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Diffuse esophageal spasm (DES) is a motility disorder characterized by recurrent episodes of chest pain or dysphagia as well as nonpropulsive (tertiary) contractions on radiographs. [5] Nutcracker esophagus is characterized by high-amplitude peristaltic contractions that are frequently prolonged and cause dysphagia and chest pain. [6]
It is not clear what causes esophageal spasms. [1] [7] Sometimes esophageal spasms start when someone eats hot or cold foods or drinks. However, they can also occur without eating or drinking. [7] The increased release of acetylcholine may also be a factor, but the triggering event is not known. [6] Spasms may also be the result of a food ...
DES can be caused by many factors that affect muscular or neural functions, including acid reflux, stress, hot or cold food, or carbonated drinks. Patients present with intermittent dysphagia, chest pain, or heartburn. Rare causes of esophageal dysphagia not mentioned above. Diverticulum; Aberrant subclavian artery, or (dysphagia lusoria)
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However, the symptoms of chest pain and trouble swallowing may be severe enough to require treatment with medications, and rarely, surgery. The initial step of treatment focuses on reducing risk factors. While weight reduction may be useful in reducing symptoms, the role of acid suppression therapy to reduce esophageal reflux is still uncertain ...
Diffuse esophageal spasm (DES), also known as distal esophageal spasm, is a condition characterized by uncoordinated contractions of the esophagus, which may cause difficulty swallowing or regurgitation. In some cases, it may cause symptoms such as chest pain, similar to heart disease. In many cases, the cause of DES remains unknown.
If the problem is related to acid reflux, Dr. Yoon says doctors may recommend diet or lifestyle modifications to avoid foods or drinks that trigger the symptoms, like spicy or acidic items ...
The three main chronic cough causes are: Post-nasal drip; asthma and asthma-like conditions; and gastroesophageal reflux disease, or acid-reflux disease. Winter blues: How bad is seasonal ...