Overview
A hypercontractile motility disorder with extremely high-pressure esophageal contractions.
Symptoms
• Severe chest pain
• Painful swallowing
• Spasms after eating
• Regurgitation
Triggers
• Stress
• GERD
• Hot/cold drinks
Diagnosis
• High-resolution manometry
Treatment
• Calcium channel blockers
• Nitrates
• Peppermint oil
• Botox
• POEM (surgical option)
Self-Management
Tracking triggers helps predict episodes and reduce severity.