Q) Which of the following is the least common symptom of nutcracker esophagus?
a) Pain in chest
Nutcracker esophagus is a hyper contractile disorder of the esophagus in which there is excessive contractility of the esophagus. There are high amplitude peristaltic contractions in the body of esophagus.
It is the most common motility disorder of the esophagus.
It can occur in all age groups and is of equal distribution in both sex.
Nutcracker esophagus symptoms
- Chest pain
- Painful deglutition (Odynophagia)
Acording to the Chicago classification
There is subjective complaint of chest pain with at least one swallow showing a distal contractile integral greater than 8000 mm Hg with single or multipeaked contractions on HRM. The LES pressure is normal, and relaxation occurs with each wet swallow
- High amplitude peristaltic contractions in distal 10 cm of esophagus
- After ten 5 ml swallows average amplitude is more than 220 mmHg
- Avoid trigger inducing foods such as caffeine
- Calcium channel blockers, Nitrates, Antispasmodics
- Esophageal dilatation in some cases