Doctor insights on:
Esophageal Spasm Tremors
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
Muscle spasm: Inappropriate spasm of esophagus can be very painful. ...Read more
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
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
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
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
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
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
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
No: Not that I know of.Get a more detailed answer ›
I have esophageal spasm is nifedipine ER 30mg good to take for it? That's what my dr gave me. I just want a second opinion.
I have esophagitis, gastritis, and esophageal spasm. I am taking Nexium (esomeprazole) 40mg 2x per day, symptoms of spasm had decreased, and now they're back, help?
See your GI Doc: You should see your gastro doctor for help with the spasms. Many causes of spasms that need to be evaluated. ...Read more
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
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
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