems, finally an edoscopy. Dr says esophagitis seen, corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis. Help?

All the swallow problems, finally an edoscopy. Dr says esophagitis seen,  corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis. 
Help?

Allergist/GI: See an allergist or a GI doc who is comfortable managing eosinophilic esophagitis (EoE). Often, patients with this condition are managed by both specialties. EoE is often managed with multiple therapies, including food elimination diets, proton pump inhibitors, and swallowed steroids depending on severity and symptoms. Please see doc as this is a chronic, sometimes severe, condition. ...Read more

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High res meno 1. Severe dysfunction of the smooth muscle esoph.2. No hiatal hernia, hypotensive les with normal relaxation.?Explain above cure?

High res meno  1. Severe dysfunction of the smooth muscle esoph.2. No hiatal hernia, hypotensive les with normal relaxation.?Explain above cure?

Complex: Could an entity known now as ineffective esophageal motility (iem). This is commonly associated with gerd. Dysmotility can also be due to diabetes and scleroderma. See a general surgeon or gastroenterologist with expertise in esophageal and foregut disorders for more info. ...Read more

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Dr. Alvin Lin Dr. Lin
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Hypothyroid causes muscle weakness does it leads to GERD by loosening the esophageal sphincter muscle?

Dr. Alvin Lin Dr. Lin
2 doctors agreed:
Hypothyroid causes muscle weakness does it leads to GERD by loosening the esophageal sphincter muscle?

Maybe!: Thanks for asking b/c until i just searched, i would've thought no. While i can't find any traditional evidence linking the two, enough people have written online to various forums complaining about such a link that it can't be a coincidence. My guess is that we need to treat one's hypothyroidism aggressively & adequately enough to regain les strength. I look forward to what GI colleagues say. ...Read more

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Severe muscle spasm with gallbladder?

Severe muscle spasm with gallbladder?

Need a wu: Check with your doctor. Obtain a gall bladder ultrasound and or a hida scan. ...Read more

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Causes of esophageal burning? Have eoe and esophageal dismotility.

Causes of esophageal burning? Have eoe and esophageal dismotility.

Esophagitis: Eosinophilic esophagitis can cause spasm and delay in esophageal motility. Are u currently being treated? You need to be on a ppi +/- a inhaled steroid that should be swallowed to treat the inflammation.. The burning most likely represents acid reflux that you are having in addition to eoe. You should consult with your GI as soon as possible. ...Read more

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Esophageal spasm or coronary artery spasm, how can I tell?

Esophageal spasm or coronary artery spasm, how can I tell?

BY RULING OUT HEART: Since symptoms of both conditions can be chest pain and coronary spasm is more serious condition, it is first step to rule out coronary spasm first by ekg, angiography;echocardiogram and if coronary spasm is ruled out than tests to confirm esophageal spasm can be undertaken like endoscopy and/or manometry esophageal spasm is very rare and often symptoms of chest pain may be due to gerd. ...Read more

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How is esophageal spasm treated?

How is esophageal spasm treated?

See below: If esophageal spasms are not controlled with acid suppression alone, calcium channel blockers and nitrates are often used with varying success. ...Read more

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DDX pain stiffness(spine, back&neck),Para+Hyperaesthesia,Allodynia,9/10pain,episodes of 10/10 pain+intermittent back spasm find:diolated central canal

More information: I would need more information of radiological results but your symptoms are quite intense and I would hope you have an orthopedic spine specialist on board with your case. Your question is bit unclear too. ...Read more

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What causes spasm of rectal sphincter?

What causes spasm of rectal sphincter?

Anal fissure: Usually it is due to an anal fissure, aka; cut. Stool softener and warm bath usually improves in 1-2 weeks. And it is the anal sphincter ...Read more

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Can gastritis lead to oesophageal spasm and belching?

Can gastritis lead to oesophageal spasm and belching?

YES: However you will need to be checked for gallbladder disease, pancreatic disease, and you will need medication to inhibit stomach acid. I suggest GI evaluation and abdominal ultrasound. Do not ignore these symptoms. ...Read more

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Endoscopy pathology report. Benign gastric antral mucosa with mild chronoc inactive gastitis focal intestinal metaplasia present? What does it mean?

Endoscopy pathology report. Benign gastric antral mucosa with mild chronoc inactive gastitis focal intestinal metaplasia present? What does it mean?

No cancer: There are no serious issues with the tissue submitted to pathology. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more

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What are esophageal spasms?

Let me explain: Esophageal spasms are painful muscle contractions that affect your esophagus, the hollow tube between your throat and your stomach. Esophageal spasms can feel like sudden, severe chest pain that lasts from a few minutes to hours. ...Read more

Dr. Natalie Hodge
102 doctors shared insights

Esophageal Spasm (Definition)

A condition characterized by painful, abnormal muscle contractions that occur within the esophagus (the narrow, muscular tube that transports food and ...Read more


Esophagus (Definition)

This is the muscular structure built like a tube that connects your throat to the stomach though which food ...Read more