Esophageal spasm - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T22:53:19Z

Prepared the page for translation

← Revisión anterior		Revisión del 22:53 4 ene 2026
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			<languages/>
			<translate>

	==Background==		==Background==

	[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]		[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]
	[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]		[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]
Línea 6:		Línea 10:
	*Strong spasms of the musculature of the esophagus that can last minutes to hours and mimic the chest pain of angina		*Strong spasms of the musculature of the esophagus that can last minutes to hours and mimic the chest pain of angina
	*Unclear what causes esophageal spasm. Possibly related to food intolerance.		*Unclear what causes esophageal spasm. Possibly related to food intolerance.


	==Clinical Features==		==Clinical Features==

	*Squeezing or tightening pain in the chest		*Squeezing or tightening pain in the chest
	*Can have associated [[dysphagia]] +/- globus sensation		*Can have associated [[Special:MyLanguage/dysphagia\|dysphagia]] +/- globus sensation
	*Can be triggered by eating hot or cold drinks/food.		*Can be triggered by eating hot or cold drinks/food.


	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{Chest Pain DDX}}		{{Chest Pain DDX}}
			<translate>


	==Evaluation==		==Evaluation==


	===Workup===		===Workup===

	*Esophageal spasm is a diagnosis of exclusion. Work-up should focus on ruling out more serious etiologies.		*Esophageal spasm is a diagnosis of exclusion. Work-up should focus on ruling out more serious etiologies.
	**[[ECG]]		**[[Special:MyLanguage/ECG\|ECG]]
	**CBC		**CBC
	**Chemistry		**Chemistry
	**[[Troponin]]		**[[Special:MyLanguage/Troponin\|Troponin]]
	**[[CXR]]		**[[Special:MyLanguage/CXR\|CXR]]
	*Consider:		*Consider:
	**[[BNP]]		**[[Special:MyLanguage/BNP\|BNP]]
	**PT/PTT		**PT/PTT
	**[[D-dimer]] vs. CTA chest		**[[Special:MyLanguage/D-dimer\|D-dimer]] vs. CTA chest


	===Diagnosis===		===Diagnosis===

	*Diagnosis of exclusion		*Diagnosis of exclusion
	*Upper gastrointestinal endoscopy with esophageal biopsies obtained to rule out other causes		*Upper gastrointestinal endoscopy with esophageal biopsies obtained to rule out other causes
	*Followed by esophageal manometry		*Followed by esophageal manometry


	==Management==		==Management==

	*Step-wise approach to therapy is recommended		*Step-wise approach to therapy is recommended
	#Pharmacologic therapy focused on controlling GERD symptoms		#Pharmacologic therapy focused on controlling GERD symptoms
	#Trial of peppermint oil before meals<ref>Peppermint oil improves the manometric findings in diffuse esophageal spasm.<https://pubmed.ncbi.nlm.nih.gov/11418786/></ref>		#Trial of peppermint oil before meals<ref>Peppermint oil improves the manometric findings in diffuse esophageal spasm.<https://pubmed.ncbi.nlm.nih.gov/11418786/></ref>
	#Trial of [[Calcium channel blockers]]		#Trial of [[Special:MyLanguage/Calcium channel blockers\|Calcium channel blockers]]
	#If the above are not successful consideration of [[Tricyclic antidepressants]]		#If the above are not successful consideration of [[Special:MyLanguage/Tricyclic antidepressants\|Tricyclic antidepressants]]


	==Disposition==		==Disposition==

	*Outpatient GI referral and work-up		*Outpatient GI referral and work-up


	==See Also==		==See Also==
	*[[Chest pain]]
	*[[Achalasia]]		*[[Special:MyLanguage/Chest pain\|Chest pain]]
			*[[Special:MyLanguage/Achalasia\|Achalasia]]


	==External Links==		==External Links==
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	==References==		==References==

	<references/>		<references/>

	[[Category:GI]]		[[Category:GI]]
			</translate>

Rossdonaldson1: /* Background */

2024-02-07T22:24:40Z

Background

← Revisión anterior		Revisión del 22:24 7 feb 2024
Línea 2:		Línea 2:
	[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]		[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]
	[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]		[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]
			[[File:Illu esophagus.jpg\|thumb\|Esophagus anatomy and nomenclature based on two systems.]]

	*Strong spasms of the musculature of the esophagus that can last minutes to hours and mimic the chest pain of angina		*Strong spasms of the musculature of the esophagus that can last minutes to hours and mimic the chest pain of angina
	*Unclear what causes esophageal spasm. Possibly related to food intolerance.		*Unclear what causes esophageal spasm. Possibly related to food intolerance.

Rossdonaldson1: /* Background */

2023-11-01T20:17:25Z

Background

← Revisión anterior		Revisión del 20:17 1 nov 2023
Línea 1:		Línea 1:
	==Background==		==Background==
			[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]
			[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]
	*Strong spasms of the musculature of the esophagus that can last minutes to hours and mimic the chest pain of angina		*Strong spasms of the musculature of the esophagus that can last minutes to hours and mimic the chest pain of angina
	*Unclear what causes esophageal spasm. Possibly related to food intolerance.		*Unclear what causes esophageal spasm. Possibly related to food intolerance.

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* References */

2021-11-17T19:31:12Z

References

← Revisión anterior		Revisión del 19:31 17 nov 2021
Línea 48:		Línea 48:
	==References==		==References==
	<references/>		<references/>

			[[Category:GI]]

Rossdonaldson1 at 19:30, 17 November 2021

2021-11-17T19:30:38Z

← Revisión anterior		Revisión del 19:30 17 nov 2021
Línea 1:		Línea 1:
	==Background==		==Background==
	*Strong spasms of the musculature of the esophagus that can last minutes to hours and mimic the chest pain of angina		*Strong spasms of the musculature of the esophagus that can last minutes to hours and mimic the chest pain of angina
			*Unclear what causes esophageal spasm. Possibly related to food intolerance.

	==Clinical Features==		==Clinical Features==
	*Squeezing or tightening pain in the chest		*Squeezing or tightening pain in the chest
	*Can have associated [[dysphagia]] +/- globus sensation		*Can have associated [[dysphagia]] +/- globus sensation
			*Can be triggered by eating hot or cold drinks/food.

	==Differential Diagnosis==		==Differential Diagnosis==
Línea 10:		Línea 12:

	==Evaluation==		==Evaluation==
	*Unclear what causes esophageal spasm. Possibly related to food intolerance. Can be triggered by eating hot or cold drinks/food.
	===Workup===		===Workup===
	*Esophageal spasm is a diagnosis of exclusion. Work-up should focus on ruling out more serious etiologies.		*Esophageal spasm is a diagnosis of exclusion. Work-up should focus on ruling out more serious etiologies.
Línea 31:		Línea 32:
	*Step-wise approach to therapy is recommended		*Step-wise approach to therapy is recommended
	#Pharmacologic therapy focused on controlling GERD symptoms		#Pharmacologic therapy focused on controlling GERD symptoms
	#Trial of peppermint oil before meals		#Trial of peppermint oil before meals<ref>Peppermint oil improves the manometric findings in diffuse esophageal spasm.<https://pubmed.ncbi.nlm.nih.gov/11418786/></ref>
	#Trial of [[Calcium channel blockers]]		#Trial of [[Calcium channel blockers]]
	#If the above are not successful consideration of [[Tricyclic antidepressants]]		#If the above are not successful consideration of [[Tricyclic antidepressants]]
Línea 39:		Línea 40:

	==See Also==		==See Also==
			*[[Chest pain]]
			*[[Achalasia]]

	==External Links==		==External Links==
Línea 46:		Línea 48:
	==References==		==References==
	<references/>		<references/>
	~~Peppermint oil improves the manometric findings in diffuse esophageal spasm.<https://pubmed.ncbi.nlm.nih.gov/11418786/>~~

Dieseldoc: /* References */

2021-10-12T00:15:43Z

References

← Revisión anterior		Revisión del 00:15 12 oct 2021
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	==References==		==References==
	<references/>		<references/>
			Peppermint oil improves the manometric findings in diffuse esophageal spasm.<https://pubmed.ncbi.nlm.nih.gov/11418786/>

Dieseldoc: /* Disposition */

2021-10-12T00:14:30Z

Disposition

← Revisión anterior		Revisión del 00:14 12 oct 2021
Línea 36:		Línea 36:

	==Disposition==		==Disposition==
			*Outpatient GI referral and work-up

	==See Also==		==See Also==

Dieseldoc: /* Management */

2021-10-12T00:13:46Z

Management

← Revisión anterior		Revisión del 00:13 12 oct 2021
Línea 30:		Línea 30:
	==Management==		==Management==
	*Step-wise approach to therapy is recommended		*Step-wise approach to therapy is recommended
	#~~1Pharmacologic~~ therapy focused on controlling GERD symptoms		#Pharmacologic therapy focused on controlling GERD symptoms
	#~~2Trial~~ of peppermint oil before meals		#Trial of peppermint oil before meals
	#~~3Trial~~ of [[Calcium channel blockers]]		#Trial of [[Calcium channel blockers]]
	#~~4If~~ the above are not successful consideration of [[Tricyclic antidepressants]]		#If the above are not successful consideration of [[Tricyclic antidepressants]]

	==Disposition==		==Disposition==

Dieseldoc: /* Management */

2021-10-12T00:13:13Z

Management

← Revisión anterior		Revisión del 00:13 12 oct 2021
Línea 29:		Línea 29:

	==Management==		==Management==
			*Step-wise approach to therapy is recommended
			#1Pharmacologic therapy focused on controlling GERD symptoms
			#2Trial of peppermint oil before meals
			#3Trial of [[Calcium channel blockers]]
			#4If the above are not successful consideration of [[Tricyclic antidepressants]]

	==Disposition==		==Disposition==

Dieseldoc: /* Diagnosis */

2021-10-12T00:10:05Z

Diagnosis

← Revisión anterior		Revisión del 00:10 12 oct 2021
Línea 24:		Línea 24:

	===Diagnosis===		===Diagnosis===
			*Diagnosis of exclusion
			*Upper gastrointestinal endoscopy with esophageal biopsies obtained to rule out other causes
			*Followed by esophageal manometry

	==Management==		==Management==