Diffuse Esophageal Spasm

Diffuse esophageal spasm (DES), also known as distal esophageal spasm, is a condition characterized by uncoordinated contractions of the esophagus, which may cause difficulty swallowing or regurgitation.

This condition isn't considered a serious threat to your health.
  • Symptoms
  • Chest pain

    • Center of the chest

    • Change in body position doesn't change the pain

    • Occurs or worsens with emotions, Occurs or worsens when eating hot or cold food

    or Acid reflux

    • Recurrent

    • Occurs or worsens when eating hot or cold foods


    Food stuck in throat

    or Object stuck in throat


    Swallowing difficulties

    • Foods and drinks

    • Occurs or worsens with emotional stress, Occurs or worsens when eating hot or cold food


    Release of recently eaten foods different from vomiting

    Weight loss

  • Risk factors
  • Treatment
  • Alongside medical treatment, it is good to know and avoid triggers. Avoid very hot or very cold food or drinks. Stress control may also help to manage the spasms. Medical treatment options that your doctor may prescribe: One of the first recommendations may be to take peppermint oil or lozenges, calcium channel blocker or Botulinum toxin injection. Medical management is usually sufficient, but surgical myotomy intervention may be needed.
  • Recommended specialist
  • If you have Diffuse Esophageal Spasm, then a visit to a gastroenterologist is highly recommended.

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