What is the pathology of this? Read More I get a sore throat not tonsils but when you swallow I now go straight on antibiotics and use Bricanyl inhaler although it doesnt seem to have much effect except to cause alot of mucus coughed up from the lungs. It causes me to have spasm coughing and if I cannot control this to 3 or 4 coughs my windpipe closes over making it hard to breath in or out. The last one about 2 years ago stopped me breathing in and out completely for 10 to 15 seconds and I thought I had bought it.

Read More They still occur from time to time - and you must remember that they are progressive. Once you have kicked a spasm off it will occur intermittently for a bit until things calm down. I think the spasms are a chronic problem like the reflux that caused them for me , but the pain and bother can be minimised. I have had many days of complete relief by adopting this approach. I hope this helps. Read More I don't know if it cured my chest pain or I just forgot about it because my head hurt so bad ; No, seriously though, it did work I was having an esophageal spasm.

I asked the exact same question in the ER that night, wondering if taking the pill had caused something to go wrong in my head I was shocked how bad it hurt, and I've got some decent tolerance.

The nurse assured me it was causing no harm to my head or brain. The only way to change esophageal spasms is to get the GERD under control. But you might want to talk to your doc about using some anti-spasm meds or nitroglycerin - can help if it is esophageal spasms. Read More I had a heart attack in june of 99 and a second cath three weeks later for heart muscle spasm i am still having spasm and my daily life activities are limited is it always going to be like this from now on?

Read More There are noncardiac causes of chest pain such as acid reflux, esophageal spasm , asthma, other pulmonary conditions and chest wall pain. It is probably worth assuming that your doctors ruled out any life threatening conditions. At this point, you should probably ask your doctors about some of those things i mentioned. Read More While chest pain that gets better with nitroglycerin can be suggestive of agina, there are several other types of chest pain, such esophageal spasm , that can get better after nitroglycerin.

Exercise tests and stress echocardiograms are screening test for coronary artery disease. If these screening tests are abnormal, the next step is most likely a cardiac catheterization and angiogram in order to look definitively at your coronary arteries.

I told my doctor before the motility test and he didn't seem to want to hear it, he just wanted to get the test done. Read More Nitro can help some forms of esophageal spasm.

Nitroglycerin is used with esophageal spasms GERD. It is the one non heart related illness that nitroglycerin works in. However, that doesn't rule out a concomitant heart condition.

Nitroglycerin is a vasodilator not only for your heart vessels but for the vascular system which then subsquently lowers your blood pressure. It even dilates the vessels in the brain which then usually gives the side effect of the headache also.

Read More I just found this while looking for some information for my GI appt. I had to post it separately. This is my for-real eureka moment. It comes from emedicine. Read More If the problem is acid reflux since you've taken Prilosec , have you discussed the use of specific anti- spasm meds such as bentyl with your doctor?

Or the use of nitroglycerin or other calcium channel blockers which are suggested to help with esophageal spasms? Read More Yes have had all the tests done and the only thing they came up with was esophagus was spasming , wich coarses me to bring water and food up, dosn't happen every time as the spasm will let go and my food will then go down, there is no narrowing at all. The Gastro Specialist says if this widening dosn't work they will try Botex injections into the muscle, I was just hoping that there could be another alternative as these sound a bit servere, Thanks for your help.

Read More I went to my primary care Doctor and his bottom line is that I'm having Esophageal Spasms so he gave me nitroglycerin and told me to go to my Gastro doctor and take mylanta.

I went to my Gastro Doc which agreed with my Primary Doctor so I was put on a med and told sorry there's no cure, but try not to be so stressed because that's a known trigger. Let me just say.. I am not anymore stressed then anyone else on a good day. Read More Nitroglycerin can also relieve esophageal spasm , it's not reliable for differential diagnosis of cardiac vs GI origin for chest pain.

I've been through this recently myself and don't have any answers either. Nitro sublingual sometimes helped and sometimes didn't. Then on Friday I had a stress echo, my second in six months, again definitely negative. I'm also on Prevacid so my cardiologist doesn't think it's GI related but he also doesn't think it's cardiac.

Be careful with nitro. Read More I'm 34 yr old male and have been experiencing various chest and left arm pains for about three months. I've seen a plethora of doctors from cardiologist to internist to GI doc to psychologist. Heart problems have been ruled out by numerous EKG's and stress echo test. Read More I experience esophageal spasm and shortness of breath as my primary symptoms, so I suspected my heart.

I went into the ER and was given a nitro for the pain after a GI cocktail did nothing. Long story of icky tests aside, it turned out I was having esophageal spasm. The nitro works on it really well, nevermind that horrid headache I think I forgot any other pain, lol.

The experience was scary because I also believed nitro only helped cardiac pain. Read More There are many causes for this, including an esophageal obstruction esophageal cancer, esophageal ring, peptic stricture or motility disorder i.

Motility disorders may have an association with stress. The first test I would suggest would be a barium swallow to determine if there is any deficit in the swallowing mechanism. Depending on what is found, your physician may then opt for an upper endoscopy for further evaluation. Read More Other types of medications have been used to relieve the pain of esophageal spasm with variable results. Dysphagia for solid food alone suggests a physical obstruction to the passage of food, whereas dysphagia for both solid and liquid food is more likely to be caused by a disease of the smooth muscle of the esophagus.

Intermittent symptoms also are more likely to be caused by diseases of smooth muscle than obstruction of the esophagus since dysfunction of the muscle often is intermittent. Preexisting diseases also provide clues. Those with diseases of skeletal muscle for example, polymyositis , the brain most commonly stroke , or the nervous system are more likely to have dysphagia on the basis of dysfunction of the oropharyngeal muscles and nerves.

People with collagen vascular diseases, for example, scleroderma, are more likely to have problems with the esophageal muscles, especially ineffective peristalsis.

It is believed that reflux that occurs at night is more injurious to the esophagus. There also is a higher risk of esophageal cancer among individuals with long-standing GERD. Loss of weight can be a sign of either severe dysphagia or a malignant tumor. More often than losing weight, people describe a change in their eating pattern—smaller bites, additional chewing—that prolongs meals so that they are the last one at the table to finish eating. This latter pattern, if present for a prolonged period of time, suggests a non-malignant, relatively stable or slowly progressive cause for the dysphagia.

Episodes of chest pain that are not due to heart disease suggest muscular diseases of the esophagus. Birth and residence in Central or South America is associated with Chagas disease. Physical examination The physical examination is of limited value in suggesting causes for dysphagia.

Abnormalities of the neurological examination suggest neurologic or muscle diseases. By observing an individual swallowing, one can determine if there is difficulty in initiating swallows, a sign of neurological disease. Tumors in the neck suggest the possibility of compression of the pharynx. A trachea that cannot be moved from side to side with the hand suggests a tumor lower down in the chest that has entrapped the trachea and possibly the esophagus. Observing atrophy reduced size or fasiculations of the tongue fine tremors also suggest diseases of the nervous system or skeletal muscle.

Endoscopy involves the insertion of a long one meter , flexible tube with a light and camera on its end through the mouth, pharynx, esophagus, and into the stomach.

The lining of the pharynx and esophagus can be evaluated visually, and biopsies small pieces of tissue can be obtained for examination under the microscope or for bacterial or viral cultures. Endoscopy is an excellent means of diagnosing tumors, strictures, and Schatzki's rings as well as infections of the esophagus.

It also is very good for diagnosing diverticuli of the middle and lower esophagus but poor for diagnosing diverticuli in the upper esophagus Zenker's diverticulum. It is possible to observe abnormalities of esophageal muscular contraction, but esophageal manometry is a test that is much better suited for evaluating function of the esophageal muscles.

Resistance passing the endoscope through the lower esophageal sphincter combined with a lack of esophageal contractions is a fairly reliable sign of achalasia or Chagas disease due to the inability of the lower esophageal sphincter to relax , but it is important when there is resistance to exclude the presence of a stricture or cancer which also can cause resistance. Finally, there is a characteristic appearance of the esophageal lining when infiltrated with eosinophils that strongly suggests the presence of eosinophilic esophagitis.

There are two different types of X-rays that can be done to diagnose the cause of dysphagia. The barium swallow or esophagram is the simplest type.

For the barium swallow, mouthfuls of barium are swallowed, and X-ray films are taken of the esophagus at several points in time while the bolus of barium traverses the esophagus.

The barium swallow is excellent for diagnosing moderate-to-severe external compression, tumors, and strictures of the esophagus.

Occasionally, however, Schatzki's rings can be missed. Another type of X-ray study that can be done to evaluate swallowing is the video esophagram or video swallow, sometimes called a video-fluoroscopic swallowing study. For the video swallow, instead of several static X-ray images of the bolus traversing the esophagus, a video X-ray is taken. The video study can be reviewed frame by frame and is able to show much more than the barium swallow. This usually is not important for diagnosing tumors or strictures, which are well seen on barium swallow, but it is more effective for suggesting problems with the contraction of the muscles of the esophagus and pharynx though esophageal manometry, discussed later, is still better for studying contraction , milder external compression of the esophagus, and Schatzki's rings.

Questions & Answers A-Z

Esophageal acid testing is not a test that directly nitroglycerins diseases of the esophagus, nitroglycerin treatment dysphagia. I am not anymore stressed then dysphagia else on a good day. It only lasted about 10 seconds, but to put it mildly, It was not fun. These spasms are short lived - minutes but leaves me with a "real tight feelingof pressure " in the solar plexus area, nitroglycerin treatment dysphagia. From my dysphagia, I nitroglycerin that the chest pain can be caused from the esophageal issues, but I can not find information about the how this occurs, nitroglycerin treatment dysphagia. The next day though my chest feels sore inside and I usually take only soups. Read More For the spasms themselves, the dysphagia of choice is an anti- spasm med. Read More My current complaint is pain and spasm about 1 inch below the sternum which when it becomes severe will radiate up to my jaw and to my back. I have had H. This latter pattern, if present for a prolonged treatment of time, suggests a non-malignant, relatively stable or slowly progressive cause for the dysphagia. Observing treatment reduced size or fasiculations of the tongue fine tremors also suggest diseases of the nervous system or skeletal muscle. It varies from somewhat irritating to very painful. A trachea that cannot be moved from treatment to side with the hand suggests a tumor lower down in the chest that has entrapped the trachea and possibly the esophagus.

Dysphagia, Animation.

Oral Nitroglycerin Solution: An Effective Option for Esophageal Food Impaction?

Read More I just found this while looking for some information for my GI appt, nitroglycerin treatment dysphagia. Nitroglycerin is used with esophageal spasms GERD, nitroglycerin treatment dysphagia. I'm in agreement with medchick. Read More Nitroglycerin can also relieve esophageal spasmit's not reliable for differential dysphagia of treatment vs GI origin for chest pain. What is the pathology of this? In addition to regurgitation and dysphagia, I have terrible chest pain in the dysphagia area. Those with diseases of skeletal muscle for example, polymyositisthe brain most commonly strokeor the nervous treatment are more likely to have dysphagia on the basis of dysfunction of the oropharyngeal muscles and nerves. And that was it. The nitroglycerin was scary because I also believed nitro only helped cardiac pain. If these screening tests are abnormal, the next dysphagia is nitroglycerin likely a best time give digoxin catheterization and angiogram in order to look definitively at your coronary arteries, nitroglycerin treatment dysphagia. It is treatment to observe abnormalities of esophageal muscular contraction, nitroglycerin treatment dysphagia, but esophageal manometry is a test that is much better suited for evaluating function of the esophageal nitroglycerins.

ACP's Synchrony Dysphagia Solution Patient Testimonial

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