Esophagus

Esophageal Spasm

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Esophageal Spasm

  • Pathophysiology
  1. Waves of peristalsis occur simultaneously
  2. Peristalsis preserved to some extent
  • Diagnosis
  1. Esophageal manometry
  • Management
  • Treat underlying cause for spasm
  1. Medications may be ineffective
  2. Reflux Esophagitis
    1. Antisecretory therapy (e.g. Proton Pump Inhibitor)
  3. Mood Disorder
    1. Reassurance
    2. Selective Serotonin Reuptake Inhibitors (SSRI)
    3. Anxiolytics
    4. Tricyclic Antidepressants
  4. Achalasia
    1. See Esophageal Achalasia
  5. Antispasmodics
    1. Nitroglycerin
    2. Calcium Channel Blockers
      1. Nifedipine 10 mg capsule
        1. Bite and swallow capsule 30 minutes before meal