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.See 1 more doctor answer
Muscle spasm: Inappropriate spasm of esophagus can be very painful.See 1 more doctor answer
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.
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.See 1 more doctor answer
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?
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.See 1 more doctor answer
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.See 1 more doctor answer
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.
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.See 1 more doctor answer
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.
No: Not that I know of.Get a more detailed answer ›