Nutcracker Esophagus

Nutcracker esophagus is hypercontractile esophageal motility disorder (high-amplitude peristaltic contractions), presenting with chest pain and dysphagia, often confused with cardiac pain. Treatment: PPI (reflux overlap); smooth muscle relaxants (peppermint oil/papaverine); pain management; treat anxiety/stress; botulinum toxin injection or low-dose imipramine in severe; endoscopy/manometry to diagnose; reassurance; lifestyle (avoid large meals/cold drinks).

Common Symptoms

Chest pain; dysphagia; high-amplitude contractions on manometry

Causes and Pathogenesis

Hypercontractile esophageal peristalsis causes pain/dysphagia.

Treatment

PPI; smooth muscle relaxants; pain control; botulinum toxin if severe; reassurance

Preventive Measures

Stress management; avoid large/cold meals.

Department to Visit

It is recommended to visit the Gastroenterology/Cardiology/Neurology 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.