DIFFUSE ESOPHAGEAL SPASM

Overview
A motility disorder with uncoordinated, painful esophageal contractions.

Symptoms
• Chest pain
• Difficulty swallowing
• Pain triggered by temperature extremes
• Sensation of food sticking

Triggers
• Stress
• Hot/cold beverages
• Alcohol
• GERD

Diagnosis
• Manometry
• Barium swallow

Treatment
• Calcium channel blockers
• Nitrates
• Botox injections
• Treat underlying GERD