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30 Possible Causes for Cough, Tertiary Contractions of the Esophagus

  • Gastroesophageal Reflux Disease

    This case suggests cough as an adverse drug event to omeprazole, which is otherwise commonly prescribed for the management of GERD-related cough.[] Gastroesophageal reflux disease (GERD) is recognized to be present in 10-20% of cases of chronic cough. Proving that it is the cause of the cough is more difficult.[] However, after repeated bouts of coughing, the heart rate showed bradycardia associated with convulsion.[]

  • Esophageal Achalasia

    Flow-volume loops done because of the cough revealed a configuration consistent with variable intrathoracic tracheal obstruction.[] The barium swallow showed a mildly dilated esophagus with tertiary contractions, delayed emptying of the esophagus, and a narrowed gastroesophageal junction ( Fig. 1 ).[] […] of barium with the patient in the recumbent position Antegrade and retrograde motion of barium in the esophagus secondary to uncoordinated, nonpropulsive, tertiary contractions[]

  • Lingular Pneumonia

    I am scared to drive cuz a cough or sneeze might make me black out from pain. Should I see a pulmonologist or does this sound common?[] Achalasia on BaSw Findings: The BaSw demonstrates a dilated esophagus with tertiary contractions and a bird beak appearance to the lower...[] Expectorants and cough suppressants (cough syrups or Mucinex) and analgesics (Tylenol, Motrin) are often secondary treatments.[]

  • Zenker Diverticulum

    In 62 (44.6%, CI 36.2-53.3) patients, there was a history of chronic cough and/or aspiration pneumonia.[] The red arrow indicates extrinsic compression in the posterior wall of the thoracic esophagus at the top of the aortic arch together with multiple tertiary contractions in[] Abstract The surgical treatment of Zenker diverticulum relieves dysphagia, coughing, and aspiration in nearly all patients.[]

  • Pharyngeal Disease

    Coughing and choking, however, may not present in patients who aspirate silently.[] The barium swallow may be normal or show nonpropagated contractions (also called tertiary contractions).[] Pharyngitis following several days of coughing or rhinorrhea is more consistent with a viral etiology.[]

  • Esophageal Obstruction

    Abstract A Zenker's or pharyngoesophageal diverticulum may represent a rare cause of upper digestive obstruction, or more often, cervical dysphagia, regurgitations and cough[] Neck pain or throat pain can occur in patients with food impaction in the proximal esophagus. [2] Choking and coughing Patients with esophageal and airway obstruction present[] The patient was coughing up yellow phlegm frequently.[]

  • Esophageal Tuberculosis

    The authors present a 14-year-old boy, who presented with vomiting, cough, low-grade fever and anorexia for two months.[] […] from thoracic esophagus Abnormal: Tertiary contractions, presbyesophagus: Nonpropulsive contractions Diffuse esophageal spasm Nutcracker esophagus Decreased peristalsis resulting[] Dysphagia or coughing on eating were the predominant symptoms.[]

  • Presbyesophagus

    […] immediately, or shortly, after eating or drinking nasal speech diminished cough reflex choking difficulty chewing drooling saliva food dribbling from the mouth dysarthria[] I was diagnosed as having tertiary contractions of the esophagus and slight gastritis. I have substernal chest pain that doesn't go away after eating.[] Fig. 6.1 Tertiary contraction of the esophagus.[]

  • Esophageal Diverticula 

    Nine patients had severe nocturnal cough with symptoms of aspiration.[] Postoperative barium swallow showed a regular transit of the contrast through the LES and few tertiary contractions in the lower esophagus.[] […] from thoracic esophagus Abnormal: Tertiary contractions, presbyesophagus: Nonpropulsive contractions Diffuse esophageal spasm Nutcracker esophagus Decreased peristalsis resulting[]

  • Nutcracker Esophagus

    Dysphagia may present in patients with diffuse esophageal spasm, which will manifest as regurgitation, cough, heartburn, and hoarseness.[] There are multiple tertiary contractions in the distal esophagus (black arrow) on this barium esophagram.[] Even without food/drink he feels like someone is strangling him or somthing is stuck and will cough himself blue even though it does nothing to's just a reflex[]

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