Materiały źródłowe

• #1 Esophageal spasm | Lima Memorial Health System

  https://www.limamemorial.org/health-library/HIE%20Multimedia-TextOnly/1/000289

  Esophageal spasms are abnormal contractions of the muscles in the esophagus, the tube that carries food from the mouth to the stomach. These spasms do not move food effectively to the stomach. […] Nitroglycerin given under the tongue (sublingual) may help a sudden episode of esophageal spasm. Long-acting nitroglycerin and calcium channel blockers are also used for the problem. […] Long-term (chronic) cases are sometimes treated with low-dose antidepressants such as trazodone or nortriptyline to reduce symptoms. […] Rarely, severe cases may need dilation (widening) of the esophagus or surgery to control symptoms. […] Contact your health care provider if you have symptoms of esophageal spasm that don’t go away. The symptoms may actually be due to heart problems. Your provider can help decide if you need heart tests. […] Avoid very hot or very cold foods if you get esophageal spasms.

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2352

  The esophagus is the tube that carries food from your mouth to your stomach. An esophageal spasm is an irregular, painful tightening of the muscles along the esophagus. Normally, the esophagus tightens in a coordinated manner to move food along and into the stomach. An esophageal spasm can prevent food from reaching the stomach, leaving it stuck in the esophagus. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Treat other conditions that can make esophageal spasms worse, such as gastroesophageal reflux disease (GERD). […] Avoid very hot or cold foods if they trigger esophageal spasms.

• #3 Esophageal Spasm: Causes, Symptoms, Treatments, & Diagnosis

  https://www.webmd.com/digestive-disorders/what-is-esophageal-spasm

  An esophageal spasm is the sudden, abnormal squeezing of the food pipe (esophagus) — the tube that carries food from your mouth to your stomach. […] The main symptoms are difficulty swallowing and chest pain. The spasms can be severe enough to wake you from sleep and may feel like a heart attack. […] Very hot foods or liquids may trigger spasms or make them worse. Use of certain medications, like narcotic pain relievers (opiates), may cause spasms in some people. […] Esophageal spasms are rare, but there you’re more likely to get them if you: […] Because spasms cause symptoms similar to a heart attack, your doctor will first run tests to check your heart health. […] These painful events can happen without warning and are often challenging to treat. Options include: […] Alongside your treatment, you can also help manage your esophageal spasms at home. You can:

• #4 Esophageal spasms – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/esophageal-spasms/symptoms-causes/syc-20372250

  Esophageal spasms usually happen only now and then, and they might not need treatment. But sometimes the spasms happen a lot and can prevent food and liquids from traveling through the esophagus. If esophageal spasms affect the ability to eat or drink, treatments are available. […] If you have squeezing chest pain, seek medical care right away. […] Esophageal spasms make it difficult for the muscles in the walls of the lower esophagus to coordinate. This makes it harder for the muscles to move food to the stomach. […] Risk factors for esophageal spasms include: Women are more likely to have esophageal spasms than men. […] Esophageal spasms tend to happen around age 60.

• #5 What Are Esophageal Spasms: Everything That You Should Know – Princeton Gastroenterology Associates

  https://princetongi.com/what-are-esophageal-spasms-everything-that-you-should-know/

  Chest pain and dysphagia (difficulty in swallowing) account for a reasonable percentage of hospital consultations. In some patients, these occur due to a spasm of the esophagus, a muscular tube that moves food from the mouth to the stomach. […] An esophageal spasm is an involuntary painful muscular contraction of the esophagus, a tube connecting the mouth and the stomach. Esophageal spasms are perceived as sudden severe chest pain lasting minutes to hours. The pain of esophageal spasms occurs at the center of the chest and behind the bone at the center of the chest (sternum). […] One of the commonest symptoms of the esophageal spasm is difficulty in swallowing. It is common in the nutcracker esophagus due to abnormally strong contractions. Difficulty in swallowing is found in around two-thirds of patients with esophageal spasms.

• #6

  https://www.kuh.ku.edu.tr/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/esophageal-spasms

  Esophageal spasms are painful contractions within the muscular tube connecting your mouth and stomach. This tube is called the esophagus. Esophageal spasms can feel like sudden, severe chest pain that lasts from a few minutes to hours. Some people may mistake it for heart pain, also called angina. […] Esophageal spasms typically occur only occasionally and might not need treatment. But sometimes the spasms are frequent and can prevent food and liquids from traveling through the esophagus. If esophageal spasms interfere with your ability to eat or drink, treatments are available. […] Treatment depends on the frequency and severity of your esophageal spasms. […] If your spasms make it difficult to eat or drink, your provider might recommend managing any underlying conditions. […] Medicines to relax your swallowing muscles. Peppermint oil, onabotulinumtoxinA (Botox) injections or calcium channel blockers, such as diltiazem (Cardizem, Tiazac, others), can make spasms less severe.

• #7 Esophageal Spasm

  https://ukhcib.staywellsolutionsonline.com/Library/Encyclopedia/82,116033en

  Esophageal spasms may feel like food is stuck and wont go down. […] Your healthcare provider may prescribe medicines to help reduce your symptoms. If you have an underlying condition such as GERD, your healthcare provider may prescribe medicines to help manage it. […] Limit any foods that seem to cause spasm. This may include very hot or very cold foods. […] Follow up with your healthcare provider, or as advised. […] Call your healthcare provider if any of the following occur: Food that feels stuck in the esophagus for more than 30 minutes. […] Symptoms get worse or you have new symptoms.

• #8 Esophageal Spasms | Loma Linda University Health

  https://lluh.org/conditions/esophageal-spasms

  POEM is a minimally-invasive treatment for esophageal spasms. An endoscope is inserted through the mouth and down the throat to make an incision in the inside lining of the esophagus. The surgeon cuts the muscle at the lower end of the esophagus. Like myotomy, POEM is usually considered only if other treatments don’t work. […] If your esophageal spasms remain untreated, many people continue experiencing difficulty swallowing, chest pain and heartburn in addition to other symptoms of esophageal spasms. […] Be proactive. If you are having difficulty swallowing or experiencing the other symptoms of esophageal spasms, seek medical attention.

• #9 Esophageal Spasm: Causes, Symptoms, Treatments, & Diagnosis

  https://www.webmd.com/digestive-disorders/what-is-esophageal-spasm

  An esophageal spasm is the sudden, abnormal squeezing of the food pipe (esophagus) — the tube that carries food from your mouth to your stomach. […] The main symptoms are difficulty swallowing and chest pain. The spasms can be severe enough to wake you from sleep and may feel like a heart attack. […] Very hot foods or liquids may trigger spasms or make them worse. Use of certain medications, like narcotic pain relievers (opiates), may cause spasms in some people. […] Esophageal spasms are rare, but there you’re more likely to get them if you: […] Because spasms cause symptoms similar to a heart attack, your doctor will first run tests to check your heart health. […] These painful events can happen without warning and are often challenging to treat. Options include: […] Alongside your treatment, you can also help manage your esophageal spasms at home. You can:

• #10 Esophageal spasms – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/esophageal-spasms/symptoms-causes/syc-20372250

  Esophageal spasms usually happen only now and then, and they might not need treatment. But sometimes the spasms happen a lot and can prevent food and liquids from traveling through the esophagus. If esophageal spasms affect the ability to eat or drink, treatments are available. […] If you have squeezing chest pain, seek medical care right away. […] Esophageal spasms make it difficult for the muscles in the walls of the lower esophagus to coordinate. This makes it harder for the muscles to move food to the stomach. […] Risk factors for esophageal spasms include: Women are more likely to have esophageal spasms than men. […] Esophageal spasms tend to happen around age 60.

• #11 Esophageal spasm | Lima Memorial Health System

  https://www.limamemorial.org/health-library/HIE%20Multimedia-TextOnly/1/000289

  Esophageal spasms are abnormal contractions of the muscles in the esophagus, the tube that carries food from the mouth to the stomach. These spasms do not move food effectively to the stomach. […] Nitroglycerin given under the tongue (sublingual) may help a sudden episode of esophageal spasm. Long-acting nitroglycerin and calcium channel blockers are also used for the problem. […] Long-term (chronic) cases are sometimes treated with low-dose antidepressants such as trazodone or nortriptyline to reduce symptoms. […] Rarely, severe cases may need dilation (widening) of the esophagus or surgery to control symptoms. […] Contact your health care provider if you have symptoms of esophageal spasm that don’t go away. The symptoms may actually be due to heart problems. Your provider can help decide if you need heart tests. […] Avoid very hot or very cold foods if you get esophageal spasms.

• #12

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2352

  The esophagus is the tube that carries food from your mouth to your stomach. An esophageal spasm is an irregular, painful tightening of the muscles along the esophagus. Normally, the esophagus tightens in a coordinated manner to move food along and into the stomach. An esophageal spasm can prevent food from reaching the stomach, leaving it stuck in the esophagus. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Treat other conditions that can make esophageal spasms worse, such as gastroesophageal reflux disease (GERD). […] Avoid very hot or cold foods if they trigger esophageal spasms.

• #13 Esophageal Spasm: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.esophageal-spasm-care-instructions.ut2352

  The esophagus is the tube that carries food from your mouth to your stomach. An esophageal spasm is when the muscles along the esophagus tighten in an irregular, painful way. Normally, the esophagus tightens in a coordinated manner to move food along and into the stomach. An esophageal spasm can prevent food from getting to the stomach. This leaves it stuck in the esophagus. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Treat other conditions that can make esophageal spasms worse, such as GERD. […] Ask your doctor about relaxation and controlled breathing exercises. These may help reduce symptoms. […] Avoid very hot or cold foods if they trigger esophageal spasms.

• #14 Esophageal Spasm: Background, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/174975-overview

  Patients should be educated about the symptoms and treatment options for the disease. Patient involvement and education are crucial to the success of any treatment modality. […] Treatment includes calcium channel blockers, botulinum toxin, nitrates, tricyclic antidepressants, sildenafil, dilatation, myotomy, and esophagectomy. […] Myotomy, which is performed only in extreme cases, can relieve the uncoordinated contractions. […] Even though the increased amplitude of the contractions can be demonstrated using manometry, the symptoms often do not correlate with the manometrically documented contractions. […] No treatment is effective in all patients. Some patients do not respond to any treatment. In most patients, symptoms are controllable with a combination of treatment modalities. […] Potential problems are based on the therapy. All medications have possible adverse effects, and patients should be monitored.

• #15 Esophageal spasm relief: Treatments and home remedies

  https://www.medicalnewstoday.com/articles/321656

  Some research suggests that using peppermint products may help reduce esophageal spasms. […] A combination of medications, therapy, and stress management techniques can help a person manage underlying depression or anxiety. […] If traditional treatments do not work, a person may be able to try other therapies that help relax the esophageal muscles. […] Doctors may use surgery as a last resort if other remedies have not worked. […] The best way to stop an esophageal spasm is to prevent it from starting. Identifying the foods and drinks that trigger muscle spasms in the esophagus and then avoiding them can be a good starting point. […] Esophageal spasms are painful but otherwise not harmful. Treatments are available to help people with esophageal spasms manage and prevent their symptoms.

• #16

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2352

  The esophagus is the tube that carries food from your mouth to your stomach. An esophageal spasm is an irregular, painful tightening of the muscles along the esophagus. Normally, the esophagus tightens in a coordinated manner to move food along and into the stomach. An esophageal spasm can prevent food from reaching the stomach, leaving it stuck in the esophagus. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Treat other conditions that can make esophageal spasms worse, such as gastroesophageal reflux disease (GERD). […] Avoid very hot or cold foods if they trigger esophageal spasms.

• #17 Esophageal Spasm (Aftercare Instructions)

  https://www.drugs.com/cg/esophageal-spasm-aftercare-instructions.html

  Esophageal spasm is a sudden, painful tightening of your lower esophagus. Your esophagus is the tube that food and liquids pass through from your mouth to your stomach. You may have trouble when you swallow. Food may get stuck in your esophagus. You may also have pain in your chest and heartburn. […] Pain medicine: This medicine helps take away or decrease pain caused by the spasms. […] Smooth muscle relaxants: This medicine may help your muscles and esophagus relax so it is easier for you to swallow. It may also decrease your pain and trouble swallowing. […] Proton pump inhibitors: This medicine may help reduce stomach acid and prevent heartburn. […] Contact your healthcare provider if: Your symptoms do not improve even with treatment. […] You have severe pain when you swallow. […] You lose weight without trying. […] You have questions about your condition or care. […] Return to the emergency department if: You are drooling or have trouble swallowing. […] You are choking, gagging, or vomiting. […] You have pain when you swallow. […] You have new or worse chest pain and shortness of breath.

• #18 Esophageal spasm relief: Treatments and home remedies

  https://www.medicalnewstoday.com/articles/321656

  An esophageal spasm is an involuntary and often painful contraction in the esophagus, or food pipe. Medical treatments and lifestyle remedies can help relieve symptoms of esophageal spasms. […] The treatment options to stop esophageal spasms vary depending on the frequency and severity of a persons symptoms. […] A doctor may recommend several different approaches for treating esophageal spasms, including: identifying and avoiding trigger foods, making lifestyle changes, trying natural remedies, managing underlying medical conditions, taking medication, and undergoing surgery. […] A doctor may recommend certain lifestyle changes for people with esophageal spasms, including: reaching or maintaining a moderate weight, avoiding constrictive clothing, eating smaller meals more frequently, avoiding eating too close to bedtime or before lying down, quitting smoking, and reducing the intake of alcohol, especially red wine.

• #19

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2352

  The esophagus is the tube that carries food from your mouth to your stomach. An esophageal spasm is an irregular, painful tightening of the muscles along the esophagus. Normally, the esophagus tightens in a coordinated manner to move food along and into the stomach. An esophageal spasm can prevent food from reaching the stomach, leaving it stuck in the esophagus. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Treat other conditions that can make esophageal spasms worse, such as gastroesophageal reflux disease (GERD). […] Avoid very hot or cold foods if they trigger esophageal spasms.

• #20 Esophageal spasm | Lima Memorial Health System

  https://www.limamemorial.org/health-library/HIE%20Multimedia-TextOnly/1/000289

  Esophageal spasms are abnormal contractions of the muscles in the esophagus, the tube that carries food from the mouth to the stomach. These spasms do not move food effectively to the stomach. […] Nitroglycerin given under the tongue (sublingual) may help a sudden episode of esophageal spasm. Long-acting nitroglycerin and calcium channel blockers are also used for the problem. […] Long-term (chronic) cases are sometimes treated with low-dose antidepressants such as trazodone or nortriptyline to reduce symptoms. […] Rarely, severe cases may need dilation (widening) of the esophagus or surgery to control symptoms. […] Contact your health care provider if you have symptoms of esophageal spasm that don’t go away. The symptoms may actually be due to heart problems. Your provider can help decide if you need heart tests. […] Avoid very hot or very cold foods if you get esophageal spasms.

• #21 Esophageal Spasm: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.esophageal-spasm-care-instructions.ut2352

  The esophagus is the tube that carries food from your mouth to your stomach. An esophageal spasm is when the muscles along the esophagus tighten in an irregular, painful way. Normally, the esophagus tightens in a coordinated manner to move food along and into the stomach. An esophageal spasm can prevent food from getting to the stomach. This leaves it stuck in the esophagus. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Treat other conditions that can make esophageal spasms worse, such as GERD. […] Ask your doctor about relaxation and controlled breathing exercises. These may help reduce symptoms. […] Avoid very hot or cold foods if they trigger esophageal spasms.

• #22 Esophageal spasms – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/esophageal-spasms/diagnosis-treatment/drc-20372255

  Peroral endoscopic myotomy (POEM). The POEM procedure is minimally invasive. […] To help you cope with occasional esophageal spasms, try to: […] Avoid your triggers. Make a list of foods and beverages that cause your esophageal spasms. […] Suck a peppermint lozenge. Peppermint oil is a smooth muscle relaxant and might help ease esophageal spasms.

• #23 Esophageal spasms

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20372236

  Esophageal spasms are painful contractions within the muscular tube connecting your mouth and stomach. […] Esophageal spasms typically occur only occasionally and might not need treatment. But sometimes the spasms are frequent and can prevent food and liquids from traveling through the esophagus. If esophageal spasms interfere with your ability to eat or drink, treatments are available. […] Treatment depends on the frequency and severity of your esophageal spasms. […] If your spasms make it difficult to eat or drink, your provider might recommend managing any underlying conditions. […] Medicines to relax your swallowing muscles can make spasms less severe. […] Surgery (myotomy) might be considered if other treatments don’t work. […] To help you cope with occasional esophageal spasms, try to avoid your triggers. […] Suck a peppermint lozenge. Peppermint oil is a smooth muscle relaxant and might help ease esophageal spasms.

• #24 Esophageal spasm relief: Treatments and home remedies

  https://www.medicalnewstoday.com/articles/321656

  Some research suggests that using peppermint products may help reduce esophageal spasms. […] A combination of medications, therapy, and stress management techniques can help a person manage underlying depression or anxiety. […] If traditional treatments do not work, a person may be able to try other therapies that help relax the esophageal muscles. […] Doctors may use surgery as a last resort if other remedies have not worked. […] The best way to stop an esophageal spasm is to prevent it from starting. Identifying the foods and drinks that trigger muscle spasms in the esophagus and then avoiding them can be a good starting point. […] Esophageal spasms are painful but otherwise not harmful. Treatments are available to help people with esophageal spasms manage and prevent their symptoms.

• #25 Esophageal spasms – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/esophageal-spasms/diagnosis-treatment/drc-20372255

  During an upper endoscopy, a healthcare professional inserts a thin, flexible tube equipped with a light and camera down the throat and into the esophagus. […] To diagnose esophageal spasms, a healthcare professional may recommend: […] Treatment depends on how often the esophageal spasms happen and how bad they are. […] If your spasms make it difficult to eat or drink, your provider might recommend: […] Managing any underlying conditions. Esophageal spasms are sometimes associated with conditions such as heartburn or gastroesophageal reflux disease (GERD). […] Medicines to relax your swallowing muscles. Peppermint oil, onabotulinumtoxinA (Botox) injections into the esophagus or calcium channel blockers, such as diltiazem (Cardizem, Tiazac, others), can make spasms less severe. […] Surgery (myotomy). If medicine doesn’t work, a healthcare professional might recommend a procedure that involves cutting the muscle at the lower end of the esophagus.

• #26 Esophageal spasms

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20372236

  Esophageal spasms are painful contractions within the muscular tube connecting your mouth and stomach. […] Esophageal spasms typically occur only occasionally and might not need treatment. But sometimes the spasms are frequent and can prevent food and liquids from traveling through the esophagus. If esophageal spasms interfere with your ability to eat or drink, treatments are available. […] Treatment depends on the frequency and severity of your esophageal spasms. […] If your spasms make it difficult to eat or drink, your provider might recommend managing any underlying conditions. […] Medicines to relax your swallowing muscles can make spasms less severe. […] Surgery (myotomy) might be considered if other treatments don’t work. […] To help you cope with occasional esophageal spasms, try to avoid your triggers. […] Suck a peppermint lozenge. Peppermint oil is a smooth muscle relaxant and might help ease esophageal spasms.

• #27 Esophageal Spasm Treatment & Management: Approach Considerations, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/174975-treatment

  Usually, the workup and treatment are performed in an outpatient setting. Patients in whom medical management fails and who require operative intervention should have routine postoperative care based on the procedure performed. […] Calcium channel blockers and nitrates are first-line therapy. […] Patients need close follow-up care upon the initiation of therapy or with a change in therapy. Patients should be monitored for improvements in symptoms and for adverse effects of the medications. […] Patients in whom medical management fails should be referred to a thoracic surgeon for possible operative intervention. […] Myotomy is effective for treating diffuse esophageal spasm. […] Myotomy should be used with caution in patients with nutcracker esophagus because it may worsen the symptoms. […] Overall, surgical therapy is reserved for those refractory to medical therapy.

• #28 Esophageal spasms // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/esophageal-spasms

  Medicines to relax your swallowing muscles. Peppermint oil, onabotulinumtoxinA (Botox) injections into the esophagus or calcium channel blockers, such as diltiazem (Cardizem, Tiazac, others), can make spasms less severe. […] Surgery (myotomy). If medicine doesn’t work, a healthcare professional might recommend a procedure that involves cutting the muscle at the lower end of the esophagus. This procedure, called a myotomy, can help weaken esophageal contractions. Long-term studies of this approach aren’t available, so myotomy generally isn’t recommended for esophageal spasms. However, it might be considered if other treatments don’t work. […] Peroral endoscopic myotomy (POEM). The POEM procedure is minimally invasive. This newer technique involves placing an endoscope through the mouth and down the throat. This allows a surgeon to make a cut in the inside lining of the esophagus. Then, as in standard myotomy, the surgeon cuts the muscle at the lower end of the esophagus. Like standard myotomy, POEM is usually considered only if other treatments don’t work.

• #29 Esophageal Spasms: Symptoms, Causes, Treatment & Medication

  https://my.clevelandclinic.org/health/diseases/15575-esophageal-spasms

  Medication: Taking calcium channel blockers (blood pressure medicine) before eating helps many people swallow more easily. Taking nitrates can help relieve chest pain. Tricyclic antidepressants can target the faulty esophageal nerves, relieving pain. […] Botulinum toxin (Botox) injections: Botox injections temporarily paralyze your esophagus muscles, stopping spasms. If other therapies haven’t helped, your provider may recommend this option. Treatment benefits last about six months. […] Surgery: If your symptoms are severe and other treatments haven’t helped, your provider may recommend surgery called a myotomy. During a myotomy, a provider makes an incision along your lower esophagus muscle. This incision stops the muscle from working entirely, which stops abnormal contractions. With the esophageal muscle no longer in use, gravity moves food and liquid down your esophagus.

• #30 Esophageal spasm | Lima Memorial Health System

  https://www.limamemorial.org/health-library/HIE%20Multimedia-TextOnly/1/000289

  Esophageal spasms are abnormal contractions of the muscles in the esophagus, the tube that carries food from the mouth to the stomach. These spasms do not move food effectively to the stomach. […] Nitroglycerin given under the tongue (sublingual) may help a sudden episode of esophageal spasm. Long-acting nitroglycerin and calcium channel blockers are also used for the problem. […] Long-term (chronic) cases are sometimes treated with low-dose antidepressants such as trazodone or nortriptyline to reduce symptoms. […] Rarely, severe cases may need dilation (widening) of the esophagus or surgery to control symptoms. […] Contact your health care provider if you have symptoms of esophageal spasm that don’t go away. The symptoms may actually be due to heart problems. Your provider can help decide if you need heart tests. […] Avoid very hot or very cold foods if you get esophageal spasms.

• #31 Esophageal spasm: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000289.htm

  Esophageal spasms are abnormal contractions of the muscles in the esophagus, the tube that carries food from the mouth to the stomach. These spasms do not move food effectively to the stomach. […] Nitroglycerin given under the tongue (sublingual) may help a sudden episode of esophageal spasm. Long-acting nitroglycerin and calcium channel blockers are also used for the problem. […] Long-term (chronic) cases are sometimes treated with low-dose antidepressants such as trazodone or nortriptyline to reduce symptoms. […] Rarely, severe cases may need dilation (widening) of the esophagus or surgery to control symptoms. […] Contact your health care provider if you have symptoms of esophageal spasm that don’t go away. The symptoms may actually be due to heart problems. Your provider can help decide if you need heart tests. […] Avoid very hot or very cold foods if you get esophageal spasms.

• #32 Esophageal spasms // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/esophageal-spasms

  Esophageal spasms usually happen only now and then, and they might not need treatment. But sometimes the spasms happen a lot and can prevent food and liquids from traveling through the esophagus. If esophageal spasms affect the ability to eat or drink, treatments are available. […] Treatment depends on how often the esophageal spasms happen and how bad they are. […] If your spasms make it difficult to eat or drink, your provider might recommend: […] Managing any underlying conditions. Esophageal spasms are sometimes associated with conditions such as heartburn or gastroesophageal reflux disease (GERD). A healthcare professional might recommend a proton pump inhibitor to treat GERD. Sometimes an antidepressant, such as imipramine, may be prescribed. This medicine may help reduce the feeling of pain in the esophagus.

• #33 Esophageal spasm: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000289.htm

  Esophageal spasms are abnormal contractions of the muscles in the esophagus, the tube that carries food from the mouth to the stomach. These spasms do not move food effectively to the stomach. […] Nitroglycerin given under the tongue (sublingual) may help a sudden episode of esophageal spasm. Long-acting nitroglycerin and calcium channel blockers are also used for the problem. […] Long-term (chronic) cases are sometimes treated with low-dose antidepressants such as trazodone or nortriptyline to reduce symptoms. […] Rarely, severe cases may need dilation (widening) of the esophagus or surgery to control symptoms. […] Contact your health care provider if you have symptoms of esophageal spasm that don’t go away. The symptoms may actually be due to heart problems. Your provider can help decide if you need heart tests. […] Avoid very hot or very cold foods if you get esophageal spasms.

• #34 Esophageal Spasm: Symptoms, Causes, Treatment

  https://www.verywellhealth.com/esophageal-spasm-symptoms-causes-treatment-7370744

  Your healthcare provider may recommend medication that relaxes the muscles used for swallowing. Calcium channel blockers may also be prescribed. […] Certain antidepressants, such as tricyclic antidepressants and selection serotonin reuptake inhibitors (SSRIs) are considered a mainstay of treatment for esophageal issues. […] If lifestyle modifications and medications have not worked to treat esophageal spasms, you may wish to consider Botox injections. […] In severe cases in which other options have not provided adequate relief from esophageal spasms, your healthcare provider may suggest surgical treatment. Surgery for esophageal spasm is called myotomy. […] When warranted, esophageal spasms can be treated if necessary with lifestyle modifications, medications, Botox injections, or, in severe cases, surgery.

• #35 Esophageal Spasms: Symptoms, Causes, Treatment & Medication

  https://my.clevelandclinic.org/health/diseases/15575-esophageal-spasms

  Medication: Taking calcium channel blockers (blood pressure medicine) before eating helps many people swallow more easily. Taking nitrates can help relieve chest pain. Tricyclic antidepressants can target the faulty esophageal nerves, relieving pain. […] Botulinum toxin (Botox) injections: Botox injections temporarily paralyze your esophagus muscles, stopping spasms. If other therapies haven’t helped, your provider may recommend this option. Treatment benefits last about six months. […] Surgery: If your symptoms are severe and other treatments haven’t helped, your provider may recommend surgery called a myotomy. During a myotomy, a provider makes an incision along your lower esophagus muscle. This incision stops the muscle from working entirely, which stops abnormal contractions. With the esophageal muscle no longer in use, gravity moves food and liquid down your esophagus.

• #36 What Are Esophageal Spasms: Everything That You Should Know – Princeton Gastroenterology Associates

  https://princetongi.com/what-are-esophageal-spasms-everything-that-you-should-know/

  The first management line is medical therapy with calcium channel blockers and nitrates. […] The initial treatment of choice is lifestyle modification and medical treatment. Suppose you don’t respond to medical therapy; your doctor will recommend surgery. […] The use of phosphodiesterase inhibitors such as sildenafil can relax your esophagus, thus relieving pain. In addition, sildenafil will also relax the lower esophageal sphincter, alleviating difficulty in swallowing. […] In case of poor response to medical therapy, your doctor may refer you to a thoracic surgeon. Of note, surgical treatment is reserved for refractive cases. The procedure can be open or laparoscopic. The treatment modality can be a myotomy or esophagectomy (removal of part of the esophagus).

• #37 Esophageal Spasms: Symptoms, Causes, Treatment & Medication

  https://my.clevelandclinic.org/health/diseases/15575-esophageal-spasms

  Medication: Taking calcium channel blockers (blood pressure medicine) before eating helps many people swallow more easily. Taking nitrates can help relieve chest pain. Tricyclic antidepressants can target the faulty esophageal nerves, relieving pain. […] Botulinum toxin (Botox) injections: Botox injections temporarily paralyze your esophagus muscles, stopping spasms. If other therapies haven’t helped, your provider may recommend this option. Treatment benefits last about six months. […] Surgery: If your symptoms are severe and other treatments haven’t helped, your provider may recommend surgery called a myotomy. During a myotomy, a provider makes an incision along your lower esophagus muscle. This incision stops the muscle from working entirely, which stops abnormal contractions. With the esophageal muscle no longer in use, gravity moves food and liquid down your esophagus.

• #38 Jackhammer Esophagus – Esophageal Health | UCLA Health

  https://www.uclahealth.org/medical-services/gastro/esophageal-health/diseases-we-treat/jackhammer-esophagus

  Botulinum toxin (BoTox) injected into the muscle of the esophagus with endoscopic guidance works by paralyzing the muscle and allowing relaxation. […] It is thought that for many patients the most effective and durable treatment for jackhammer esophagus is cutting the muscle; this is called myotomy. This can be accomplished endoscopically (referred to as Per-oral endoscopic myotomy or POEM).

• #39 Esophageal Spasm | CommonSpirit Health

  https://www.commonspirit.org/conditions-treatments/esophageal-spasm

  Esophageal spasm means that contractions of the esophagus are irregular, uncoordinated, and sometimes powerful. […] Treatment for esophageal spasm includes treating other conditions that may make esophageal spasms worse, such as gastroesophageal reflux disease (GERD). […] To treat GERD: Your doctor may recommend an over-the-counter medicine. […] Ask your doctor about relaxation and controlled breathing exercises. These may help reduce symptoms.

• #40

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2352

  The esophagus is the tube that carries food from your mouth to your stomach. An esophageal spasm is an irregular, painful tightening of the muscles along the esophagus. Normally, the esophagus tightens in a coordinated manner to move food along and into the stomach. An esophageal spasm can prevent food from reaching the stomach, leaving it stuck in the esophagus. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Treat other conditions that can make esophageal spasms worse, such as gastroesophageal reflux disease (GERD). […] Avoid very hot or cold foods if they trigger esophageal spasms.

• #41 Esophageal Spasm | The Children’s Hospital at Montefiore

  https://www.cham.org/health-library/article?id=ut1638spec

  Esophageal spasm means that contractions of the esophagus are irregular, uncoordinated, and sometimes powerful. […] Treatment for esophageal spasm includes treating other conditions that may make esophageal spasms worse, such as gastroesophageal reflux disease (GERD). GERD is usually treated with changes to diet and lifestyle and medicines to reduce the amount of acid in the stomach. […] Other treatment for esophageal spasm may include: Changing the foods you eat. Your doctor may tell you to eat certain foods and liquids to make swallowing easier. […] Medicines. If you can’t have dilation or surgery, your doctor may suggest medicines, such as botulinum toxin, to relax the muscles in the esophagus. […] Surgery. Surgery is sometimes used in people who have a problem that affects the lower esophageal muscle (achalasia).

• #42 Esophageal spasm relief: Treatments and home remedies

  https://www.medicalnewstoday.com/articles/321656

  Some research suggests that using peppermint products may help reduce esophageal spasms. […] A combination of medications, therapy, and stress management techniques can help a person manage underlying depression or anxiety. […] If traditional treatments do not work, a person may be able to try other therapies that help relax the esophageal muscles. […] Doctors may use surgery as a last resort if other remedies have not worked. […] The best way to stop an esophageal spasm is to prevent it from starting. Identifying the foods and drinks that trigger muscle spasms in the esophagus and then avoiding them can be a good starting point. […] Esophageal spasms are painful but otherwise not harmful. Treatments are available to help people with esophageal spasms manage and prevent their symptoms.

• #43 Esophageal Spasms: Symptoms, Causes, Treatment & Medication

  https://my.clevelandclinic.org/health/diseases/15575-esophageal-spasms

  Esophageal spasms are problems with muscles in your esophagus, the tube that takes food and drink to your stomach after you swallow. Spasms may cause minor to severe symptoms, including difficulty swallowing and chest pain. Medication or other therapies often help. Surgery is rare. If you have severe chest pain, seek medical care right away. […] Esophageal spasm treatments focus on relaxing your esophageal muscles to relieve your symptoms. If esophageal spasms don’t cause symptoms, you may not need treatment. […] Your healthcare provider may recommend any of the following to treat esophageal spasms: Home remedies: Research shows that peppermint oil may help relax esophageal muscles. Drinking water with a few drops of peppermint oil may relieve minor symptoms. Identifying what triggers your symptoms could help you avoid future spasms.

• #44 Esophageal spasm relief: Treatments and home remedies

  https://www.medicalnewstoday.com/articles/321656

  Some research suggests that using peppermint products may help reduce esophageal spasms. […] A combination of medications, therapy, and stress management techniques can help a person manage underlying depression or anxiety. […] If traditional treatments do not work, a person may be able to try other therapies that help relax the esophageal muscles. […] Doctors may use surgery as a last resort if other remedies have not worked. […] The best way to stop an esophageal spasm is to prevent it from starting. Identifying the foods and drinks that trigger muscle spasms in the esophagus and then avoiding them can be a good starting point. […] Esophageal spasms are painful but otherwise not harmful. Treatments are available to help people with esophageal spasms manage and prevent their symptoms.

• #45 Esophageal Spasms: Symptoms, Causes, Treatment & Medication

  https://my.clevelandclinic.org/health/diseases/15575-esophageal-spasms

  Esophageal spasms are problems with muscles in your esophagus, the tube that takes food and drink to your stomach after you swallow. Spasms may cause minor to severe symptoms, including difficulty swallowing and chest pain. Medication or other therapies often help. Surgery is rare. If you have severe chest pain, seek medical care right away. […] Esophageal spasm treatments focus on relaxing your esophageal muscles to relieve your symptoms. If esophageal spasms don’t cause symptoms, you may not need treatment. […] Your healthcare provider may recommend any of the following to treat esophageal spasms: Home remedies: Research shows that peppermint oil may help relax esophageal muscles. Drinking water with a few drops of peppermint oil may relieve minor symptoms. Identifying what triggers your symptoms could help you avoid future spasms.

• #46 Esophageal spasms | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/esophageal-spasms?content_id=CON-20372236

  Esophageal spasms usually happen only now and then, and they might not need treatment. […] If esophageal spasms affect the ability to eat or drink, treatments are available. […] If your spasms make it difficult to eat or drink, your provider might recommend: […] Managing any underlying conditions. Esophageal spasms are sometimes associated with conditions such as heartburn or gastroesophageal reflux disease (GERD). A healthcare professional might recommend a proton pump inhibitor to treat GERD. […] Medicines to relax your swallowing muscles. Peppermint oil, onabotulinumtoxinA (Botox) injections into the esophagus or calcium channel blockers, such as diltiazem (Cardizem, Tiazac, others), can make spasms less severe. […] To help you cope with occasional esophageal spasms, try to: […] Avoid your triggers. Make a list of foods and beverages that cause your esophageal spasms. […] Suck a peppermint lozenge. Peppermint oil is a smooth muscle relaxant and might help ease esophageal spasms. Place the peppermint lozenge under your tongue.

• #47 Esophageal Spasm: Symptoms, Causes, Treatment and More

  https://www.healthline.com/health/esophageal-spasm

  Esophageal spasms are painful, abnormal muscle contractions that occur within the esophagus. […] When esophageal spasms happen often, they may require treatment. […] Seek immediate medical care if you think you may be having an esophageal spasm. […] The type of esophageal spasm you’re experiencing may influence your treatment options. […] If you have diffuse esophageal spasms, you may be able to treat them simply by identifying and eliminating food and drink triggers. […] Standardized deglycyrrhizinated licorice (DGL) extract, taken an hour or two before or after meals, may help reduce spasms. […] Peppermint oil is a smooth-muscle relaxant that may also help calm down spasms. […] Your doctor may prescribe medications, such as a proton pump inhibitor or an H2 blocker if you have GERD, to address the underlying cause of your symptoms.

• #48 Esophageal Spasm: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.esophageal-spasm-care-instructions.ut2352

  The esophagus is the tube that carries food from your mouth to your stomach. An esophageal spasm is when the muscles along the esophagus tighten in an irregular, painful way. Normally, the esophagus tightens in a coordinated manner to move food along and into the stomach. An esophageal spasm can prevent food from getting to the stomach. This leaves it stuck in the esophagus. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Treat other conditions that can make esophageal spasms worse, such as GERD. […] Ask your doctor about relaxation and controlled breathing exercises. These may help reduce symptoms. […] Avoid very hot or cold foods if they trigger esophageal spasms.

• #49 Esophageal spasm relief: Treatments and home remedies

  https://www.medicalnewstoday.com/articles/321656

  Some research suggests that using peppermint products may help reduce esophageal spasms. […] A combination of medications, therapy, and stress management techniques can help a person manage underlying depression or anxiety. […] If traditional treatments do not work, a person may be able to try other therapies that help relax the esophageal muscles. […] Doctors may use surgery as a last resort if other remedies have not worked. […] The best way to stop an esophageal spasm is to prevent it from starting. Identifying the foods and drinks that trigger muscle spasms in the esophagus and then avoiding them can be a good starting point. […] Esophageal spasms are painful but otherwise not harmful. Treatments are available to help people with esophageal spasms manage and prevent their symptoms.

• #50 What Are Esophageal Spasms? – Allied Digestive Health

  https://allieddigestivehealth.com/what-are-esophageal-spasms/

  The initial treatment of choice is lifestyle modification and medical treatment. Suppose you don’t respond to medical therapy; your doctor will recommend surgery. […] The use of phosphodiesterase inhibitors such as sildenafil can relax your esophagus, thus relieving pain. In addition, sildenafil will also relax the lower esophageal sphincter, alleviating difficulty in swallowing. […] In case of poor response to medical therapy, your doctor may refer you to a thoracic surgeon. Of note, surgical treatment is reserved for refractive cases. The procedure can be open or laparoscopic. The treatment modality can be a myotomy or esophagectomy (removal of part of the esophagus).

• #51 Esophageal Spasm Treatment & Management: Approach Considerations, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/174975-treatment

  Usually, the workup and treatment are performed in an outpatient setting. Patients in whom medical management fails and who require operative intervention should have routine postoperative care based on the procedure performed. […] Calcium channel blockers and nitrates are first-line therapy. […] Patients need close follow-up care upon the initiation of therapy or with a change in therapy. Patients should be monitored for improvements in symptoms and for adverse effects of the medications. […] Patients in whom medical management fails should be referred to a thoracic surgeon for possible operative intervention. […] Myotomy is effective for treating diffuse esophageal spasm. […] Myotomy should be used with caution in patients with nutcracker esophagus because it may worsen the symptoms. […] Overall, surgical therapy is reserved for those refractory to medical therapy.

• #52

  https://www.kuh.ku.edu.tr/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/esophageal-spasms

  Surgery (myotomy). If medicine doesn’t work, your provider might recommend a procedure that involves cutting the muscle at the lower end of the esophagus. […] To help you cope with occasional esophageal spasms, try to avoid your triggers. […] Suck a peppermint lozenge. Peppermint oil is a smooth muscle relaxant and might help ease esophageal spasms.

• #53 Esophageal Spasm Treatment & Management: Approach Considerations, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/174975-treatment

  Usually, the workup and treatment are performed in an outpatient setting. Patients in whom medical management fails and who require operative intervention should have routine postoperative care based on the procedure performed. […] Calcium channel blockers and nitrates are first-line therapy. […] Patients need close follow-up care upon the initiation of therapy or with a change in therapy. Patients should be monitored for improvements in symptoms and for adverse effects of the medications. […] Patients in whom medical management fails should be referred to a thoracic surgeon for possible operative intervention. […] Myotomy is effective for treating diffuse esophageal spasm. […] Myotomy should be used with caution in patients with nutcracker esophagus because it may worsen the symptoms. […] Overall, surgical therapy is reserved for those refractory to medical therapy.

• #54 Esophageal Spasm Treatment & Management: Approach Considerations, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/174975-treatment

  Usually, the workup and treatment are performed in an outpatient setting. Patients in whom medical management fails and who require operative intervention should have routine postoperative care based on the procedure performed. […] Calcium channel blockers and nitrates are first-line therapy. […] Patients need close follow-up care upon the initiation of therapy or with a change in therapy. Patients should be monitored for improvements in symptoms and for adverse effects of the medications. […] Patients in whom medical management fails should be referred to a thoracic surgeon for possible operative intervention. […] Myotomy is effective for treating diffuse esophageal spasm. […] Myotomy should be used with caution in patients with nutcracker esophagus because it may worsen the symptoms. […] Overall, surgical therapy is reserved for those refractory to medical therapy.

• #55 Esophageal spasms // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/esophageal-spasms

  Medicines to relax your swallowing muscles. Peppermint oil, onabotulinumtoxinA (Botox) injections into the esophagus or calcium channel blockers, such as diltiazem (Cardizem, Tiazac, others), can make spasms less severe. […] Surgery (myotomy). If medicine doesn’t work, a healthcare professional might recommend a procedure that involves cutting the muscle at the lower end of the esophagus. This procedure, called a myotomy, can help weaken esophageal contractions. Long-term studies of this approach aren’t available, so myotomy generally isn’t recommended for esophageal spasms. However, it might be considered if other treatments don’t work. […] Peroral endoscopic myotomy (POEM). The POEM procedure is minimally invasive. This newer technique involves placing an endoscope through the mouth and down the throat. This allows a surgeon to make a cut in the inside lining of the esophagus. Then, as in standard myotomy, the surgeon cuts the muscle at the lower end of the esophagus. Like standard myotomy, POEM is usually considered only if other treatments don’t work.

• #56 Esophageal spasms – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/esophageal-spasms/diagnosis-treatment/drc-20372255

  Peroral endoscopic myotomy (POEM). The POEM procedure is minimally invasive. […] To help you cope with occasional esophageal spasms, try to: […] Avoid your triggers. Make a list of foods and beverages that cause your esophageal spasms. […] Suck a peppermint lozenge. Peppermint oil is a smooth muscle relaxant and might help ease esophageal spasms.

• #57 Esophageal spasms // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/esophageal-spasms

  Medicines to relax your swallowing muscles. Peppermint oil, onabotulinumtoxinA (Botox) injections into the esophagus or calcium channel blockers, such as diltiazem (Cardizem, Tiazac, others), can make spasms less severe. […] Surgery (myotomy). If medicine doesn’t work, a healthcare professional might recommend a procedure that involves cutting the muscle at the lower end of the esophagus. This procedure, called a myotomy, can help weaken esophageal contractions. Long-term studies of this approach aren’t available, so myotomy generally isn’t recommended for esophageal spasms. However, it might be considered if other treatments don’t work. […] Peroral endoscopic myotomy (POEM). The POEM procedure is minimally invasive. This newer technique involves placing an endoscope through the mouth and down the throat. This allows a surgeon to make a cut in the inside lining of the esophagus. Then, as in standard myotomy, the surgeon cuts the muscle at the lower end of the esophagus. Like standard myotomy, POEM is usually considered only if other treatments don’t work.

• #58 Esophageal Spasms | Loma Linda University Health

  https://lluh.org/conditions/esophageal-spasms

  POEM is a minimally-invasive treatment for esophageal spasms. An endoscope is inserted through the mouth and down the throat to make an incision in the inside lining of the esophagus. The surgeon cuts the muscle at the lower end of the esophagus. Like myotomy, POEM is usually considered only if other treatments don’t work. […] If your esophageal spasms remain untreated, many people continue experiencing difficulty swallowing, chest pain and heartburn in addition to other symptoms of esophageal spasms. […] Be proactive. If you are having difficulty swallowing or experiencing the other symptoms of esophageal spasms, seek medical attention.

• #59 Esophageal spasms // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/esophageal-spasms

  Medicines to relax your swallowing muscles. Peppermint oil, onabotulinumtoxinA (Botox) injections into the esophagus or calcium channel blockers, such as diltiazem (Cardizem, Tiazac, others), can make spasms less severe. […] Surgery (myotomy). If medicine doesn’t work, a healthcare professional might recommend a procedure that involves cutting the muscle at the lower end of the esophagus. This procedure, called a myotomy, can help weaken esophageal contractions. Long-term studies of this approach aren’t available, so myotomy generally isn’t recommended for esophageal spasms. However, it might be considered if other treatments don’t work. […] Peroral endoscopic myotomy (POEM). The POEM procedure is minimally invasive. This newer technique involves placing an endoscope through the mouth and down the throat. This allows a surgeon to make a cut in the inside lining of the esophagus. Then, as in standard myotomy, the surgeon cuts the muscle at the lower end of the esophagus. Like standard myotomy, POEM is usually considered only if other treatments don’t work.

• #60 Esophageal spasm: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000289.htm

  Esophageal spasms are abnormal contractions of the muscles in the esophagus, the tube that carries food from the mouth to the stomach. These spasms do not move food effectively to the stomach. […] Nitroglycerin given under the tongue (sublingual) may help a sudden episode of esophageal spasm. Long-acting nitroglycerin and calcium channel blockers are also used for the problem. […] Long-term (chronic) cases are sometimes treated with low-dose antidepressants such as trazodone or nortriptyline to reduce symptoms. […] Rarely, severe cases may need dilation (widening) of the esophagus or surgery to control symptoms. […] Contact your health care provider if you have symptoms of esophageal spasm that don’t go away. The symptoms may actually be due to heart problems. Your provider can help decide if you need heart tests. […] Avoid very hot or very cold foods if you get esophageal spasms.

• #61 What Are Esophageal Spasms? – Allied Digestive Health

  https://allieddigestivehealth.com/what-are-esophageal-spasms/

  The initial treatment of choice is lifestyle modification and medical treatment. Suppose you don’t respond to medical therapy; your doctor will recommend surgery. […] The use of phosphodiesterase inhibitors such as sildenafil can relax your esophagus, thus relieving pain. In addition, sildenafil will also relax the lower esophageal sphincter, alleviating difficulty in swallowing. […] In case of poor response to medical therapy, your doctor may refer you to a thoracic surgeon. Of note, surgical treatment is reserved for refractive cases. The procedure can be open or laparoscopic. The treatment modality can be a myotomy or esophagectomy (removal of part of the esophagus).

• #62

  https://www.aurorahealthcare.org/services/gastroenterology-colorectal-surgery/esophageal-motility-disorders

  Esophageal motility disorders often respond well to changes in personal habits. You can lessen the amount of work needed from the muscles of your esophagus by eating softer foods in smaller, more frequent meals. If there are foods that trigger symptoms, you can avoid them. Your doctor may have other suggestions to help control your symptoms. […] Your treatment will be different depending on your disorder. Some common treatments for different conditions are: Esophageal dilation: A balloon is inserted and inflated to stretch the muscles of the esophagus and open up the narrowed part. Heller myotomy: A surgery performed on the lower esophageal sphincter muscle to make it easier for food to pass into the stomach. Medications: Acid-suppressing drugs such as proton-pump inhibitors are prescribed.

• #63 What Are Esophageal Spasms? – Allied Digestive Health

  https://allieddigestivehealth.com/what-are-esophageal-spasms/

  The initial treatment of choice is lifestyle modification and medical treatment. Suppose you don’t respond to medical therapy; your doctor will recommend surgery. […] The use of phosphodiesterase inhibitors such as sildenafil can relax your esophagus, thus relieving pain. In addition, sildenafil will also relax the lower esophageal sphincter, alleviating difficulty in swallowing. […] In case of poor response to medical therapy, your doctor may refer you to a thoracic surgeon. Of note, surgical treatment is reserved for refractive cases. The procedure can be open or laparoscopic. The treatment modality can be a myotomy or esophagectomy (removal of part of the esophagus).

• #64

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2352

  The esophagus is the tube that carries food from your mouth to your stomach. An esophageal spasm is an irregular, painful tightening of the muscles along the esophagus. Normally, the esophagus tightens in a coordinated manner to move food along and into the stomach. An esophageal spasm can prevent food from reaching the stomach, leaving it stuck in the esophagus. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Treat other conditions that can make esophageal spasms worse, such as gastroesophageal reflux disease (GERD). […] Avoid very hot or cold foods if they trigger esophageal spasms.

• #65 Esophageal Spasm: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.esophageal-spasm-care-instructions.ut2352

  The esophagus is the tube that carries food from your mouth to your stomach. An esophageal spasm is when the muscles along the esophagus tighten in an irregular, painful way. Normally, the esophagus tightens in a coordinated manner to move food along and into the stomach. An esophageal spasm can prevent food from getting to the stomach. This leaves it stuck in the esophagus. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Treat other conditions that can make esophageal spasms worse, such as GERD. […] Ask your doctor about relaxation and controlled breathing exercises. These may help reduce symptoms. […] Avoid very hot or cold foods if they trigger esophageal spasms.

• #66

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2352

  The esophagus is the tube that carries food from your mouth to your stomach. An esophageal spasm is an irregular, painful tightening of the muscles along the esophagus. Normally, the esophagus tightens in a coordinated manner to move food along and into the stomach. An esophageal spasm can prevent food from reaching the stomach, leaving it stuck in the esophagus. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Treat other conditions that can make esophageal spasms worse, such as gastroesophageal reflux disease (GERD). […] Avoid very hot or cold foods if they trigger esophageal spasms.

• #67 Esophageal Spasm Treatment & Management: Approach Considerations, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/174975-treatment

  Usually, the workup and treatment are performed in an outpatient setting. Patients in whom medical management fails and who require operative intervention should have routine postoperative care based on the procedure performed. […] Calcium channel blockers and nitrates are first-line therapy. […] Patients need close follow-up care upon the initiation of therapy or with a change in therapy. Patients should be monitored for improvements in symptoms and for adverse effects of the medications. […] Patients in whom medical management fails should be referred to a thoracic surgeon for possible operative intervention. […] Myotomy is effective for treating diffuse esophageal spasm. […] Myotomy should be used with caution in patients with nutcracker esophagus because it may worsen the symptoms. […] Overall, surgical therapy is reserved for those refractory to medical therapy.

• #68 Esophageal Spasm Treatment & Management: Approach Considerations, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/174975-treatment

  Usually, the workup and treatment are performed in an outpatient setting. Patients in whom medical management fails and who require operative intervention should have routine postoperative care based on the procedure performed. […] Calcium channel blockers and nitrates are first-line therapy. […] Patients need close follow-up care upon the initiation of therapy or with a change in therapy. Patients should be monitored for improvements in symptoms and for adverse effects of the medications. […] Patients in whom medical management fails should be referred to a thoracic surgeon for possible operative intervention. […] Myotomy is effective for treating diffuse esophageal spasm. […] Myotomy should be used with caution in patients with nutcracker esophagus because it may worsen the symptoms. […] Overall, surgical therapy is reserved for those refractory to medical therapy.

• #69 Esophageal Spasm (Aftercare Instructions)

  https://www.drugs.com/cg/esophageal-spasm-aftercare-instructions.html

  Esophageal spasm is a sudden, painful tightening of your lower esophagus. Your esophagus is the tube that food and liquids pass through from your mouth to your stomach. You may have trouble when you swallow. Food may get stuck in your esophagus. You may also have pain in your chest and heartburn. […] Pain medicine: This medicine helps take away or decrease pain caused by the spasms. […] Smooth muscle relaxants: This medicine may help your muscles and esophagus relax so it is easier for you to swallow. It may also decrease your pain and trouble swallowing. […] Proton pump inhibitors: This medicine may help reduce stomach acid and prevent heartburn. […] Contact your healthcare provider if: Your symptoms do not improve even with treatment. […] You have severe pain when you swallow. […] You lose weight without trying. […] You have questions about your condition or care. […] Return to the emergency department if: You are drooling or have trouble swallowing. […] You are choking, gagging, or vomiting. […] You have pain when you swallow. […] You have new or worse chest pain and shortness of breath.

• #70 Esophageal Spasm

  https://mountnittanyib.staywellsolutionsonline.com/Bedside/82,116033en

  Esophageal spasms may feel like food is stuck and wont go down. […] Your healthcare provider may prescribe medicines to help reduce your symptoms. If you have an underlying condition such as GERD, your healthcare provider may prescribe medicines to help manage it. […] Limit any foods that seem to cause spasm. This may include very hot or very cold foods. […] Follow up with your healthcare provider, or as advised. […] Call your healthcare provider if any of the following occur: Food that feels stuck in the esophagus for more than 30 minutes. […] Symptoms that feel like esophageal spasm but occur with heavy sweating, dizziness, or shortness of breath. […] Change in the usual patterns of your symptoms of esophageal spasm. This might be a new pattern of spreading to the neck, back, shoulder, or arm, or pain that is worse than usual.

• #71 Esophageal Spasm

  https://mountnittanyib.staywellsolutionsonline.com/Bedside/82,116033en

  Esophageal spasms may feel like food is stuck and wont go down. […] Your healthcare provider may prescribe medicines to help reduce your symptoms. If you have an underlying condition such as GERD, your healthcare provider may prescribe medicines to help manage it. […] Limit any foods that seem to cause spasm. This may include very hot or very cold foods. […] Follow up with your healthcare provider, or as advised. […] Call your healthcare provider if any of the following occur: Food that feels stuck in the esophagus for more than 30 minutes. […] Symptoms that feel like esophageal spasm but occur with heavy sweating, dizziness, or shortness of breath. […] Change in the usual patterns of your symptoms of esophageal spasm. This might be a new pattern of spreading to the neck, back, shoulder, or arm, or pain that is worse than usual.

• #72 Esophageal Spasms: Symptoms, Causes, Treatment & Medication

  https://my.clevelandclinic.org/health/diseases/15575-esophageal-spasms

  Left untreated, moderate to severe cases of esophageal spasms can negatively impact your quality of life. Symptoms may make eating, which should be an enjoyable activity, difficult. Chronic pain may lead you to withdraw from activities you enjoy or take an emotional toll. If heartburn, trouble swallowing or other esophageal spasm symptoms are causing trouble, ask your provider about treatment options. Always seek immediate medical care when you have unexplained chest pain.

• #73 Esophageal Spasms: Symptoms, Causes, Treatment & Medication

  https://my.clevelandclinic.org/health/diseases/15575-esophageal-spasms

  Left untreated, moderate to severe cases of esophageal spasms can negatively impact your quality of life. Symptoms may make eating, which should be an enjoyable activity, difficult. Chronic pain may lead you to withdraw from activities you enjoy or take an emotional toll. If heartburn, trouble swallowing or other esophageal spasm symptoms are causing trouble, ask your provider about treatment options. Always seek immediate medical care when you have unexplained chest pain.

• #74 Esophageal spasm relief: Treatments and home remedies

  https://www.medicalnewstoday.com/articles/321656

  Some research suggests that using peppermint products may help reduce esophageal spasms. […] A combination of medications, therapy, and stress management techniques can help a person manage underlying depression or anxiety. […] If traditional treatments do not work, a person may be able to try other therapies that help relax the esophageal muscles. […] Doctors may use surgery as a last resort if other remedies have not worked. […] The best way to stop an esophageal spasm is to prevent it from starting. Identifying the foods and drinks that trigger muscle spasms in the esophagus and then avoiding them can be a good starting point. […] Esophageal spasms are painful but otherwise not harmful. Treatments are available to help people with esophageal spasms manage and prevent their symptoms.

• #75 Cary Gastroenterology Associates | Tied in Knots: Esophageal Spasm…

  https://www.carygastro.com/blog/tied-in-knots-esophageal-spasm-explained

  Esophageal spasms are rare, though if you have had one you are significantly more likely to have another. […] The greatest danger of an esophageal spasm itself is usually the temporary difficulty swallowing and the possibility of throwing up if a spasm strikes while you are eating. […] The most obvious and memorable symptom of esophageal spasm is the extreme pain associated with the spasm itself. […] Treatment options for correcting or limiting the inappropriate nerve signals your esophagus is acting on will depend on the cause and severity of your spasms. […] If you have experienced an esophageal spasm, it is more likely they will happen to you again. […] The good news is, though we still have a lot to learn about what causes this condition, there are treatments available to help ease or eliminate your discomfort.

• #76 Esophageal Spasm: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.esophageal-spasm-care-instructions.ut2352

  The esophagus is the tube that carries food from your mouth to your stomach. An esophageal spasm is when the muscles along the esophagus tighten in an irregular, painful way. Normally, the esophagus tightens in a coordinated manner to move food along and into the stomach. An esophageal spasm can prevent food from getting to the stomach. This leaves it stuck in the esophagus. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Treat other conditions that can make esophageal spasms worse, such as GERD. […] Ask your doctor about relaxation and controlled breathing exercises. These may help reduce symptoms. […] Avoid very hot or cold foods if they trigger esophageal spasms.

• #77

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2352

  The esophagus is the tube that carries food from your mouth to your stomach. An esophageal spasm is an irregular, painful tightening of the muscles along the esophagus. Normally, the esophagus tightens in a coordinated manner to move food along and into the stomach. An esophageal spasm can prevent food from reaching the stomach, leaving it stuck in the esophagus. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes. […] Treat other conditions that can make esophageal spasms worse, such as gastroesophageal reflux disease (GERD). […] Avoid very hot or cold foods if they trigger esophageal spasms.

• #78 Cary Gastroenterology Associates | Tied in Knots: Esophageal Spasm…

  https://www.carygastro.com/blog/tied-in-knots-esophageal-spasm-explained

  Esophageal spasms are rare, though if you have had one you are significantly more likely to have another. […] The greatest danger of an esophageal spasm itself is usually the temporary difficulty swallowing and the possibility of throwing up if a spasm strikes while you are eating. […] The most obvious and memorable symptom of esophageal spasm is the extreme pain associated with the spasm itself. […] Treatment options for correcting or limiting the inappropriate nerve signals your esophagus is acting on will depend on the cause and severity of your spasms. […] If you have experienced an esophageal spasm, it is more likely they will happen to you again. […] The good news is, though we still have a lot to learn about what causes this condition, there are treatments available to help ease or eliminate your discomfort.

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