How is the differential diagnoses of esophageal motility disorders determined?

Updated: Dec 29, 2017
  • Author: Eric A Gaumnitz, MD; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Answer

As with all reported symptoms, the differential diagnosis depends on presenting symptoms. With complaints of chest pain, coronary artery disease is the major concern and should be evaluated prior to an esophageal workup for esophageal motility disorders. Prolonged, nonexertional chest pain that is meal-related and relieved with antacids favors an esophageal etiology for chest pain. Heartburn and regurgitation further suggest esophageal etiology of chest pain with a component of reflux disease, whether it is related to esophageal dysmotility or complicating scleroderma.


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