Diffuse esophageal spasm

The treatment of DES consists primarily of medications, such as acid suppressing agents (like proton-pump inhibitors), calcium channel blockers, hyoscine butylbromide, or nitrates.

DES manifests as intermittent difficulty swallowing solid foods and liquids (dysphagia), and atypical chest pain.

[1] It is thought, however, that many cases are caused by uncontrolled brain signals running to nerve endings.

[2] Several drugs are used to treat DES, including nitroglycerin, hyoscine butylbromide, calcium channel blockers, hydralazine, and anti-anxiety medications.

Botulinum toxin, which inhibits acetylcholine release from nerve endings, injected above the lower esophageal sphincter may also be used in the treatment of DES.

Corkscrew appearance of the esophagus.