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23 Possible Causes for Intermittent Dysphagia, Tertiary Contractions of the Esophagus

  • Gastroesophageal Reflux Disease

    The case of a patient with intermittent dysphagia and suspected GERD is discussed. Pharyngoesophageal scintigraphy was performed. Reflux test was negative.[] Intermittent non-progressive dysphagia was the main presenting complaint, while one also had an acute food impaction.[] Each of these is experienced intermittently by over 5% of the population and 55 to 63% report at least one of these symptoms [ 1 , 10 - 14 ].[]

  • Nutcracker Esophagus

    An 87-year-old woman with severe retrosternal pain and intermittent dysphagia was referred to the clinic for further evaluation.[] There are multiple tertiary contractions in the distal esophagus (black arrow) on this barium esophagram.[] The usual presentation is intermittent dysphagia with occasional chest pain.[]

  • Esophageal Spasm

    Four of five patients had episodic nonexertional midchest pain; two patients experienced intermittent dysphagia.[] There are multiple tertiary contractions in the distal esophagus (black arrow) on this barium esophagram.[] We present a 43-year-old female with paroxysmal chest and abdominal pain, nausea, salivation, and intermittent dysphagia.[]

  • Plummer-Vinson Syndrome

    The clinical features include intermittent dysphagia for solid foods (rarely or never for liquid).[] The esophagus showed tremor accompanied by secondary and tertiary contractions but, otherwise, no pathological changes.[] Presentation [ 3, 4 ] The presentation is usually with painless, intermittent dysphagia.[]

  • Corkscrew Esophagus

    ., and Jonathan Fletcher, M.R.C.P. 1 Citing Article A 74-year-old man presented with a 30-year history of intermittent dysphagia and regurgitation, which his doctor had initially[] There are multiple tertiary contractions in the distal esophagus (black arrow) on this barium esophagram.[] He reports intermittent dysphagia to solids and liquids. He denies any reflux symptoms or weight loss. He does not have any risk factors for cardiac disease.[]

  • Esophageal Achalasia

    This suspicion is reinforced when intermittent dysphagia for solids and liquids is associated with chest pain.[] 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[]

  • Esophageal Obstruction

    Dysphagia scores (mean SD) were 3.37 0.52 before and 0.90 0.43 after stent implantation (P 0.002).[] Intermittent, non-massive hemorrhage due to the erosion caused by the distal end of the stent in the stomach occurred in only one patient who received implementation at cardio-esophageal[]

  • Dysphagia Lusoria

    […] lusoria presenting as epigastric pain. ( 29212867 ) Daher H....Al Hadidi S. 2017 10 Dysphagia lusoria as a differential diagnosis in intermittent dysphagia. ( 27093895 )[] 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[] Postoperatively two patients became symptom-free, the other patient still has intermittent dysphagia.[]

  • Presbyesophagus

    Likely underlying cause of dysphagia Painful dysphagia - oesophagitis, candida infection, oesophageal spasm. Intermittent dysphagia - oesophageal spasm.[] 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.[] The most common complain occurring from esophageal motility dysfunction is chest pain, typically followed by intermittent, non-progressive dysphagia.[]

  • Esophageal Web

    dysphagia If cervical web and iron deficiency consider Plummer-Vinson Syndrome (also achlorhydria, glossitis & stomatitis) If distal esophagus "steak house syndrome" Zenker's[] […] from thoracic esophagus Abnormal: Tertiary contractions, presbyesophagus: Nonpropulsive contractions Diffuse esophageal spasm Nutcracker esophagus Decreased peristalsis resulting[] dysphagia and impaction of a bolus of food Treatment Intraluminal balloon dilatation.[]

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