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 [[Angina]]. Difficulty swallowing, sometimes related to specific substances like red wine, very cold or hot liquid | 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, is sometimes related to specific substances like red wine, very cold or hot liquid. | ||
==History and Symptoms== | ==History and Symptoms== | ||
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*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 [[Angina]]. | *[[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. | ||
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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, is sometimes related to specific substances like red wine, very cold or hot liquid.
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.