Digestive Disorders / Gastroenterology Expert Forum
Nutcracker Esophagus
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Nutcracker Esophagus


       I have been to the Doctors for the past 6 months
  complaining about sever chest pains.  I've been diagnosed with
  panic attacks at first, then discovered I had an esophagial spasm.
  The last test, Esophagial Manometry Tensilon Challenge, (if I read
  everything correct) now shows that I'm suffering from "nutcracker
  esophagus".  My question is What exactly is "nutcracker esophagus"?
  How serious of a condition is this?  Could it lead to cancer?
  I haven't had the chance to speak to my personal dr. yet.  I will
  but any information you could give me would be appreciated.
  THank you.
  Mary ANn
___________________
Dear Mary Ann:
Nutcracker Esophagus is one of the conditions caused by stronger than usual esophageal muscle contraction.  The cause of this problem is still unknown.  Patients with Nutcracker Esophagus present with severe chest pain leading that can simulate the pain of a heart attack.  Although the pain  is very distressing, nutcracker esopahgus is not a serious condition.  Currently, there is no published data to indicate an increased risk for esophageal cancer in patients with Nutcracker Esophagus.  The treatment of this disease usually includes smooth muscle relaxants such as nitrates and calcium channel blockers, or antidepressant medications such as Trazodone.    
This information is presented for educational purposes only.  Always consult your personal physician for specific medical questions.
HFHSM.D.-jg
*keywords: esophageal spasm, chest pain, nutcracker esophagus
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