Esophageal spasms are abnormal contractions of the muscles in the esophagus (the tube that carries food from the mouth to the stomach). These spasms do not move food effectively to the stomach. The cause of esophageal spasm is unknown. Very hot or very cold foods may trigger spasms in some people.
Squeezing pain in chest.
Difficulty swallowing, sometimes related to swallowing specific substances, such as red wine or extremely hot or cold liquids.
The feeling that an object is stuck in your throat.
The return of food and liquids back up your esophagus (regurgitation).
Esophagogastroduodenoscopy (EGD) Esophageal manometry Esophagogram (barium swallow x-ray)
Nitroglycerin given under the tongue (sublingual) may help a sudden episode of esophageal spasm. Long-acting nitroglycerin and calcium channel blockers are also used for the problem. Long-term (chronic) cases are sometimes treated with low-dose antidepressants such as trazodone or nortriptyline to reduce symptoms. Rarely, severe cases may need dilation (widening) of the esophagus or surgery. to control symptoms.