next step in diagnosis of diffuse esophageal spasm - northeast

[ArchivalUser]

???

[ArchivalUser]

bar swallow

[ArchivalUser]

true

[ArchivalUser]

manometry

[ArchivalUser]

I may dissagree guys. Becos the pain mimics MI, u may do ekg 1st to rule out the worst, then proceed with the swallow.

[ArchivalUser]

If can not differentiate clinically between Esophageal Spasm and MI proceed to EKG
Initial test --> barium swallow showing a œcorkscrew appearance
Most accurate test --> esophageal manometry showing:
1. high amplitude, repetitive, simultaneous contractions
2. nutcracker esophagus --> high amplitude, prolonged contractions

[ArchivalUser]

make senss. thanks.

[ArchivalUser]

sure wit any chest pain wehave to rule out MI first, so do ECG then proceed to the tests.