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Esophageal spasm is a disorder of motility of the esophagus. [2] There are two types of esophageal spasm: [2] Diffuse or distal esophageal spasm (DES), where there is uncoordinated esophageal contractions; Nutcracker esophagus (NE) also known as hypertensive peristalsis, where the contractions are coordinated but with an excessive amplitude.
The causes of diffuse esophageal spasm is unclear. [1] It is thought, however, that many cases are caused by uncontrolled brain signals running to nerve endings. Therefore, suppression medication is often the first-line therapy such as antidepressants and anti-epileptic medication are prescribed.
Hyoscine butylbromide, also known as scopolamine butylbromide [4] and sold under the brandname Buscopan among others, [5] is an anticholinergic medication used to treat abdominal pain, esophageal spasms, bladder spasms, biliary colic, [6] and renal colic. [7] [8] It is also used to improve excessive respiratory secretions at the end of life. [9]
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. [15] Very cold and very hot beverages may trigger esophageal spasms. [16] [17]
"The esophagus has muscle in it, and if that muscle starts spasming, that can cause chest pain," Martin explains. In fact, "the symptoms are very difficult to differentiate from heart disease ...
Some can be life threatening, but most of them are treatable if help is sought out quickly. These can include esophagus spasms, pneumonia, aortic dissection, atrial fibrillation, and heart failure
Naproxen is a long-acting medication that only needs to be taken twice a day, “which means it may be more convenient for long-term pain management,” Walia explains. Ibuprofen , by comparison ...
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.
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