Condition Info - BotMed Application

ConditionName

Esophageal Spasm

ConditionDescription

Symptoms

Sudden onset; 
Squeezing pain in the chest;
Dysphasia for solids and liquids: red wine or extremely hot or cold liquids;
The feeling that an object is stuck in your throat;
Regurgitation;

PhysicalFindings

ClinicalTests

R/o angina, MI (ECG and stress test --> normal)
Endoscopy - normal
Esophagram – best initial (x-ray with barium shallow.
Manometry – most accurate, the only way to DDx
“cork screw pattern on barium swallow ”

RiskFactors

Age 60–80;
Have GERD;
HTN;
Deal with anxiety or depression;
Drink red wine;
Drink very hot or very cold drinks;

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

TreatmentOptions

Know and avoid your triggers. 
Watch food and drink temperature.  Give foods that are very hot or very cold a chance to come to a more moderate temperature before you eat or drink them.
Control your stress.

PharmOptions

Nitrates – relax smooth muscle
CCB – prevent contraction
TCA

WebLink

https://www.merckmanuals.com/en-ca/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/diffuse-esophageal-spasm