Doctor insights on:
How can I discriminate if the chest pain is due to heart problem or esophagus spasm? Esophageal spasm may happen under effort?
Exam and tests: Diagnosis is with esophageal manometry. Treatment depends on the cause. You should see your doctor. ...Read more
Not usual treatment: Lorazepam, a benzodiazepine prescribed most frequently for anxiety, can be prescribed for spasm of muscles that are controlled by the central nervous system. It is not likely to work for esophageal spasms. If it is seemingly being prescribed for this purpose, it is worthwhile checking with prescriber, as there could well be a good reason for it. If not prescribed at this time, don't ask for it. ...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
Muscle spasm: Inappropriate spasm of esophagus can be very painful. ...Read more
Was on diltiazem 120 mg. Esophageal spasms, em study 360 psi, can you recommend any med, can't take this one any longer.
See your MD: Go see the doctor that gave you the Diltiazem - or find a new doctor if you don't feel you can talk to your current doctor. Explain what the problems are with the Diltiazem and ask for help. Sometimes writing it down and letting the doctor read what you've written helps (keep it to one page or less). Good luck to you. ...Read more
Chest PAIN from DES: 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", and of course non-esophageal causes of chest pain. Speak with your gastroenterologist about rx options to minimize attacks, where to go, what to take when pain develops. ...Read more
Fosamax (alendronate): It is possible. Notify your doctor.Get a more detailed answer ›
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
Miserable almost every time I eat. Possible esophageal spasms and bloated. Any possible relief from this? Please help!
GI evaluation: Well, bobcat, you need to be seen and evaluated. You could simply have gallbladder disease, or you could have some degree of reflux disease. I suggest you see your doctor or a GI specialist to be evaluated. In the meantime, stay hydrated, eat smaller, low fat meals, and avoid booze and tobacco. Good luck. ...Read more
Esophagus spasm pain: Painful esophageal spasms are often distinct from classic manifestations of acid reflux. Sufferers of esophageal spasms may experience unpredictable & significant knife-like pain &/or pressure that may radiate to back & chest due to esophageal dysmotilities (diffuse esophageal spasm, nutcracker esophagus), or be sporadic. Treating spasms may exacerbate gerd by relaxing lower esophageal sphincter. ...Read more
What should I do about esophageal spasms? Is there a specialist in this area? My gastroenterologist had not been helpful.
Second opinion: May seek a second opinion. Another gastroenterologist may recommend certian measures to reduce symptoms. ...Read more
If bp 130/93 and I tend to have esophageal spasms should I still take dose of atenolol 12.5mg at 8am prior to having endoscopy at 1350 hrs?
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