Diffuse esophageal spasm history and symptoms

Diffuse esophageal spasm Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Madhu Sigdel M.B.B.S.[2]

Overview

The hallmark of DES is esophageal dysphagia and chest pain.

History and Symptoms

History

Patients with DES may have a positive history of:

• dysphagia for both solids and liquids.
• sensation of food sticking in the esophagus after swallowing.

Common Symptoms

Common symptoms of DES include:

• symptom onset is sudden, intermittent and non-progressive in nature
• Chest pain usually retrosternal in location, which is intense and squeezing in nature and may be mistaken for angina
• Difficulty swallowing, sometimes related to specific substances like red wine, very cold or hot liquid.
• Regurgitation of swallowed food.

Less Common Symptoms

Less common symptoms of DES include

• Weight loss
• Heartburn
• symptoms related to other secondary disease.