Which clinical history suggests esophageal spasm?

Updated: Aug 07, 2019
  • Author: Ahmad Malas, MD; Chief Editor: BS Anand, MD  more...
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Answer

A correlation between uncoordinated contractions and chest pain can be difficult to document, and, usually, a disparity exists between symptoms and the manometric findings.

Symptoms are usually intermittent and variable from day to day. They may last between minutes and hours.

Pain may be associated with eating quickly or drinking hot, cold, or carbonated beverages.

Anxiety and depression are common in these patients.

Patients with nutcracker esophagus or high-amplitude peristaltic contractions usually present with chest pain, as only 10% experience dysphagia.


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