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Doctor insights on: Does Esophageal Spasm Cause Ekg Changes

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Does injury or abnormality in CNS or cranial nerves cause EKG changes or disturbance in electrical signals? Does nerve damages above c-1 cause breathing difficulties? How can they identify which nerves are damaged? From the symptoms?

Does injury or abnormality in CNS or cranial nerves cause EKG changes or disturbance in electrical signals? Does nerve damages above c-1 cause breathing difficulties? How can they identify which nerves are damaged? From the symptoms?

The: The major nerve controlling heart rate, vascular tension, and gastrointestinal function is the vagus nerve. It is the 10th cranial nerve. It can be compressed or injured a few places between the brainstem and the chest. So, there is at least one way an injury to the neck or brainstem can relate to heart rate, ekg, and breathing.

An injury "above c1" implies a brain injury. If it is located in the brainstem, it would have to be very small to be survivable. This area controls many functions that are "primitive"--that is to say, common to all animals. That would include heart rate and breathing.

When we talk about brainstem injury, we talk about cranial nerve signs and "long tract" signs, meaning the extremities. By finding the intersection of the involved nerves, the area can be identified.

Injuries above the brainstem can be a bit more difficult to localize. Cerebellar problems can be difficult to diagnose and often involve balance and coordination. The midbrain is a relay area of sensory and motor signals. The cerebral cortices, on the other hand, are reasonably well-mapped and those lesions can be recognized more easily.

A neurologist or neurosurgeon can help diagnose and treat the problem. Often MRI is needed to help locate and diagnose the problem. To be useful, though, the images should correspond to the symptoms and exam findings. ...Read more

Dr. Sandra Lora Cremers
3 Doctors shared insights

Electrocardiogram (Definition)

Electrocardiogram (ecg, ekg) is a print-out of the electrical forces detected by electrodes on the chest wall, as electricity travels through the heart with each heart beat. The electrodes are placed in different positions, and each position "sees" the electrical activity of the heart from its own vantage point. Abnormalities in signal detected at chest surface ...Read more


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If cardiomyopathy was bad enough to cause low fevers, cp, breathlessness and palps, would it show a sign like increased inflammatory markers, a murmur, low o2, weird BP and/or EKG changes?

If cardiomyopathy was bad enough to cause low fevers, cp, breathlessness and palps, would it show a sign like increased inflammatory markers, a murmur, low o2, weird BP and/or EKG changes?

Many forms; depends: Cardiomyopathy is a big word that means poor heart function. There are many forms of cardiomyopathies, and depending on which one you have, there are different signs and some are reversible. Hypertrophic cardiomyopathy: enlarged heart with ekg ; echo changes; viral cardiomyopathy: prodrome of viral syndrome which results in cardiomyopathy ; 50% improve; and many others. Discuss with your doctor. ...Read more

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What if there are EKG changes during surgery? What does that mean? I had a knee replacement surgery and my EKG had changes during, I am 59 and female.

What if there are EKG changes during surgery? What does that mean? I had a knee replacement surgery and my EKG had changes during, I am 59 and female.

Needs Follow Up: It means that you when your body was under the stress of anesthesia, your heart didn't tolerate as well as the next person. You should follow up with your primary doctor or cardiologist. Likely they will do some more testing like a stress echo. ...Read more

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Does victoza (liraglutide) cause bad gerd episodes. And can esophageal spasms show up on an ekg?

Does victoza (liraglutide) cause bad gerd episodes. And can esophageal spasms show up on an ekg?

Victoza-Gerd: QCastillo~NO it does not CAUSE GERD but is advised not to use it if you have severe GERD. Read below. No esophageal symptoms do not show on ECG thanks
http://www. Victoza. Com/considering/side-effects/? campaign=000731443&utm_source=google&utm_medium=cpc&utm_term=victoza%20side%20effects&utm_campaign=Victoza%20Brand&utm_content=Side%20Effects%20%28Exact%29_|mkwid|scRwDcfnJ_dc|pcrid|44667131614|pkw|victoza%20side%20effects|pmt|e|&gclid=CKfE34ech8kCFU-RfgodE9YLkg ...Read more

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What are the most common symptoms of esophageal spasm?

What are the most common symptoms of esophageal spasm?

Chest pain: It can feel like heartburn, but many people describe a pain that is similar to "angina" (which is just latin for strangling). An unpleasant squeezing or tightness in the chest. It's sometimes relieved by a belch, or antacids. Drugs like nitrates and calcium channel blockers are also effective, but not uniformly so. Sometimes antidepressants (yes, those!) work to reduce the spasms. ...Read more

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What is the definition or description of: diffuse esophageal spasm?

What is the definition or description of: diffuse esophageal spasm?

Esophageal spasm: 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 and some neurological conditions. ...Read more

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What's the most natural treatment for esophageal spasm?

Bicarb: Bicarbonate (sodium bicarbonate) of soda is the oldest, most "natural" treatment but there are so many better modern medicines, why would you want to keep suffering? ...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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I've got diffuse esophageal spasm. What consequences should I be looking for?

Chest pain/dysphagia: Chest pain and/or difficulty swallowing and/or pain while swallowing. If you have barrett's esophagus, you're at risk for esophageal cancer. If you haven't had endoscopy yet (i assume you have since you know this diagnosis), you should see a gastroenterologist if you haven't already. ...Read more

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Natural remedies for esophageal spasm?

Natural remedies for esophageal spasm?

Spasm remedy: MAgnesium supplement of 400-800 daily. Mint tea, mint flavor in general ...Read more

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My father was diagnosed with diffuse esophageal spasm. What does this mean?

Does Dad have DES?: Spastic motility disorders are defined by esophageal manometry, but the intermittent nature of these abnormalities like DES frequently requires other esophageal tests before starting treatment. Of course, pain of DES can mimic coronary artery disease sufficiently that a cardiac evaluation should first rule out heart & vessel problems. Also, address associated heartburn & irritable bowel syndrome. ...Read more

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What kind of pills or treatment can somebody get for diffuse esophageal spasm?

If medications fail: If medications fail, meaning the disease is refractor to maximal medical therapy, then a long esophageal myotomy, or cutting of the esophageal muscles can be performed. This can be performed either thoracoscopically, laparoscopically or a combination of the two. ...Read more

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Hi I'm not sure how to tell the difference in a palpitation and and a esophageal spasm. These feelings aren't really "painful" just very uncomfortable?

Get a monitor done: Best way is to have an event monitor done. You should take careful notes about your symptoms (spasm, palpitations) and time of day, so that your doctor can determine whether these correlate to an arrhythmia. The esophagus is in contact with the left atrium and spasms can produce the feeling of palpitation. ...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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Confusion between diffuse esophageal spasm or heart disorder, what is the difference?

Confusion between diffuse esophageal spasm or heart disorder, what is the difference?

Difference: Esophageal spasm has nothing to do with the heart. It is spasm of the esophagus. Heart is a different organ. ...Read more

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How is it possible to tell the difference between an esophageal spasm and a heart palpitation?

How is it possible to tell the difference between an esophageal spasm and a heart palpitation?

Pain: Esophageal spasms are typically painful and prolonged. Palpitations are a skipped heartbeat, usually a mild sensation, and never painful. If you're concerned about the discomfort, see a doctor. There are treatments available, and there's a lot of value to simple reassurance. ...Read more

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Esophageal. Spasm, heart attack or angina?

Esophageal. Spasm, heart attack or angina?

May be hard to tell: If the chest pain is caused by swallowing, especially something very hot or very cold, then most likely esophageal spasm. If the chest pain is caused by exertion, then most likely angina or heart attack. ...Read more

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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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What is the best treatment for esophageal spasm?

What is the best treatment for esophageal spasm?

Depends: If esophageal spasm is caused by acid reflux then antacids may help. Sometimes calcium channel blockers and nitrates. Botox injections have been used in severe cases. ...Read more

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My lover has just been diagnosed with diffuse esophageal spasm. I am worried but she acts like it is not a problem. Who can tell me what it means?

DES can be bad: Des is a motility disorder of esophageal function. The muscles of the esophagus forcibly tighten, typically unpredictably, resulting in severe chest pain. Distinguish this from situational esophageal spasm, "nutcracker esophagus", & of course non-esophageal causes of chest pain. She needs her gastroenterologist's advice about rx's to minimize attacks, where to go/ what to take when pain develops. ...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

Esophagus (Definition)

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


Dr. Bernard Seif
98 Doctors shared insights

Esophageal Spasm (Definition)

An inappropriate spasm of esophagus ...Read more