Description
The esophagus is the tube that connects the mouth to the stomach. Spasm is a disorder of the motility of the esophagus characterized by excessive and abnormal contractions which prevents normal movement of food down the esophagus. Very hot or cold foods can trigger the symptoms.
Symptoms
Difficulty swallowing, chest pain, heartburn.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Additional tests may include: Esophagram (barium swallow) and/or esophageal manometry.
Other Specific Tests: Esophagram, esophageal manometry
Specialists:
Gastroenterology, Pediatric Gastroenterology
Workup:
A history and physical exam will be performed. Additional tests may include: Esophagram (barium swallow) and/or esophageal manometry.
Other Specific Tests: Esophagram, esophageal manometry
Specialists:
Gastroenterology, Pediatric Gastroenterology
Treatment
Sublingual (beneath the tongue) nitroglycerin may be recommended for acute episodes. Long-acting nitroglycerin and calcium channel blockers may be prescribed to reduce recurrences. Low-dose antidepressants such as nortriptyline are also administered to reduce symptoms. Rarely surgery is performed.