What is esophogeal spasm?
Esophageal spasm is a condition in which the muscles of the esophagus contract too forcefully or too frequently, causing difficulty swallowing and chest pain. It is a type of esophageal motility disorder, which means that the muscles of the esophagus do not work properly.
Esophageal spasm can be caused by a variety of factors, including:
* Gastroesophageal reflux disease (GERD)
* Hiatal hernia
* Diabetes
* Thyroid disease
* Scleroderma
* Parkinson's disease
* Multiple sclerosis
* Certain medications, such as calcium channel blockers and beta-blockers
Symptoms of esophageal spasm can include:
* Difficulty swallowing (dysphagia)
* Chest pain
* Regurgitation
* Heartburn
* Nausea
* Vomiting
Treatment for esophageal spasm typically involves lifestyle changes, such as:
* Avoiding foods and drinks that trigger symptoms
* Eating small, frequent meals
* Drinking plenty of fluids
* Avoiding lying down after eating
* Elevating the head of the bed
If lifestyle changes do not relieve symptoms, medications or surgery may be necessary.
Medications that may be used to treat esophageal spasm include:
* Calcium channel blockers
* Nitrates
* Antidepressants
* Botox injections
Surgery may be necessary if medications do not relieve symptoms. Surgery can involve:
* Esophagomyotomy, a procedure to cut the muscles of the esophagus
* Fundoplication, a procedure to wrap the stomach around the lower esophageal sphincter
Esophageal spasm is a treatable condition. With proper treatment, most people can manage their symptoms and enjoy a good quality of life.
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