Diffuse Esophageal Spasm

Diffuse esophageal spasm (DES) is motility disorder with uncoordinated simultaneous contractions, presenting with intermittent chest pain, dysphagia, and regurgitation, often confused with cardiac pain. Treatment: PPI (reflux overlap); smooth muscle relaxants (peppermint oil/nitrates/CCB); warm fluids; pain management; treat anxiety; endoscopic botulinum toxin in severe; surgery (long myotomy) in refractory; endoscopy/manometry diagnosis; reassurance; lifestyle (avoid cold/large meals).

Common Symptoms

Intermittent chest pain; dysphagia; regurgitation; uncoordinated contractions on manometry

Causes and Pathogenesis

Uncoordinated esophageal motility causes spasms and pain.

Treatment

PPI; smooth muscle relaxants; pain control; botulinum toxin; surgery if refractory

Preventive Measures

Avoid cold/large meals; stress management.

Department to Visit

It is recommended to visit the Gastroenterology/Cardiology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.