Diffuse esophageal spasm history and symptoms: Difference between revisions
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{{CMG}}; {{AE}} {{MSI}} | {{CMG}}; {{AE}} {{MSI}} | ||
==Overview== | ==Overview== | ||
The hallmark of DES is esophageal dysphagia for both solids and liquids and chest pain. 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 | The hallmark of DES is esophageal [[dysphagia]] for both [[solids]] and [[liquids]] and [[chest pain]]. 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 may also be a complain. | ||
==History and Symptoms== | |||
==History and Symptoms | |||
===History=== | ===History=== | ||
Patients with DES may have a positive history of: | Patients with DES may have a positive history of:<ref name="pmid11930515">{{cite journal| author=Strader SL| title=Esophageal motor disorders: achalasia and esophageal spasm. | journal=J Am Acad Nurse Pract | year= 2001 | volume= 13 | issue= 11 | pages= 502-7; quiz 508-10 | pmid=11930515 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11930515 }}</ref> | ||
*Dysphagia for both solids and liquids. | *[[Dysphagia]] for both [[solids]] and [[liquids]]. | ||
*Sensation of food sticking in the esophagus after swallowing. However, there is no difficulty initiating the process of swallowing. | *Sensation of food sticking in the [[esophagus]] after swallowing. However, there is no difficulty initiating the process of [[swallowing]]. | ||
===Common Symptoms=== | ===Common Symptoms=== | ||
Common symptoms of DES include: | Common symptoms of DES include: | ||
*Symptom onset is sudden, intermittent and non-progressive in nature. | *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 | *[[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. | *Difficulty swallowing, sometimes related to specific substances like red wine, very cold or hot liquid. | ||
*Regurgitation of swallowed food. | *[[Regurgitation]] of swallowed food. | ||
*Odynophagia for both solids and liquids. | *[[Odynophagia]] for both solids and liquids. | ||
===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
Less common symptoms of DES include | Less common symptoms of DES include | ||
*Weight loss | *[[Weight loss]] | ||
*Heartburn | *[[Heartburn]] | ||
*symptoms related to other secondary disease. | *symptoms related to other secondary disease. | ||
Revision as of 20:37, 28 November 2017
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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 for both solids and liquids and chest pain. 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 may also be a complain.
History and Symptoms
History
Patients with DES may have a positive history of:[1]
- Dysphagia for both solids and liquids.
- Sensation of food sticking in the esophagus after swallowing. However, there is no difficulty initiating the process of 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.
- Odynophagia for both solids and liquids.
Less Common Symptoms
Less common symptoms of DES include
- Weight loss
- Heartburn
- symptoms related to other secondary disease.
References
- ↑ Strader SL (2001). "Esophageal motor disorders: achalasia and esophageal spasm". J Am Acad Nurse Pract. 13 (11): 502–7, quiz 508-10. PMID 11930515.