Esophageal spasm: Difference between revisions
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*Unclear what causes esophageal spasm. Possibly related to food intolerance. Can be triggered by eating hot or cold drinks/food. | *Unclear what causes esophageal spasm. Possibly related to food intolerance. Can be triggered by eating hot or cold drinks/food. | ||
===Workup=== | ===Workup=== | ||
*Esophageal spasm is a diagnosis of exclusion. Work-up should focus on ruling out more serious etiologies. | |||
**[[ECG]] | |||
**CBC | |||
**Chemistry | |||
**[[Troponin]] | |||
**[[CXR]] | |||
*Consider: | |||
**[[BNP]] | |||
**PT/PTT | |||
**[[D-dimer]] vs. CTA chest | |||
===Diagnosis=== | ===Diagnosis=== | ||
Revision as of 00:01, 12 October 2021
Background
- Strong spasms of the musculature of the esophagus that can last minutes to hours and mimic the chest pain of angina
Clinical Features
- Squeezing or tightening pain in the chest
- Can have associated dysphagia +/- globus sensation
Differential Diagnosis
Evaluation
- Unclear what causes esophageal spasm. Possibly related to food intolerance. Can be triggered by eating hot or cold drinks/food.
Workup
- Esophageal spasm is a diagnosis of exclusion. Work-up should focus on ruling out more serious etiologies.
- Consider: