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18 Possible Causes for Retrosternal Chest Pain, Tertiary Contractions of the Esophagus

  • Gastroesophageal Reflux Disease

    Numerous other manifestations related to gastroesophageal reflux and considered atypical have been described, such as retrosternal chest pain without evidence of coronary[scielo.br] Odynophagia (pain on swallowing) may be due to severe oesophagitis or stricture. Atypical symptoms These include chest pain, epigastric pain and bloating.[patient.info] Retrosternal discomfort, acid brash - regurgitation of acid or bile. Water brash - this is excessive salivation.[patient.info]

  • Esophageal Obstruction

    Patients experience diffuse retrosternal chest pain due to esophageal spasm and obstruction.[explainmedicine.com] Partial obstruction of the esophagus can cause odynophagia. [1] Sialorrhea Sialorrhea refers to excessive accumulation of saliva, because patients cannot swallow it. [1,2] Pain[explainmedicine.com]

  • Esophageal Achalasia

    Features which present in the early stages of the disease may be similar to that of gastro-oesophageal reflux, including retrosternal chest pain typically after eating and[doi.org] The barium swallow showed a mildly dilated esophagus with tertiary contractions, delayed emptying of the esophagus, and a narrowed gastroesophageal junction ( Fig. 1 ).[jnmjournal.org] The disease manifests as symptoms of dysphagia, regurgitation of food and retrosternal chest pain [ 8 ].[doi.org]

  • Nutcracker Esophagus

    Abstract The hypertensive peristaltic (nutcracker) esophagus represents a motility disorder characterized clinically by squeezing retrosternal chest pain and manometrically[ncbi.nlm.nih.gov] There are multiple tertiary contractions in the distal esophagus (black arrow) on this barium esophagram.[learningradiology.com] The two main presentations for esophageal spasm and nutcracker esophagus are chest pain and dysphagia.[symptoma.com]

  • Esophageal Spasm

    Abstract The hypertensive peristaltic (nutcracker) esophagus represents a motility disorder characterized clinically by squeezing retrosternal chest pain and manometrically[ncbi.nlm.nih.gov] There are multiple tertiary contractions in the distal esophagus (black arrow) on this barium esophagram.[learningradiology.com] Esophageal spasms present with non-cardia chest pain, which is located retrosternally and radiates to the back.[symptoma.com]

  • Esophageal Ulcer

    Odynophagia, retrosternal chest pain and dysphagia were the usual presenting symptoms. The typical endoscopic finding was that of discrete ulcers in the mid-esophagus.[ncbi.nlm.nih.gov] […] from thoracic esophagus Abnormal: Tertiary contractions, presbyesophagus: Nonpropulsive contractions Diffuse esophageal spasm Nutcracker esophagus Decreased peristalsis resulting[radiologyassistant.nl] Esophageal peristalsis Normal: Primary contraction: Propels bolus through the esophagus Secondary contraction: Follows primary contraction and propels any remaining bolus[radiologyassistant.nl]

  • Esophageal Candidiasis

    Dysphagia and odynophagia are the two main complaints, while accompanying symptoms may include obstruction, nausea, vomiting and retrosternal chest pain.[symptoma.com] […] from thoracic esophagus Abnormal: Tertiary contractions, presbyesophagus: Nonpropulsive contractions Diffuse esophageal spasm Nutcracker esophagus Decreased peristalsis resulting[radiologyassistant.nl] chest pain; vomiting and fever are the usual manifestations of candida esophagitis.[ispub.com]

  • Esophageal Crohn's Disease

    […] from thoracic esophagus Abnormal: Tertiary contractions, presbyesophagus: Nonpropulsive contractions Diffuse esophageal spasm Nutcracker esophagus Decreased peristalsis resulting[radiologyassistant.nl] Esophageal peristalsis Normal: Primary contraction: Propels bolus through the esophagus Secondary contraction: Follows primary contraction and propels any remaining bolus[radiologyassistant.nl] […] from achalasia, scleroderma, dermatomyositis, polymyositis, esophagitis, and secondary to many other diseases On the left tertiary contractions on first swallow (left).[radiologyassistant.nl]

  • Chagas Disease

    Chagas disease or american trypanosomiasis is a zoonosis caused by the protozoan parasite Trypanosoma cruzi. Its major manifestations involve the gastrointestinal and cardiac systems. It is currently the most common cause of non-ischemic cardiomyopathy in South America. Acute phase: There is an incubation period[…][symptoma.com]

  • Corkscrew Esophagus

    Acute coronary syndrome Patients with myocardial ischemia present with severe retrosternal chest pain which radiates to left arm and or jaw. [2] Achalasia Achalasia is a cause[explainmedicine.com] There are multiple tertiary contractions in the distal esophagus (black arrow) on this barium esophagram.[learningradiology.com] chest pain Squeezing type, occurs with eating Regurgitation Retrosternal chest pain Dysphagia Lower esophageal sphincter (LES) pressure and relaxation Normal LES pressure[amboss.com]

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