Esophageal Spasm
Esophageal spasm is a relatively common problem, whereby the
esophageal muscles cramps (spasm) and cause a sensation of chest
tightness, chest pain, a lump in the throat, or difficulty
swallowing. The primary reason this occurs is that the
esophagus is hypersensitive in some people, and when they incur
a lot of stress in their lives, the esophagus goes into spasm.
Many patients wind up going to an emergency room, thinking that
they are having a heart attack. Often the EKG, heart blood
work and a stress test are all normal. The patients are
sent out with the knowledge that their heart is ok, but they
still don’t have a diagnosis.
Esophageal spasm can occur in response to GERD, gastritis, esophagitis, or Ulcers in the stomach, esophagus or duodenum. If can also occur because of stress or depression. To figure out the cause, your gastroenterologist may suggest a gastroscopy (EGD) to rule out any obvious pathology as mentioned above. If none is found, then medical treatment will be recommended with antispasmotics, sedatives or antidepressant medications. It is usually treated successfully.
